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            <City>Chicago</City>
            <State>IL</State>
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      <ContractorCompensation>
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          <NameBusiness>
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          <AddressUS>
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            <City>Redwood City</City>
            <State>CA</State>
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            <City>Pittsburg</City>
            <State>PA</State>
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          <NameBusiness>
            <BusinessNameLine1>Ernst &amp; Young</BusinessNameLine1>
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      <OtherRevenueMisc>
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      <OtherRevenueMisc>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>1921488</ProgramServices>
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      <ForeignGrants>
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        <ProgramServices>32900</ProgramServices>
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      <CompCurrentOfficersDirectors>
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        <ProgramServices>5526519</ProgramServices>
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        <ManagementAndGeneral>498374</ManagementAndGeneral>
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      <FeesForServicesLegal>
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      <FeesForServicesAccounting>
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        <ProgramServices>93334</ProgramServices>
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      <FeesForServicesLobbying>
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        <ProgramServices>640000</ProgramServices>
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        <ProgramServices>28590730</ProgramServices>
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        <ProgramServices>1495606</ProgramServices>
        <ManagementAndGeneral>847357</ManagementAndGeneral>
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        <ProgramServices>985857</ProgramServices>
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        <ProgramServices>2270590</ProgramServices>
        <ManagementAndGeneral>518988</ManagementAndGeneral>
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        <ProgramServices>5613675</ProgramServices>
        <ManagementAndGeneral>371884</ManagementAndGeneral>
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      <ConferencesMeetings>
        <Total>4020212</Total>
        <ProgramServices>3802693</ProgramServices>
        <ManagementAndGeneral>217519</ManagementAndGeneral>
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      <Interest>
        <Total>124815289</Total>
        <ProgramServices>124520160</ProgramServices>
        <ManagementAndGeneral>295129</ManagementAndGeneral>
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      <DepreciationDepletion>
        <Total>3567221</Total>
        <ProgramServices>2689284</ProgramServices>
        <ManagementAndGeneral>877937</ManagementAndGeneral>
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      <Insurance>
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        <ProgramServices>719150</ProgramServices>
        <ManagementAndGeneral>44978</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Service Fee Expense</Description>
        <Total>95979849</Total>
        <ProgramServices>95979849</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Non-Recurring Expenses</Description>
        <Total>44526733</Total>
        <ProgramServices>44526733</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CDMS Expense</Description>
        <Total>5820484</Total>
        <ProgramServices>5820484</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Projects Expense</Description>
        <Total>2952700</Total>
        <ProgramServices>2889435</ProgramServices>
        <ManagementAndGeneral>63265</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>1506403</Total>
        <ProgramServices>1453659</ProgramServices>
        <ManagementAndGeneral>52744</ManagementAndGeneral>
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        <Total>477315234</Total>
        <ProgramServices>446855705</ProgramServices>
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      <AuditCommittee>1</AuditCommittee>
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      <ContribBy35ControlledEntity>0</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>See Part IV</BusinessNameLine1>
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        <TypeOfOrganization>See Part IV</TypeOfOrganization>
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      <GeneralExplanation>Schedule A, Part IV, Supplemental Information: Part I, Line 11 h (i) - Supported Organization: Northeast, Southeast, East Central and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph, and the Congregation of St. Joseph Carondelet and their affiliated organizations provided that such organizations are described under Section 501(c)(3) of the Code and are classified as public charities under Sections 509(a)(1) and 509(a)(2) of the Code.</GeneralExplanation>
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        <Identifier>Explanation of Other Lobbying Activities:</Identifier>
        <ReturnReference>Part II-B, Line 1i:</ReturnReference>
