﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2010v3.2">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-05-02T17:00:09-05:00</Timestamp>
    <TaxPeriodEndDate>2011-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
        <City>ENGLEWOOD</City>
        <State>CO</State>
        <ZIPCode>80112</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>470707604</EIN>
      <Name>
        <BusinessNameLine1>ST MARY'S HOSPITAL FOUNDATION</BusinessNameLine1>
      </Name>
      <NameControl>STMA</NameControl>
      <Phone>4028738929</Phone>
      <USAddress>
        <AddressLine1>1314 3rd Avenue</AddressLine1>
        <City>Nebraska City</City>
        <State>NE</State>
        <ZIPCode>684101999</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>DANIEL KELLY</Name>
      <Title>PRESIDENT AND CEO</Title>
      <DateSigned>2012-05-02</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Phone>7208741500</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="IRS990" softwareId="10000128" softwareVersion="v2010.1.0" referenceDocumentId="IRS990ScheduleO">
      <NameOfPrincipalOfficerBusiness>
        <BusinessNameLine1>DANIEL KELLY</BusinessNameLine1>
      </NameOfPrincipalOfficerBusiness>
      <AddressPrincipalOfficerUS>
        <AddressLine1>1314 3rd Avenue</AddressLine1>
        <City>Nebraska City</City>
        <State>NE</State>
        <ZIPCode>684101999</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>16201</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>N/A</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1986</YearFormation>
      <StateLegalDomicile>NE</StateLegalDomicile>
      <ActivityOrMissionDescription>THROUGH VOLUNTARY LEADERSHIP THE FOUNDATION BOARD SEEKS, ATTAINS AND ADMINISTERS FUNDS CONTRIBUTED FROM VARIOUS SOURCES TO SUPPORT THE HEALING MISSION OF ST. MARY'S COMMUNITY HOSPITAL AND THE CREATION OF HEALTHIER COMMUNITIES.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>11</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>6</NbrIndependentVotingMembers>
      <TotalNbrEmployees>0</TotalNbrEmployees>
      <TotalNbrVolunteers>6</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>26176</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>14483</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>0</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>0</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>1705</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>500</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>2698</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>56</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>30579</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>15039</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>69013</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>0</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>0</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>11398</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>22353</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>21985</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>91366</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>21985</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-60787</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-6946</RevenuesLessExpensesCY>
      <TotalAssetsBOY>152581</TotalAssetsBOY>
      <TotalAssetsEOY>161029</TotalAssetsEOY>
      <TotalLiabilitiesBOY>76536</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>86786</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>76045</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>74243</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>6185</Expense>
      <Description>SEE SCHEDULE O</Description>
      <TotalProgramServiceExpense>6185</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds>false</DonorAdvisedFunds>
      <ConservationEasements>false</ConservationEasements>
      <CollectionsOfArt>false</CollectionsOfArt>
      <CreditCounseling>false</CreditCounseling>
      <TermOrPermanentEndowments>false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities>false</ReportInvestOthSecurities>
      <ReportProgRelInvest>false</ReportProgRelInvest>
      <ReportOtherAssets>false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt>false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">true</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>0</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>0</NumberOfEmployees>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>11</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>6</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>true</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>false</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>Sharon Crunk</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>4028738929</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1314 3rd Avenue</AddressLine1>
          <City>Nebraska City</City>
          <State>NE</State>
          <ZIPCode>684101999</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <Form990PartVIISectionA>
        <NamePerson>BRETT MEYER</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>267159</ReportableCompFromRelatedOrgs>
        <OtherCompensation>22234</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PATRICIA HOLMES</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>34318</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15391</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KAREN BARR</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MIKE BORNS</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBORAH NORTON</NamePerson>
        <Title>BOARD MEMBER/CHIEF MISSION OFFICER-SMCH</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>54244</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19390</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DUANE SMITH</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANIEL KELLY</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>206222</ReportableCompFromRelatedOrgs>
        <OtherCompensation>40171</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JONATHAN STELLING</NamePerson>
        <Title>FORMER BOARD CHAIR</Title>
        <AverageHoursPerWeek>0</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>271265</ReportableCompFromRelatedOrgs>
        <OtherCompensation>38594</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JACLYN KREIFELS</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAN MADSEN</NamePerson>
        <Title>VICE CHAIR</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TAMMI THOMPSON</NamePerson>
        <Title>FOUNDATION DIRECTOR</Title>
        <AverageHoursPerWeek>20</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>36067</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20950</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOYCE TURNER</NamePerson>
        <Title>SECRETARY/TREASURER</Title>
        <AverageHoursPerWeek>1</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>0</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>869275</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>156730</TotalOtherCompensation>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <NumberOfContractorsGT100K>0</NumberOfContractorsGT100K>
      <FundraisingEvents>2486</FundraisingEvents>
      <RelatedOrganizations>5000</RelatedOrganizations>
      <AllOtherContributions>6997</AllOtherContributions>
      <TotalContributions>14483</TotalContributions>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>0</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>500</TotalRevenueColumn>
        <ExclusionAmount>500</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <GainOrLoss>
        <Securities>0</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>1218</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>2486</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>1162</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>56</TotalRevenueColumn>
        <ExclusionAmount>56</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>15039</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>556</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>0</Total>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>0</Total>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>0</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>19899</Total>
        <ProgramServices>5965</ProgramServices>
        <ManagementAndGeneral>3975</ManagementAndGeneral>
        <Fundraising>9959</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>209</Total>