        <Explanation>Lobbying activities included mailings and direct contact with Legislators and/or staff members of the United States Senate, House of Representatives, Department of Health and Human Services, Executive Office of the President, Centers for Medicare and Medicaid Services, Department of Labor, and Department of Commerce. Lobbying issues were related to carrying our programs to service the uninsured. Total expenditures were approximately $640,000 and included salaries for two employees in Ascension Health's advocacy department, office expenses, travel, occupancy, IT expense, professional services and membership dues. Ascension Health does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office.</Explanation>
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        <BookValue>4493</BookValue>
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        <BookValue>636273494</BookValue>
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      <OtherAssets>
        <Description>Interest Rate Swap Assets</Description>
        <BookValue>64426161</BookValue>
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      <OtherAssets>
        <Description>HSD Other Non-Restricted Long Term</Description>
        <BookValue>9307450</BookValue>
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      <OtherAssets>
        <Description>Retirement Assets</Description>
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      </OtherAssets>
      <OtherAssets>
        <Description>Other Investments</Description>
        <BookValue>3668536</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other Restricted Assets Non HSD</Description>
        <BookValue>2842271</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other Miscellaneous Long-Term Assets</Description>
        <BookValue>660743</BookValue>
      </OtherAssets>
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      <OtherLiabilities>
        <Description>Other Liabilities</Description>
        <Amount>198675030</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Premiums/Discounts</Description>
        <Amount>67497240</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Pension Plans Administered by AH</Description>
        <Amount>21089159</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Central Debt Management Services</Description>
        <Amount>12597786</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Retirement Liabilities</Description>
        <Amount>1239093</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Self-Insurance Liability</Description>
        <Amount>413379</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>301511687</TotalOfAmounts>
    </IRS990ScheduleD>
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        <Region>Middle East and North Africa</Region>
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        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grants to religious recipients in the region in support of the mission, vision, &amp; values of AH</TypeOfActivitiesConducted>
        <TotalExpenditures>12900</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Sub-Saharan Africa</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grants to religious recipients in the region in support of the mission, vision, &amp; values of AH</TypeOfActivitiesConducted>
        <TotalExpenditures>10000</TotalExpenditures>
      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>South America</Region>
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        <NumberOfEmployees>0</NumberOfEmployees>
        <TypeOfActivitiesConducted>Grants to religious recipients in the region in support of the mission, vision, &amp; values of AH</TypeOfActivitiesConducted>
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      </AcctsActvsOutUSTable>
      <AcctsActvsOutUSTable>
        <Region>Central America &amp; the Caribbean</Region>
        <NumberOfOffices>0</NumberOfOffices>
        <NumberOfEmployees>1</NumberOfEmployees>
        <TypeOfActivitiesConducted>Program Services</TypeOfActivitiesConducted>
        <SpecificServicesProvided>Expenditures of offshore captive insurance company</SpecificServicesProvided>
        <TotalExpenditures>687844</TotalExpenditures>
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      <ContNumberOfEmployees>0</ContNumberOfEmployees>
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      <TotalNumberOfEmployees>1</TotalNumberOfEmployees>
      <SubtotalAmountSpent>720744</SubtotalAmountSpent>
      <ContAmountSpent>0</ContAmountSpent>
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      <GrantsToOrgsOutsideUS>
        <Region>Middle East and North Africa</Region>
        <PurposeOfGrant>Purchase equipment for laundry and hygiene programs to reduce disease</PurposeOfGrant>
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        <MannerOfCashDisbursement>Electronic Fund/Wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>Sub-Saharan Africa</Region>
        <PurposeOfGrant>Provide education including value of peace and respect for women</PurposeOfGrant>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <MannerOfCashDisbursement>Electronic Fund/Wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <GrantsToOrgsOutsideUS>
        <Region>South America</Region>
        <PurposeOfGrant>Purchase equipment to redirect gray water to reduce insect population</PurposeOfGrant>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <MannerOfCashDisbursement>Electronic Fund/Wire</MannerOfCashDisbursement>
      </GrantsToOrgsOutsideUS>
      <TotalNumberOfOtherOrgs>3</TotalNumberOfOtherOrgs>
      <TransferToForeignCorp>1</TransferToForeignCorp>
      <InterestInForeignTrust>0</InterestInForeignTrust>
      <OwnForeignCorp>1</OwnForeignCorp>
      <PassiveForeignInvestCo>1</PassiveForeignInvestCo>
      <ForeignPartnership>1</ForeignPartnership>
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        <Identifier>Procedure for Monitoring Grants Outside the U.S.:</Identifier>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
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          <BusinessNameLine1>Medical Respite Center - Circle The City</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>220 South 12th Avenue</AddressLine1>
          <City>Phoenix</City>
          <State>AZ</State>
          <ZIPCode>85007</ZIPCode>
        </AddressUS>
        <EINOfRecipient>262420730</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <BusinessNameLine1>Macomb Co Warming Center Inc</BusinessNameLine1>
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          <AddressLine1>24450 Gratiot Avenue</AddressLine1>
          <City>Eastpoint</City>
          <State>MI</State>
          <ZIPCode>48021</ZIPCode>
        </AddressUS>
        <EINOfRecipient>043594283</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>43500</AmountOfCashGrant>
        <PurposeOfGrant>The center provides a warm safe place for the homeless to spend the night and receive nourishing evening and morning meals. The center also provides free emergency dental and medical services and peer support groups.</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Middle Tennessee Medical Center Mobile Health Unit Collaborative</BusinessNameLine1>
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          <AddressLine1>1700 Medical Center Parkway</AddressLine1>
          <City>Murfreesboro</City>
          <State>TN</State>
          <ZIPCode>37129</ZIPCode>
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        <EINOfRecipient>620475842</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <BusinessNameLine1>Our Lady of the Valley Catholic Center</BusinessNameLine1>
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          <AddressLine1>2429 Augusta Rd</AddressLine1>
          <City>Gloverville</City>
          <State>SC</State>
          <ZIPCode>29828</ZIPCode>
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        <EINOfRecipient>530196617</EINOfRecipient>
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        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <BusinessNameLine1>Proyecto Juan Diego</BusinessNameLine1>
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          <AddressLine1>PO Box 8093</AddressLine1>
          <City>Harlingen</City>
          <State>TX</State>
          <ZIPCode>78526</ZIPCode>
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        <EINOfRecipient>810606967</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>This creative prevention program will extend aerobics and family education programs to further engage more individuals in physical exercise and consuming healthier foods. It will assist in preventing diabetes and obesity which is at an extremely high percentage in the Hispanic community. The program will offer a comprehensive and engaging approach including a community garden with a Master Gardener who will help participants grow food for use and sale, and will include cooking classes. Multiple other appealing activities will promote well-being. They are partnering with the University Medical School in Galveston, and multiple other agencies and educational institutions. They have established specific outcomes measures.</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>The Gathering Place</BusinessNameLine1>
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          <AddressLine1>1535 High Street</AddressLine1>
          <City>Denver</City>
          <State>CO</State>
          <ZIPCode>80218</ZIPCode>
        </AddressUS>
        <EINOfRecipient>841021059</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>This program will provide access to quality healthcare for women and children experiencing homelessness and poverty.</PurposeOfGrant>
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          <BusinessNameLine1>Holy Family Child Care &amp; Development Center</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>161 Edgington Lane</AddressLine1>
          <City>Wheeling</City>
          <State>WV</State>
          <ZIPCode>26003</ZIPCode>
        </AddressUS>
        <EINOfRecipient>550753678</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>42500</AmountOfCashGrant>
        <PurposeOfGrant>Complete Holy Family Kitchen Project</PurposeOfGrant>
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          <BusinessNameLine1>Daughter of Charity Services of San Antonio</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>7607 Somerset Rd</AddressLine1>
          <City>San Antonio</City>
          <State>TX</State>
          <ZIPCode>78211</ZIPCode>
        </AddressUS>
        <EINOfRecipient>746106876</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <BusinessNameLine1>Daughters of Charity Services of Arkansas</BusinessNameLine1>
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          <AddressLine1>161 South Main Street</AddressLine1>
          <City>Gould</City>
          <State>AR</State>
          <ZIPCode>71639</ZIPCode>
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        <EINOfRecipient>621712703</EINOfRecipient>
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        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63116</ZIPCode>
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        <EINOfRecipient>431873629</EINOfRecipient>
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        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>Provide Scholarships</PurposeOfGrant>