        <ProgramServices>50</ProgramServices>
        <ManagementAndGeneral>50</ManagementAndGeneral>
        <Fundraising>109</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>1666</Total>
        <ManagementAndGeneral>336</ManagementAndGeneral>
        <Fundraising>1330</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>41</Total>
        <ManagementAndGeneral>41</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>0</Total>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <AllOtherExpenses>
        <Total>170</Total>
        <ProgramServices>170</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>21985</Total>
        <ProgramServices>6185</ProgramServices>
        <ManagementAndGeneral>4402</ManagementAndGeneral>
        <Fundraising>11398</Fundraising>
      </TotalFunctionalExpenses>
      <TotalJointCosts>
        <Total>0</Total>
      </TotalJointCosts>
      <SavingsAndTempCashInvestments>
        <BOY>152581</BOY>
        <EOY>161029</EOY>
      </SavingsAndTempCashInvestments>
      <LandBuildingsEquipmentBasis>2400</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2400</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <EOY>0</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>152581</BOY>
        <EOY>161029</EOY>
      </TotalAssets>
      <OtherLiabilities>
        <BOY>76536</BOY>
        <EOY>86786</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>76536</BOY>
        <EOY>86786</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>39976</BOY>
        <EOY>36174</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>36069</BOY>
        <EOY>38069</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>76045</BOY>
        <EOY>74243</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>152581</BOY>
        <EOY>161029</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-6946</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>5144</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="10000128" softwareVersion="v2010.1.0">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>74228</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>50587</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>77587</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>26176</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14483</CurrentTaxYear>
        <Total>243061</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>74228</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>50587</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>77587</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>26176</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>14483</CurrentTaxYear>
        <Total>243061</Total>
      </Total170>
      <AmountsSubstContributorsTotal>14603</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>228458</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>3245</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>3626</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>547</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1705</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>500</CurrentTaxYear>
        <Total>9623</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus2Years>4080</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>11869</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1218</CurrentTaxYear>
        <Total>17167</Total>
      </OtherIncome170>
      <TotalSupport>269851</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>0</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.84660</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.52520</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <GeneralExplanation>OTHER INCOME, SCHEDULE A, PART II, SECTION B, LINE 10, GROSS INCOME FROM FUNDRAISING EVENTS (NOT INCLUDING CONTRIBUTIONS): 2006 - $0 2007 - $0 2008 - $4,080 2009 - $11,869 2010 - $1,218,</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="10000128" softwareVersion="v2010.1.0">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="10000128" softwareVersion="v2010.1.0">
      <Land>
        <BookValue>0</BookValue>
      </Land>
      <Buildings>
        <BookValue>0</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <BookValue>0</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2400</OtherCostOrOtherBasis>
        <Depreciation>2400</Depreciation>
        <BookValue>0</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <BookValue>0</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>0</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>INTERCOMPANY PAYABLES</Description>
        <Amount>86786</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>86786</TotalOfAmounts>
      <TotalRevenue>16201</TotalRevenue>
      <TotalExpenses>23147</TotalExpenses>
      <ExcessOrDeficitForYear>-6946</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>5144</NetUnrealizedGLOnInvestments>
      <OtherAmount>0</OtherAmount>
      <TotalAdjustments>5144</TotalAdjustments>
      <ExcessOrDeficitPerFS>-1802</ExcessOrDeficitPerFS>
      <OtherRevenues>0</OtherRevenues>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>0</RevenueSubtotal>
      <OtherRevenuesNotIncluded>0</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>0</TotalRevenuePerForm990>
      <OtherExpensesIncluded>0</OtherExpensesIncluded>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>0</ExpensesSubtotal>
      <OtherExpensesNotIncluded>0</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>0</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 (ASC 740) footnote</Identifier>
        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>ST. MARY'S HOSPITAL FOUNDATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2011 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. AS OF JUNE 30, 2011, CHI HAS CURRENT NET DEFERRED TAX ASSETS OF $2.1 MILLION AND A NONCURRENT NET DEFERRED TAX LIABILITY OF $5.4 MILLION RELATED TO THESE TAXABLE ACTIVITIES. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS."</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="10000128" softwareVersion="v2010.1.0">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <Form990ScheduleJPartII>
        <NamePerson>BRETT MEYER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>210876</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>45687</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>10596</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>4649</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>17585</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>289393</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DANIEL KELLY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>140831</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>43567</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>21824</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>29250</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10921</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>246393</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JONATHAN STELLING</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>224079</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>46519</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>667</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>20228</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>18366</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>309859</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental nonqualified 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. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: DANIEL KELLY. DURING 2010, THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: DANIEL KELLY - $12,240</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>METHODS USED TO ESTABLISH TOP MANAGEMENT OFFICIAL COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY ST. MARY'S COMMUNITY HOSPITAL (SMCH), A RELATED ORGANIZATION. SMCH 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>
    </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>ST. MARY'S HOSPITAL FOUNDATION ("FOUNDATION") WAS INCORPORATED AS A 501(C)(3), TAX-EXEMPT, CHARITABLE FOUNDATION IN 1987 TO SERVE AS THE OFFICIAL GIFT-RECEIVING AND GIFT-ADMINISTRATION AGENCY FOR ST. MARY'S COMMUNITY HOSPITAL IN NEBRASKA CITY, NEBRASKA. THE FOUNDATION'S PURPOSE IS TO ENGAGE IN FUNDRAISING, DEVELOPMENT AND OTHER CHARITABLE ACTIVITIES ALL IN SUPPORT OF ST. MARY'S COMMUNITY HOSPITAL. THE FOUNDATION IS FOCUSED ON IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES THAT WE SERVE BY CONTRIBUTING TO THE HOSPITAL SO IT IS ABLE TO PROVIDE THE BEST HEALTH SERVICES TO OUR PATIENTS. THE ORGANIZATION'S PURPOSE STATEMENT, DEVELOPED BY THE FOUNDATION'S BOARD OF DIRECTORS, IS AS FOLLOWS: "ST. MARY'S HOSPITAL FOUNDATION IS COMMITTED TO SEEK, ATTAIN AND ADMINISTER FUNDS CONTRIBUTED FROM VARIOUS SOURCES THAT SUPPORT THE MISSION AND SERVICES PROVIDED BY ST. MARY'S COMMUNITY HOSPITAL. THROUGH VOLUNTARY LEADERSHIP WE WILL ACCOMPLISH THIS GOAL WITH THE STRENGTH, SUPPORT AND GUIDANCE OF ST. MARY'S COMMUNITY HOSPITAL AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES." ST. MARY'S HOSPITAL FOUNDATION'S CURRENT 11-MEMBER BOARD OF DIRECTORS RAISES FUNDS THROUGH SPECIAL EVENTS, EMPLOYEE ANNUAL GIVING, MAJOR GIFTS, AND PROJECT CAMPAIGNS TO HELP FUND HEALTH CARE EQUIPMENT, PROJECTS AND SERVICES OFFERED BY ST. MARY'S COMMUNITY HOSPITAL. AS THE FOUNDATION CONTINUES TO GROW ITS DONOR BASE AND REVENUE, WE AIM TO LEAD THE EFFORT IN CONTINUING THE HIGHEST QUALITY OF HEALTHCARE AVAILABLE. AS A NON-PROFIT FOUNDATION, IT IS CERTAIN THAT THE DOLLARS WE EARN AND THE DECISIONS WE MAKE BENEFIT THE PEOPLE WHO LIVE WITHIN OUR COMMUNITY IN EVERY WAY POSSIBLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Significant changes to organizational documents</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 4</ReturnReference>
        <Explanation>THE ORGANIZATION AMENDED ITS BYLAWS TO INCREASE THE MAXIMUM NUMBER OF BOARD MEMBERS FROM ELEVEN (11) TO FIFTEEN (15).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>ACCORDING TO THE BYLAWS OF ST. MARY'S HOSPITAL FOUNDATION, THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ST. MARY'S COMMUNITY HOSPITAL, A NEBRASKA 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, REMOVE OR REPLACE 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 ST. MARY'S COMMUNITY HOSPITAL ("SMCH"). PURSUANT TO THE ORGANIZATION'S BYLAWS, BOTH SMCH AND CATHOLIC HEALTH INITIATIVES ("CHI") (SMCH'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 SMCH BOARD: - APPROVE MEMBERS OF THE ST. MARY'S HOSPITAL FOUNDATION ("SMHF") BOARD; - AMENDMENT OF THE CORPORATE DOCUMENTS OF THE SMHF; - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE SMHF; AND - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR THE SMHF. 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 THE SMHF; - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF THE SMHF; - APPROVAL OF ISSUANCE OF DEBT BY SMHF; - APPROVAL OF PARTICIPATION OF SMHF IN A JOINT VENTURE; - APPROVAL OF FORMATION OF A NEW CORPORATION BY SMHF; - APPROVAL OF A MERGER INVOLVING THE SMHF; - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE SMHF; AND - TO REQUIRE THE TRANSFER OF ASSETS BY SMHF TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO THE ORGANIZATION'S BYLAWS, SMCH 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 11b</ReturnReference>
        <Explanation>THE FINANCE DIRECTOR AND VP OF FINANCE OF ST. MARY'S COMMUNITY HOSPITAL (SMCH), A RELATED ORGANIZATION, AND THE ORGANIZATION'S FOUNDATION DIRECTOR PARTICIPATE IN COMPLETION OF THE FORM 990 ORGANIZER, WHICH IS REVIEWED BY THE SMCH VP OF FINANCE PRIOR TO SUBMITTING TO THE CHI TAX DEPARTMENT FOR PREPARATION OF THE RETURN. ONCE PREPARED BY THE CHI TAX DEPARTMENT, THE SMCH VP OF FINANCE FACILITATES THE FORM 990 REVIEW WITH THE MANAGEMENT TEAM. ANY REVISIONS ARE INCLUDED IN THE FINAL VERSION OF THE FORM 990, WHICH IS PROVIDED TO THE BOARD AND APPROVED PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. SUBSEQUENT TO BEING PROVIDED TO THE BOARD THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>THE ORGANIZATION CURRENTLY FOLLOWS THE CONFLICT OF INTEREST POLICY FOR CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. THE FOLLOWING PROCEDURES, WITH REGARD TO THE CHI CONFLICT OF INTEREST POLICY, ARE PERFORMED ON AN ANNUAL BASIS: AT THE ANNUAL BOARD AND BOARD COMMITTEE MEETINGS, ALL MEMBERS ARE REQUIRED TO SIGN CONFLICT OF INTEREST STATEMENTS. THE SIGNED STATEMENTS ARE RETAINED IN THE ADMINISTRATIVE FILES. ALL MEMBERS ARE REQUESTED TO DECLARE POTENTIAL CONFLICTS OF INTEREST AT EACH BOARD AND/OR COMMITTEE MEETINGS OF THE BOARD (FINANCE/AUDIT COMMITTEE, COMPLIANCE COMMITTEE, AND PERFORMANCE IMPROVEMENT COMMITTEE). IF THE BOARD FINDS THAT A CONFLICT DOES EXIST REGARDING THE AGENDA ITEMS TO BE PRESENTED FOR ACTION, MEMBERS ARE REQUESTED TO ABSTAIN FROM VOTING. IN ADDITION, A QUESTIONNAIRE IS SENT ANNUALLY TO ALL BOARD MEMBERS, HIGHEST PAID VENDORS, AND HIGHEST PAID EMPLOYEES ASKING THEM TO DISCLOSE ANY BUSINESS OR FAMILY RELATIONSHIPS. ANY TIME A POTENTIAL CONFLICT IS IDENTIFIED, WE SEEK GUIDANCE FROM OUR COMPLIANCE OFFICER. ADDITIONALLY, OUR CONFLICT OF INTEREST POLICY REQUIRES THAT EACH DIRECTOR MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE/SHE BECOMES AWARE OF SUCH SITUATIONS.</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>COMPENSATION FOR THE FOUNDATION DIRECTOR IS PAID BY ST. MARY'S COMMUNITY HOSPITAL (SMCH). ANY EXECUTIVE COMPENSATION PAID BY SMCH WAS SET BY THE EXECUTIVE COMMITTEE UTILIZING COMPARABILITY STUDIES TO DETERMINE OFFICER COMPENSATION AS REQUIRED BY THE ORGANIZATION'S EXECUTIVE COMPENSATION REVIEW POLICY. THE BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS AND ENSURES REASONABLENESS AND COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY.</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>DURING THE TAX YEAR ENDED 6/30/11, NO OTHER OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OTHER OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THIS QUESTION IS MORE APPROPRIATELY ANSWERED AS N/A.</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 NEBRASKA 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>EXECUTIVE COMMITTEE COMPOSITION AND AUTHORITY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 1A</ReturnReference>
        <Explanation>THE EXECUTIVE COMMITTEE CONSISTS ONLY OF DIRECTORS OF THE CORPORATION AND IS COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, AND THE EXECUTIVE DIRECTOR, EACH OF WHOM SERVE AS EX OFFICIO VOTING MEMBERS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT THE ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIODS BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DOCUMENT RETENTION AND DESTRUCTION POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 14</ReturnReference>
        <Explanation>THE ORGANIZATION CURRENTLY FOLLOWS THE DOCUMENT RETENTION AND DESTRUCTION POLICY FOR CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION; HOWEVER, THIS POLICY HAS NOT BEEN FORMALLY ADOPTED BY THE BOARD OF DIRECTORS AS OF THE ORGANIZATION'S TAX YEAR END.</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 60 HOURS PER WEEK TO THE RELATED ORGANIZATIONS AND RECEIVE COMPENSATION IN EXCHANGE FOR THEIR SERVICES PROVIDED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 5144;</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>JURIDIC 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>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>470617373</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>961 EAST COLORADO AVENUE</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80903</ZIPCode>
        </AddressUS>
        <EIN>840902211</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI COLORADO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CENTENNIAL MEDICAL GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <EIN>900433062</EIN>
        <PrimaryActivities>PHYSICIANS</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI COLORADO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>188 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>840405257</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI HEALTH CONNECT AT HOME - FARGO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4816 AMBER VALLEY PARKWAY</AddressLine1>
          <City>FARGO</City>
          <State>ND</State>
          <ZIPCode>58104</ZIPCode>
        </AddressUS>
        <EIN>271966847</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>CHI INSTITUTE FOR RESEARCH AND INNOVATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>271050565</EIN>
        <PrimaryActivities>HEALTHCARE</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>CHI KENTUCKY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3900 OLYMPIC BLVD SUITE 400</AddressLine1>
          <City>ERLANGER</City>
          <State>KY</State>
          <ZIPCode>41018</ZIPCode>
        </AddressUS>
        <EIN>202741651</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI NATIONAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>270930004</EIN>
        <PrimaryActivities>FUNDRAISING</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>CHI NATIONAL HOME CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>451261716</EIN>