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          <BusinessNameLine1>Aquinas Institute of America</BusinessNameLine1>
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          <State>MO</State>
          <ZIPCode>63108</ZIPCode>
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          <AddressLine1>58 Progress Parkway</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63043</ZIPCode>
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          <City>Indianaopolis</City>
          <State>IN</State>
          <ZIPCode>46240</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
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          <AddressLine1>Office of the President</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20064</ZIPCode>
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        <EINOfRecipient>530196583</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>19600</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <BusinessNameLine1>Archbishops Gala for the Today and Tommorow ED Foundation</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>20 Archbishop May Drive</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63319</ZIPCode>
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        <EINOfRecipient>431633656</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Support the Today and Tommorrow Foundation</PurposeOfGrant>
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          <BusinessNameLine1>Mercy Foundation for Health Innovation</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 505103</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63150</ZIPCode>
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        <EINOfRecipient>431423050</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <BusinessNameLine1>Providence Health Foundation</BusinessNameLine1>
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          <AddressLine1>1150 Varnum Street NE</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20017</ZIPCode>
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        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>Sponsor of Gala in honor of Thedore Mcarrick</PurposeOfGrant>
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          <State>AL</State>
          <ZIPCode>35205</ZIPCode>
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        <PurposeOfGrant>General Support</PurposeOfGrant>
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          <City>Santa Ana</City>
          <State>CA</State>
          <ZIPCode>92702</ZIPCode>
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        <EINOfRecipient>237273488</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
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        <PurposeOfGrant>This project goal is to build local capacity to impede the further spread of HIV and AIDS in communities in the Niassa Province of Mozambique through in-depth HIV and AIDS prevention training.</PurposeOfGrant>
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          <BusinessNameLine1>Daughters of Charity Foundation of St Louis</BusinessNameLine1>
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          <AddressLine1>231 S Berniston Ave Ste 735</AddressLine1>
          <City>Saint Louis</City>
          <State>MO</State>
          <ZIPCode>63105</ZIPCode>
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          <State>MO</State>
          <ZIPCode>63145</ZIPCode>
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          <AddressLine1>PO Box 140182</AddressLine1>
          <City>Saint Louis</City>
          <State>MO</State>
          <ZIPCode>63114</ZIPCode>
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        <EINOfRecipient>651205990</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>400000</AmountOfCashGrant>
        <PurposeOfGrant>General Support</PurposeOfGrant>
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      <TotalNbrOf501C3AndGovtGrants>22</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David B Pryor</NamePerson>
        <BaseCompensationFilingOrg>634119</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>592032</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>111814</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>25775</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>31664</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1395404</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Sally E Jeffcoat End 1109</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>789161</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>4611</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>793772</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Andrew W Allen End 8108</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>172683</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>160</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>172843</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Sherry Browne End 123108</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>338985</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>480</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>339465</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>With respect to the boxes checked on Part I, Question 1a, Ascension Health has various policies in place with respect to travel, commuting and other benefits provided to its executives. Certain benefits listed and checked under this question are considered taxable compensation. In these circumstances, the value of the benefit is included in that given executive's compensation. Certain other benefits listed and checked on this question are considered strictly business expenses and therefore no amount of the benefit is taxable and no amount is included in the executive's compensation.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Lines 4a-b</ReturnReference>