        <PrimaryActivities>HEALTHCARE</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>CHI NATIONAL SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>452532084</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 SOUTH 70TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
        </AddressUS>
        <EIN>363233121</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI-IOWA CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>420680448</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONTINUING CARE HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>150 NORTH EAGLE CREEK DRIVE</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40509</ZIPCode>
        </AddressUS>
        <EIN>611400619</EIN>
        <PrimaryActivities>LTACH</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ENUMCLAW REGIONAL HOSPITAL ASSOCIATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1450 BATTERSBY AVENUE</AddressLine1>
          <City>ENUMCLAW</City>
          <State>WA</State>
          <ZIPCode>98022</ZIPCode>
        </AddressUS>
        <EIN>910715805</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4305 NEW SHEPHERDSVILLE ROAD</AddressLine1>
          <City>BARDSTOWN</City>
          <State>KY</State>
          <ZIPCode>40004</ZIPCode>
        </AddressUS>
        <EIN>611345363</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FLAGET MEMORIAL HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4305 NEW SHEPHERDSVILLE ROAD</AddressLine1>
          <City>BARDSTOWN</City>
          <State>KY</State>
          <ZIPCode>40004</ZIPCode>
        </AddressUS>
        <EIN>562351341</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>911145592</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>910564491</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1708 SOUTH YAKIMA AVENUE</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>911939739</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN VILLA OF SOUTH MILWAUKEE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3601 SOUTH CHICAGO AVENUE</AddressLine1>
          <City>SOUTH MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53172</ZIPCode>
        </AddressUS>
        <EIN>391093829</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GETTYSBURG MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>606 EAST GARFIELD AVENUE</AddressLine1>
          <City>GETTYSBURG</City>
          <State>SD</State>
          <ZIPCode>57442</ZIPCode>
        </AddressUS>
        <EIN>460234354</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>SD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GLOBAL HEALTH INITIATIVES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>201536108</EIN>
        <PrimaryActivities>MINISTRIES</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>GOOD SAMARITAN COLLEGE OF NURSING &amp; HEALTH SCIENCE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>375 DIXMYTH AVE</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45220</ZIPCode>
        </AddressUS>
        <EIN>311778403</EIN>
        <PrimaryActivities>EDUCATION</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>2</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOOD SAMARITAN FOUNDATION OF CINCINNATI INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>619 OAK STREET ACCOUNTING-3 W</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45206</ZIPCode>
        </AddressUS>
        <EIN>311206047</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOOD SAMARITAN HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1990</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470379755</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOOD SAMARITAN HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1810</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470659443</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTH SET</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4200 WEST CONEJOS PLACE 436</AddressLine1>
          <City>DENVER</City>
          <State>CO</State>
          <ZIPCode>80204</ZIPCode>
        </AddressUS>
        <EIN>841102943</EIN>
        <PrimaryActivities>LOW INC.CARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI COLORADO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTHCARE AND WELLNESS FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2400 ST FRANCIS DRIVE</AddressLine1>
          <City>BRECKENRIDGE</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
        </AddressUS>
        <EIN>760761782</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SFMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>526050777</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOUSE OF MERCY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>421323808</EIN>
        <PrimaryActivities>SHELTER</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LAKEWOOD HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>600 MAIN AVENUE SOUTH</AddressLine1>
          <City>BAUDETTE</City>
          <State>MN</State>
          <ZIPCode>56623</ZIPCode>
        </AddressUS>
        <EIN>410758434</EIN>
        <PrimaryActivities>LTERM CARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LINUS OAKES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <EIN>930821381</EIN>
        <PrimaryActivities>SENIOR LIVING</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LISBON AREA HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>905 MAIN STREET</AddressLine1>
          <City>LISBON</City>
          <State>ND</State>
          <ZIPCode>58054</ZIPCode>
        </AddressUS>
        <EIN>820558836</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>MEMORIAL HEALTH CARE SYSTEM FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2525 DE SALES AVENUE</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37404</ZIPCode>
        </AddressUS>
        <EIN>621839548</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEMORIAL HEALTH CARE SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2525 DE SALES AVENUE</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37404</ZIPCode>
        </AddressUS>
        <EIN>620532345</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEMORIAL HEALTH PARTNERS FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6028 SHALLOWFORD ROAD</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37421</ZIPCode>
        </AddressUS>
        <EIN>030417049</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY AUXILIARY OF CENTRAL IOWA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>426076069</EIN>
        <PrimaryActivities>AUXILIARY</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY CLINICS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>421193699</EIN>
        <PrimaryActivities>PHYSICIAN</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>MERCY COLLEGE OF HEALTH SCIENCES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>421511682</EIN>
        <PrimaryActivities>EDUCATION</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>2</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY FOUNDATION OF DES MOINES IA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>237358794</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <EIN>936088946</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HEALTH CARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 368</AddressLine1>
          <City>CORNING</City>
          <State>IA</State>
          <ZIPCode>50841</ZIPCode>
        </AddressUS>
        <EIN>421461064</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 MERCY DRIVE</AddressLine1>
          <City>COUNCIL BLUFFS</City>
          <State>IA</State>
          <ZIPCode>51503</ZIPCode>
        </AddressUS>
        <EIN>421178204</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHBMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITAL OF DEVILS LAKE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1031 EAST SEVENTH STREET</AddressLine1>
          <City>DEVILS LAKE</City>
          <State>ND</State>
          <ZIPCode>58301</ZIPCode>
        </AddressUS>
        <EIN>450227012</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>MERCY HOSPITAL OF VALLEY CITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>570 CHAUTAUQUA BOULEVARD</AddressLine1>
          <City>VALLEY CITY</City>
          <State>ND</State>
          <ZIPCode>58072</ZIPCode>
        </AddressUS>
        <EIN>450226553</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>MERCY LIFECARE SYSTEMS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2727 MCCLELLAND BLVD</AddressLine1>
          <City>JOPLIN</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
        </AddressUS>
        <EIN>431305163</EIN>
        <PrimaryActivities>PROPERTY MGMT</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 15TH AVENUE WEST</AddressLine1>
          <City>WILLISTON</City>
          <State>ND</State>
          <ZIPCode>58801</ZIPCode>
        </AddressUS>
        <EIN>450231183</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>MERCY MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <EIN>930386868</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY MEDICAL CENTER - CENTERVILLE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1 ST JOSEPHS DRIVE</AddressLine1>
          <City>CENTERVILLE</City>
          <State>IA</State>
          <ZIPCode>52544</ZIPCode>
        </AddressUS>
        <EIN>420680308</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 15TH AVENUE WEST</AddressLine1>
          <City>WILLISTON</City>
          <State>ND</State>
          <ZIPCode>58801</ZIPCode>
        </AddressUS>
        <EIN>450381803</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY PROFESSIONAL PRACTICE ASSOCIATES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>421470935</EIN>
        <PrimaryActivities>PHYSICIAN</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>MERCY REGIONAL MEDICAL CENTER OF DURANGO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1010 THREE SPRINGS BLVD</AddressLine1>
          <City>DURANGO</City>
          <State>CO</State>
          <ZIPCode>81301</ZIPCode>
        </AddressUS>
        <EIN>840405515</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MNMCH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>220 NORTH PENNSYLVANIA</AddressLine1>
          <City>COLUMBUS</City>
          <State>KS</State>
          <ZIPCode>66725</ZIPCode>
        </AddressUS>
        <EIN>481216238</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MT ST JOSEPH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3060 SE STARK STREET</AddressLine1>
          <City>PORTLAND</City>
          <State>OR</State>
          <ZIPCode>97214</ZIPCode>
        </AddressUS>
        <EIN>930386870</EIN>
        <PrimaryActivities>NURSING CARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OAKES COMMUNITY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>314 SOUTH 8TH STREET</AddressLine1>
          <City>OAKES</City>
          <State>ND</State>
          <ZIPCode>58474</ZIPCode>
        </AddressUS>
        <EIN>450231675</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>OAKES COMMUNITY HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>314 SOUTH 8TH STREET</AddressLine1>
          <City>OAKES</City>
          <State>ND</State>
          <ZIPCode>58474</ZIPCode>
        </AddressUS>
        <EIN>710966606</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>OCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PUEBLO STEPUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1925 EAST ORMAN AVE SUITE G52</AddressLine1>
          <City>PUEBLO</City>
          <State>CO</State>
          <ZIPCode>81004</ZIPCode>
        </AddressUS>
        <EIN>841234295</EIN>
        <PrimaryActivities>COMMUNITY</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SET OF COLORADO SPRINGS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>825 E PIKES PEAK AVENUE BLDG 29</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80903</ZIPCode>
        </AddressUS>
        <EIN>841183335</EIN>
        <PrimaryActivities>LTERM CARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI COLORADO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT CLARE'S COMMUNITY CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>66 FORD ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <EIN>222876836</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT CLARE''S FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>66 FORD ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <EIN>222502997</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT CLARE''S HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>25 POCONO ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <EIN>223639733</EIN>
        <PrimaryActivities>MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT CLARE'S HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>66 FORD ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <EIN>223319886</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ELIZABETH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 SOUTH 70TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
        </AddressUS>
        <EIN>470625523</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SERMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ELIZABETH HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 SOUTH 70TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
        </AddressUS>
        <EIN>363233120</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SERMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ELIZABETH REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 SOUTH 70TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
        </AddressUS>
        <EIN>470379836</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT FRANCIS MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 9804</AddressLine1>
          <City>GRAND ISLAND</City>
          <State>NE</State>
          <ZIPCode>68802</ZIPCode>
        </AddressUS>
        <EIN>470376601</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT FRANCIS MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 9804</AddressLine1>
          <City>GRAND ISLAND</City>
          <State>NE</State>
          <ZIPCode>68802</ZIPCode>
        </AddressUS>
        <EIN>470630267</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SFMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>305 ESTILL STREET</AddressLine1>
          <City>BEREA</City>
          <State>KY</State>
          <ZIPCode>40403</ZIPCode>
        </AddressUS>
        <EIN>260152877</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>150 N EAGLE CREEK DR</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40509</ZIPCode>
        </AddressUS>
        <EIN>611334601</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH LONDON FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>310 EAST NINTH STREET</AddressLine1>
          <City>LONDON</City>
          <State>KY</State>
          <ZIPCode>40741</ZIPCode>
        </AddressUS>
        <EIN>260438748</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH MEDICAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE ST JOSEPH DRIVE</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EIN>311539059</EIN>
        <PrimaryActivities>PHY PRACTICES</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH MOUNT STERLING FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>50 STERLING AVENUE</AddressLine1>
          <City>MOUNT STERLING</City>
          <State>KY</State>
          <ZIPCode>40353</ZIPCode>
        </AddressUS>
        <EIN>272884584</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH'S HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>363418207</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAMARITAN BEHAVIORAL HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 S EDWIN C MOSES BLVD</AddressLine1>
          <City>DAYTON</City>
          <State>OH</State>
          <ZIPCode>45408</ZIPCode>
        </AddressUS>
        <EIN>020633634</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAMARITAN HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2222 PHILADELPHIA DRIVE</AddressLine1>
          <City>DAYTON</City>
          <State>OH</State>
          <ZIPCode>45406</ZIPCode>
        </AddressUS>
        <EIN>237296923</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAMARITAN HEALTH PARTNERS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2222 PHILADELPHIA DRIVE</AddressLine1>
          <City>DAYTON</City>
          <State>OH</State>
          <ZIPCode>45406</ZIPCode>
        </AddressUS>
        <EIN>311107411</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH HEALTH MINISTRIES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1929 LINCOLN HWY E STE 150</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17602</ZIPCode>
        </AddressUS>
        <EIN>232342997</EIN>
        <PrimaryActivities>HEALTH</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>ST JOSEPH HEALTH MINISTRIES FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1929 LINCOLN HWY E STE 150</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17602</ZIPCode>
        </AddressUS>
        <EIN>232605579</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANTHONY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1601 SE COURT AVENUE</AddressLine1>