        <Explanation>Severance Payments: Sally Jeffcoat (End 1/1/09) - $784,258 Andrew Allen (End 8/1/08) - $171,723 Sherry Browne (End 12/31/08) - $337,719 Part I, Line 4a-b: Executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. Amounts Paid: Anthony Tersigni - $138,928 Robert Henkel - $77,939 John Doyle - $61,591</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Escambia County Health Fac Auth</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521378815</IssuerEIN>
        <CUSIPNumber>296117AX2</CUSIPNumber>
        <DateIssued>2003-03-13</DateIssued>
        <IssuePrice>207543149</IssuePrice>
        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Health and Ed Fac Auth of MO</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>431178966</IssuerEIN>
        <CUSIPNumber>60635HWY1</CUSIPNumber>
        <DateIssued>2003-03-13</DateIssued>
        <IssuePrice>295375000</IssuePrice>
        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IN Health Fac Fin Auth</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>351611409</IssuerEIN>
        <CUSIPNumber>454798ND7</CUSIPNumber>
        <DateIssued>2003-03-13</DateIssued>
        <IssuePrice>498475000</IssuePrice>
        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>AL Spl Care Fac Fin Auth of Birmingham</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>630847033</IssuerEIN>
        <CUSIPNumber>091081DF3</CUSIPNumber>
        <DateIssued>2005-02-03</DateIssued>
        <IssuePrice>13712418</IssuePrice>
        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>66450000</AmountRetired>
        <TotalProceeds>212236716</TotalProceeds>
        <CapitalExpenditures>30195905</CapitalExpenditures>
        <OtherSpentProceeds>182040811</OtherSpentProceeds>
        <YearOfSubstCompletion>2003</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>10875000</AmountRetired>
        <TotalProceeds>302747889</TotalProceeds>
        <AmountInReserveFund>1</AmountInReserveFund>
        <CreditEnhancement>1565056</CreditEnhancement>
        <CapitalExpenditures>41386146</CapitalExpenditures>
        <OtherSpentProceeds>259796687</OtherSpentProceeds>
        <YearOfSubstCompletion>2003</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>228945000</AmountRetired>
        <TotalProceeds>509527682</TotalProceeds>
        <CreditEnhancement>7381512</CreditEnhancement>
        <CapitalExpenditures>74231795</CapitalExpenditures>
        <OtherSpentProceeds>427914375</OtherSpentProceeds>
        <YearOfSubstCompletion>2003</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>285000</AmountRetired>
        <TotalProceeds>13728432</TotalProceeds>
        <CapitalExpenditures>13728432</CapitalExpenditures>
        <YearOfSubstCompletion>2005</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.01820</PrcntgePrvtBusinessUseByOthers>
        <TotalPrivateBusinessUse>0.01820</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.01820</PrcntgePrvtBusinessUseByOthers>
        <TotalPrivateBusinessUse>0.01820</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.01820</PrcntgePrvtBusinessUseByOthers>
        <TotalPrivateBusinessUse>0.01820</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>1</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>1</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.01110</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00050</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.01160</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>See Part V</BusinessNameLine1>
        </NameOfHedgeProvider>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>See Part V</BusinessNameLine1>
        </NameOfHedgeProvider>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part I, Column F</Identifier>
        <ReturnReference>Description of Purpose</ReturnReference>
        <Explanation>Issuer: Escambia County Health Facilities Authority CUSIP No.: 296117AX2 Description of Purpose: 2003A - To finance and refinance certain improvements, additions, equipping and renovation of the Hospital, and to refund certain bonds issued November 1, 1999 Issuer: Health and Educational Facilities Authority of the State of Missouri CUSIP No.: 60635HWY1 Description of Purpose: 2003C - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and commercial paper issued December 5, 2002 and to pay the premium on policies of bond insurance Issuer: Indiana Health Facility Financing Authority Cusip No.: 454798ND7 Description of Purpose: 2003E/2008E - To finance and refinance certain improvements, additions, equipping and renovation of hospital facilities, to refund bonds issued November 1, 1999 and to pay the premium on policies of bond insurance Issuer: Alabama Special Care Facilities Financing Authority of Birmingham CUSIP No.: 091081DF3 Description of Purpose: 2005A-1 and A-2 - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Issuer: Indiana Health Facility Financing Authority CUSIP No.: 454798PS2 Description of Purpose: 2005A - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Issuer: Michigan State Hospital Finance Authority CUSIP No.: 59465E7P2 Description of Purpose: 2005 - To provide funds to refund commercial paper issued September 30, 2004 and December 16, 2004 which financed certain improvements, additions, equipping and renovation of health care facilities and to