          <City>PENDLETON</City>
          <State>OR</State>
          <ZIPCode>97801</ZIPCode>
        </AddressUS>
        <EIN>930391614</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANTHONY HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1601 SE COURT AVENUE</AddressLine1>
          <City>PENDLETON</City>
          <State>OR</State>
          <ZIPCode>97801</ZIPCode>
        </AddressUS>
        <EIN>930992727</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SA HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANTHONY'S HOSPITAL ASSOCIATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4 HOSPITAL DRIVE</AddressLine1>
          <City>MORRILTON</City>
          <State>AR</State>
          <ZIPCode>72110</ZIPCode>
        </AddressUS>
        <EIN>710245507</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST CATHERINE HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 EAST SPRUCE STREET</AddressLine1>
          <City>GARDEN CITY</City>
          <State>KS</State>
          <ZIPCode>67846</ZIPCode>
        </AddressUS>
        <EIN>480543721</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 EAST SPRUCE STREET</AddressLine1>
          <City>GARDEN CITY</City>
          <State>KS</State>
          <ZIPCode>67846</ZIPCode>
        </AddressUS>
        <EIN>200598702</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST DOMINIC AT ONTARIO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>351 SW 9TH STREET</AddressLine1>
          <City>ONTARIO</City>
          <State>OR</State>
          <ZIPCode>97914</ZIPCode>
        </AddressUS>
        <EIN>930433692</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST FRANCIS HOME</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2400 ST FRANCIS DRIVE</AddressLine1>
          <City>BRECKENRIDGE</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
        </AddressUS>
        <EIN>410729978</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>ST FRANCIS LIFE CARE CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>19 POCONO ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <EIN>222536017</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST FRANCIS MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2400 ST FRANCIS DRIVE</AddressLine1>
          <City>BRECKENRIDGE</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
        </AddressUS>
        <EIN>410695598</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST FRANCIS OF BAKER CITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3325 POCAHONTAS ROAD</AddressLine1>
          <City>BAKER CITY</City>
          <State>OR</State>
          <ZIPCode>97814</ZIPCode>
        </AddressUS>
        <EIN>930412495</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOHN'S MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2727 MCCLELLAND BLVD</AddressLine1>
          <City>JOPLIN</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
        </AddressUS>
        <EIN>431882377</EIN>
        <PrimaryActivities>PHYS PRACTICE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOHN'S MERCY REGIONAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2727 MCCLELLAND BLVD</AddressLine1>
          <City>JOPLIN</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
        </AddressUS>
        <EIN>431308084</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOHN'S REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2727 MCCLELLAND BLVD</AddressLine1>
          <City>JOPLIN</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
        </AddressUS>
        <EIN>440545809</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH COMMUNITY HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 CENTRAL AVE SW SUITE 3000W</AddressLine1>
          <City>ALBUQUERQUE</City>
          <State>NM</State>
          <ZIPCode>87102</ZIPCode>
        </AddressUS>
        <EIN>710897107</EIN>
        <PrimaryActivities>COMMUNITY</PrimaryActivities>
        <LegalDomicileState>NM</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1929 LINCOLN HWY E STE 150</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17602</ZIPCode>
        </AddressUS>
        <EIN>201425375</EIN>
        <PrimaryActivities>DENTAL CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE ST JOSEPH DRIVE</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EIN>611159649</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE ROAD PO BOX 316</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <EIN>232649362</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRHN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MEDICAL CENTER FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>521681044</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>520591461</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE ROAD PO BOX 316</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <EIN>208544021</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH PHYSICIAN ENTERPRISES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>521311775</EIN>
        <PrimaryActivities>PHYSICIANS</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH REGIONAL HEALTH NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE ROAD PO BOX 316</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <EIN>231352211</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH'S AREA HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>600 PLEASANT AVENUE</AddressLine1>
          <City>PARK RAPIDS</City>
          <State>MN</State>
          <ZIPCode>56470</ZIPCode>
        </AddressUS>
        <EIN>410695603</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH'S HOSPITAL AND HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>450226429</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>ST MARY'S HEALTHCARE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 EAST SIOUX AVENUE</AddressLine1>
          <City>PIERRE</City>
          <State>SD</State>
          <ZIPCode>57501</ZIPCode>
        </AddressUS>
        <EIN>460230199</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>SD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1314 3RD AVENUE</AddressLine1>
          <City>NEBRASKA CITY</City>
          <State>NE</State>
          <ZIPCode>68410</ZIPCode>
        </AddressUS>
        <EIN>470443636</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ROSE AMBULATORY AND SURGERY CENTER FKA CENTRAL KANSAS MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3515 BROADWAY</AddressLine1>
          <City>GREAT BEND</City>
          <State>KS</State>
          <ZIPCode>67530</ZIPCode>
        </AddressUS>
        <EIN>480543724</EIN>
        <PrimaryActivities>SURGERY CNTR</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST VINCENT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>TWO ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <EIN>510169537</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST VINCENT INFIRMARY MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2 ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <EIN>710236917</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST VINCENT MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2 ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <EIN>710830696</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE COMMUNITY LIMITED CARE DIALYSIS CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>619 OAK STREET ACCOUNTING-3 W</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45206</ZIPCode>
        </AddressUS>
        <EIN>237419853</EIN>
        <PrimaryActivities>DIALYSIS</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>619 OAK STREET ACCOUNTING-3 W</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45206</ZIPCode>
        </AddressUS>
        <EIN>310537486</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRI-HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE MERCY HOSPITAL OF DEVILS LAKE FDN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1031 EAST SEVENTH STREET</AddressLine1>
          <City>DEVILS LAKE</City>
          <State>ND</State>
          <ZIPCode>58301</ZIPCode>
        </AddressUS>
        <EIN>352367360</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHDL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8055 O STREET SUITE 300</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
        </AddressUS>
        <EIN>470780857</EIN>
        <PrimaryActivities>PHYS PRACTICE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TOTAL HEALTHCARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 7021</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80933</ZIPCode>
        </AddressUS>
        <EIN>840927232</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI COLORADO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>UNITY FAMILY HEALTHCARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>815 2ND STREET SE</AddressLine1>
          <City>LITTLE FALLS</City>
          <State>MN</State>
          <ZIPCode>56345</ZIPCode>
        </AddressUS>
        <EIN>410721642</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VILLA NAZARETH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 PAGE DRIVE</AddressLine1>
          <City>FARGO</City>
          <State>ND</State>
          <ZIPCode>58103</ZIPCode>
        </AddressUS>
        <EIN>450226714</EIN>
        <PrimaryActivities>LT CARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VISITING NURSE ASSOCIATION OF SAINT CLARE'S</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>191 WOODPORT ROAD</AddressLine1>
          <City>SPARTA</City>
          <State>NJ</State>
          <ZIPCode>07871</ZIPCode>
        </AddressUS>
        <EIN>221768334</EIN>
        <PrimaryActivities>HOME HEALTH</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AUDUBON LAND COMPANY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5390 N ACADEMY BLVD SUITE 300</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <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>
      </Form990ScheduleRPartIII>
      <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>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1857991</ShareOfTotalIncome>
        <ShareOfEOYAssets>2262775</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <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>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>196124</ShareOfTotalIncome>
        <ShareOfEOYAssets>3913481</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>-58436</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTH RIVER SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2209 WILDWOOD AVENUE</AddressLine1>
          <City>SHERWOOD</City>
          <State>AR</State>
          <ZIPCode>72120</ZIPCode>
        </AddressUS>
        <EIN>710799771</EIN>
        <PrimaryActivity>AMBUL SURG CTR</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>198313</ShareOfTotalIncome>
        <ShareOfEOYAssets>1758688</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.5745</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <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>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>THC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-3249314</ShareOfTotalIncome>
        <ShareOfEOYAssets>10905384</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.6</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PENINSULA RADIATION ONCOLOGY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <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>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>131195</ShareOfTotalIncome>
        <ShareOfEOYAssets>3052504</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.6</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <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>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1857228</ShareOfTotalIncome>
        <ShareOfEOYAssets>5457224</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.7</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>RUXTON SURGICENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8322 BELLONA AVENUE SUITE 201</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>522095835</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <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>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <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>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>THC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-290552</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <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>
      </Form990ScheduleRPartIII>
      <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>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>116948</ShareOfTotalIncome>
        <ShareOfEOYAssets>1652280</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.54</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH-PAML LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <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>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.625</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <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>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SERMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <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>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>808840</ShareOfTotalIncome>
        <ShareOfEOYAssets>4236901</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <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>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>3267441</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMERICAN NURSING CARE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <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>
        </NameOfRelatedOrg>
        <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>
        <AddressUS>
          <AddressLine1>6028 SHALLOWFORD ROAD SUITE D</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37422</ZIPCode>
        </AddressUS>
        <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>
        </AddressForeign>
        <EIN>980663022</EIN>
        <PrimaryActivity>CAPTIVE MANAGEMENT</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTER FOR TRANSLATIONAL RESEARCH</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>272269511</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-2247962</ShareOfTotalIncome>
        <ShareOfEOYAssets>1668589</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTRAL KANSAS HEALTH SERVICES ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3515 BROADWAY</AddressLine1>
          <City>GREAT BEND</City>
          <State>KS</State>
          <ZIPCode>67530</ZIPCode>
        </AddressUS>
        <EIN>481042853</EIN>
        <PrimaryActivity>MEDICAL EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>KS</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CKMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CGH REALTY COMPANY INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>215 N 12TH ST</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <EIN>232326801</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>1007</ShareOfTotalIncome>
        <ShareOfEOYAssets>42415</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMCARE SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4231 W 16TH AVENUE</AddressLine1>
          <City>DENVER</City>
          <State>CO</State>
          <ZIPCode>80204</ZIPCode>
        </AddressUS>
        <EIN>840904813</EIN>
        <PrimaryActivity>INACTIVE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CONSOLIDATED HEALTH SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311378212</EIN>
        <PrimaryActivity>HOME HEALTH</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>11595125</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DAVID DEYLE CHARITABLE REMAINDER UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1810</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>476192395</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>4880</ShareOfTotalIncome>
        <ShareOfEOYAssets>166425</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DES MOINES MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>420837382</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>1253452</ShareOfEOYAssets>
        <PercentageOwnership>0.9298</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FIRST INITIATIVES INSURANCE LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 10073 APO</AddressLine1>
          <City>GEORGETOWN</City>
          <ProvinceOrState>GEORGETOWN, GRAND CAYMAN</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY1-1001</PostalCode>
        </AddressForeign>
        <EIN>980203038</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FRANCISCAN SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>232487967</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-507578</ShareOfTotalIncome>
        <ShareOfEOYAssets>11914284</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GOOD SAMARITAN OUTREACH SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1990</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470659440</EIN>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-2921063</ShareOfTotalIncome>