finance certain improvements, additions, equipping and renovation of health care facilities Issuer: Wisconsin Health and Educational Facilities Authority CUSIP No.: 97710VT65 Description of Purpose: 2006A - To provide funds to finance certain improvements, additions, equipping and renovation of certain health care facilities Issuer: Indiana Health And Educational Facility Financing Authority CUSIP No.: 454795BZ7 Date Issued: 11/16/2006 &amp; 12/01/2006 Description of Purpose: 2006B-3, B-4, B-5 and B-6 - To currently refund certain prior bonds issued November 1, 1999, December 4, 2001 and December 31, 2001 Issuer: Alabama Special Care Facilities Financing Authority of Birmingham CUSIP No.: 010399BY8 Description of Purpose: 2006C-2 - To currently refund certain prior bonds issued November 1, 1999 Issuer: Alabama Special Care Facilities Financing Authority of the City of Mobile CUSIP No.: 01039VAD6 Description of Purpose: 2006D - To currently refund certain prior bonds issued November 1, 1999 Issuer: Health and Educational Board of Metropolitan Government of Nashville and Davidson County, TN CUSIP No.: 592041QZ3 Description of Purpose: 2001B-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued December 31, 2001, which bonds provided funds to finance or refinance the costs of acquiring, constructing, equipping and renovating certain health care facilities Issuer: Alabama Special Care Facilities Financing Authority of Birmingham CUSIP No.: 010399CK7 Description of Purpose: 2006C-1 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bonds provided funds to finance certain improvements, additions, equipping and renovation of health care facilities Issuer: Indiana Health And Educational Facility Financing Authority CUSIP No.: 454795BS3 Description of Purpose: 2006B-1, B-2, B-7 and B-8 - To provide reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Issuer: Indiana Finance Authority CUSIP No.: 454795ET8 Description of Purpose: 2006B-1, B-7 and B-8 - Transaction represents an amendment of terms (i.e., reissuance) of certain prior bonds issued November 16, 2006, which bond provided reimbursement for previous expenditures related to additions, equipping and renovation of certain health care facilities Issuer: Tarrant County Cultural Education Facilities Finance Corporation CUSIP No.: 87638TEB5 Description of Purpose: 2010D - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Issuer: State of Connecticut Health and Educational Facilities Authority CUSIP No.: 20774UY58 Description of Purpose: 2010A - To provide funds to refund commercial paper issued January 21, 2010 and finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Issuer: Michigan State Hospital Finance Authority CUSIP No.: 59465HNC6 Description of Purpose: 2010B/2010F - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members, and to refinance the indebtedness of the Senior Credit Group through the current refunding of the Refunded Bonds issued April 8, 2008; April 15, 2008; April 22, 2008; May 6, 2008 and commercial paper issued 1/21/2010 Issuer: Wisconsin Health and Educational Facilities Authority CUSIP No.: 97710BSU7 Description of Purpose: 2010E - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members Issuer: The Health and Educational Facilities Board of Rutherford County, Tennessee CUSIP No.: 78324PAB5 Description of Purpose: 2010C - To finance the costs of acquiring, constructing, improving and equipping facilities of Senior Credit Group Members</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part I</Identifier>
        <ReturnReference>Bond Issues</ReturnReference>
        <Explanation>1. A portion of the Missouri Series 2003C issuance was exchanged for 2008C bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Missouri Series 2003C and 2008C bonds. All of these are characterized collectively on the schedule. 2. A portion of the Indiana Series 2003E issuance was exchanged for 2008E bonds; the transaction did not represent a tax reissuance. The amount we are showing as outstanding includes both the Indiana Series 2003E and 2008E bonds. All of these bonds are characterized collectively on the schedule. 3. A portion of the Indiana 2005A issuance was cash defeased; several escrows are outstanding as of last day of tax year. 4. CUSIP number for Michigan Series 2005 as originally reported on Form 8038 was incorrect (reported as "59455E7P2"). 5. Tennessee Series 2001B-1 was reissued for tax purposes as of 3/30/09 in connection with an interest rate conversion on the bonds. 6. Indiana Series 2006B-1, B-7 and B-8 were reissued for tax purposes as of 5/28/09 in connection with an interest rate conversion on the bonds. Indiana Series 2006B-2 remains outstanding as originally issued. 7. The Indiana Health and Educational Facility Financing Authority was merged into the Indiana Finance Authority on 7/1/07. 8. CUSIP number for Michigan Series 2010B and 2010F as originally reported on Form 8038 was incorrect (no CUSIP was reported). 9. The Escambia 2003A, Missouri 2003C and Indiana 2003E/2008E Bonds, along with other, now-retired bonds from Michigan and Idaho issuers, are all part of a single issue for certain federal tax purposes. Within that issue, an election has been made to treat the Michigan bonds as a separate issue for purposes of IRC section 141. Ascension Health and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 10. The Alabama 2005A, Indiana 2005A and Michigan 2005 Bonds are all part of a single issue for certain federal tax purposes although Ascension Health and the issuers reserve the right to make any multipurpose allocations permitted under the Treasury Regulations. 