        <ShareOfEOYAssets>355110</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HAROLD W RASE 1995 CHARITABLE UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>456090420</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>1240</ShareOfTotalIncome>
        <ShareOfEOYAssets>21553</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HAROLD W RASE 1996 CHARITABLE UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206037112</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>900</ShareOfTotalIncome>
        <ShareOfEOYAssets>15495</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HAROLD W RASE 1997 CHARITABLE UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206037104</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>1025</ShareOfTotalIncome>
        <ShareOfEOYAssets>20261</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HAROLD W RASE 1999 CHARITABLE UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206037099</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>1313</ShareOfTotalIncome>
        <ShareOfEOYAssets>25027</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTH SYSTEMS ENTERPRISES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1990</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470664558</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>25289</ShareOfTotalIncome>
        <ShareOfEOYAssets>1443049</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTHCARE MGMT SERVICES ORG INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1149 MARKET ST</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98402</ZIPCode>
        </AddressUS>
        <EIN>911865474</EIN>
        <PrimaryActivity>HEALTH ORG.</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>JAMES &amp; HENRIETTA NISTLER UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206021899</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>-16708</ShareOfTotalIncome>
        <ShareOfEOYAssets>41455</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>JEANNE DEYLE CHARITABLE REMAINDER UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1810</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>476192398</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>4880</ShareOfTotalIncome>
        <ShareOfEOYAssets>166320</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>JOSEPH A SCHUSTER ANNUITY TRUST #1</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>400 UNIVERSITY AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>421195122</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MFDM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>18924</ShareOfTotalIncome>
        <ShareOfEOYAssets>441488</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LODESCA MILLER CHARITABLE REMAINDER UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1810</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>476186933</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>3387</ShareOfTotalIncome>
        <ShareOfEOYAssets>86367</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDQUEST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1301 15TH AVENUE WEST</AddressLine1>
          <City>WILLISTON</City>
          <State>ND</State>
          <ZIPCode>58801</ZIPCode>
        </AddressUS>
        <EIN>450392137</EIN>
        <PrimaryActivity>SALE OF DME</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MH OF WILLISTON</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>9852</ShareOfTotalIncome>
        <ShareOfEOYAssets>962554</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2727 MCCLELLAND BLVD</AddressLine1>
          <City>JOPLIN</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
        </AddressUS>
        <EIN>431457881</EIN>
        <PrimaryActivity>DME</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOHN'S RMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-1533371</ShareOfTotalIncome>
        <ShareOfEOYAssets>1369083</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY PARK APARTMENTS LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>421202422</EIN>
        <PrimaryActivity>HOUSING</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>264489</ShareOfTotalIncome>
        <ShareOfEOYAssets>1796053</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY SERVICES CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <EIN>930824308</EIN>
        <PrimaryActivity>RETAIL SALES</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-690267</ShareOfTotalIncome>
        <ShareOfEOYAssets>954798</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNTAIN MANAGEMENT SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6028D SHALLOWFORD ROAD</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37422</ZIPCode>
        </AddressUS>
        <EIN>621570739</EIN>
        <PrimaryActivity>MGMT SVC ORG</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-386020</ShareOfTotalIncome>
        <ShareOfEOYAssets>4667998</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NAZARETH ASSURANCE COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>76 ST PAUL STREET SUITE 500</AddressLine1>
          <City>BURLINGTON</City>
          <State>VT</State>
          <ZIPCode>05401</ZIPCode>
        </AddressUS>
        <EIN>030304831</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileState>VT</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-379</ShareOfTotalIncome>
        <ShareOfEOYAssets>123535</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PATIENT TRANSPORT SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311100798</EIN>
        <PrimaryActivity>HOME HEALTH</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>662425</ShareOfTotalIncome>
        <ShareOfEOYAssets>5325941</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PHYSICIAN HEALTH SYSTEM NETWORK</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <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>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>RAY &amp; SHIRLEY DAVID 1999 UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206037077</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>1250</ShareOfTotalIncome>
        <ShareOfEOYAssets>24194</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ROBERT &amp; WANDA CHARITABLE REMAINDER UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1810</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>266191916</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>13030</ShareOfTotalIncome>
        <ShareOfEOYAssets>537775</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT CLARE''S PRIMARY CARE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>66 FORD ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <EIN>222441202</EIN>
        <PrimaryActivity>BILLING SERVICES</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-342970</ShareOfTotalIncome>
        <ShareOfEOYAssets>2177166</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAMARITAN FAMILY CARE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <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>
        <DirectControllingEntityName>
          <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>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-518360</ShareOfTotalIncome>
        <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>
        <ShareOfTotalIncome>2309129</ShareOfTotalIncome>
        <ShareOfEOYAssets>14049375</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH DEVELOPMENT COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>911480569</EIN>
        <PrimaryActivity>RENTAL</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-36395</ShareOfTotalIncome>
        <ShareOfEOYAssets>12168022</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH OFFICE PARK ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1401 HARRODSBURG ROAD BLDG B70</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EIN>611079899</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>16644</ShareOfTotalIncome>
        <ShareOfEOYAssets>882139</ShareOfEOYAssets>
        <PercentageOwnership>0.85</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TOM DEYLE CHARITABLE REMAINDER UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1810</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>476192393</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <ShareOfTotalIncome>4884</ShareOfTotalIncome>
        <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>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>