11. The Wisconsin 2006A, Indiana 2006B (all sub-series), Alabama (Birmingham) 2006C-1 and C-2 and Alabama (Mobile) 2006D Bonds are all part of a single issue for certain federal tax purposes. Within that issue, an election has been made under the Treasury Regulations to treat the Wisconsin 2006A, Indiana 2006B-3, B-4, B-5 and B-6, Alabama (Birmingham) 2006C-2 and the Alabama (Mobile) 2006D Bonds, together, as a single issue for IRC section 141 purposes. Also, an election has been made under the Treasury Regulations to treat the Indiana 2006B-1, B-2, B-7 and B-8, and the Alabama (Birmingham) 2006C-1, together, as a single issue for IRC section 141 purposes. Ascension Health and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 12. The Connecticut 2010A, Michigan 2010B/2010F, Tennessee 2010C, Tarrant County 2010D and Wisconsin 2010E bonds are a single issue for certain federal tax purposes. Within that issue, elections have been made to treat each of the foregoing as separate issues for purposes of IRC section 141. Ascension Health and the issuers reserve the right to make any further multipurpose allocations permitted under the Treasury Regulations. 13. Ascension Health believes, and has prepared Schedule K in a manner consistent with such belief, that the Part III exclusion provided in the instructions for bonds that refund a pre-2003 bond issue applies to certain of the bonds reflected herein, though allocations under Regulations section 1.141-13(d) may not have yet been elected; this submission does not constitute an allocation election under Regulations section 1.141-13(d) for any issue or portion of an issue.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part II</Identifier>
        <ReturnReference>Proceeds</ReturnReference>
        <Explanation>1. Nonrefunding proceeds of the issue amount for the Indiana 2003 as originally reported on Form 8038 was incorrect (reported as "58,013,974"). 2. For purposes of Schedule K, Part II, Ascension Health is assuming that there is no "year of substantial completion" with respect to refunding bonds. 3. Differences between the issue price (Part I) and total proceeds (Part II, Line 3) are due to investment earnings.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part IV</Identifier>
        <ReturnReference>Arbitrage</ReturnReference>
        <Explanation>1. Line 21(e) of the Form 8038 was incorrectly marked "4.8472%" for the Tarrant County Series 2010D bond issue; the bonds actually constitute a variable yield issue for arbitrage purposes. 2. Line 40 of the Form 8038 was incorrectly not checked for the Missouri Series 2003C and the Indiana Series 2003E/2008E bond issues. 3. The hedge providers for the Missouri Series 2003C bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 23.7 years. The Morgan Stanley hedges have original terms of 6.7 and 23.6 years. 4. The hedge providers for the Indiana Series 2003E/2008E bond issue are Citibank and Morgan Stanley. The Citibank hedges have original terms of 6.7 and 33.7 years. the Morgan Stanley hedges have original terms of 23.6, 33.6 and 33.7 years. 5. GIC for Indiana Series 2006B-3, B-4, B-5 and B-6 was held at Citigroup and Morgan Stanley with a term of 0.3 and 0.2 years respectively.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>IN Health Fac Fin Auth</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>351611409</IssuerEIN>
        <CUSIPNumber>454798PS2</CUSIPNumber>
        <DateIssued>2005-02-03</DateIssued>
        <IssuePrice>480236983</IssuePrice>
        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MI State Hospital Fin Auth</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>382889417</IssuerEIN>
        <CUSIPNumber>59465E7P2</CUSIPNumber>
        <DateIssued>2005-02-03</DateIssued>
        <IssuePrice>161264563</IssuePrice>
        <DescriptionOfPurpose>See Part V</DescriptionOfPurpose>
        <Defeased>1</Defeased>
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      <GeneralExplanation>
        <Identifier>Description of Program Service Accomplishments:</Identifier>
        <ReturnReference>Form 990, Part III, Line 4a:</ReturnReference>
        <Explanation>Ascension Health, the largest Catholic and largest nonprofit health system in the United States, is a leader within the nation's Catholic health ministry. To ensure faithfulness and fidelity to the heritage and history of its religious sponsors, the organization examines all key decisions and strategies through the lens of its Mission: "Rooted in the loving ministry of Jesus as healer, we commit ourselves to serving all persons with special attention to those who are poor and vulnerable. Our Catholic health ministry is dedicated to spiritually centered, holistic care, which sustains and improves the health of individuals and communities. We are advocates for a compassionate and just society through our actions and our words." Ascension Health is focused on transforming healthcare by providing the highest quality care to all, with special attention to those who are poor and vulnerable. In Fiscal Year 2011 (7/1/10-6/30/11) Ascension Health provided $1.2 billion care of the poor and community benefit in the communities it serves. Since its founding in 1999, the organization has provided a total of more than $8.6 billion in care of persons who are poor and community benefit. Its Health Ministries see more than 500,000 unique uninsured individuals annually, which equates to one unique uninsured person every 34 seconds of every day. Those Health Ministries provide acute care services, long-term care, community health services, psychiatric, rehabilitation and residential care, continuing the legacy of Ascension Health's sponsoring religious congregations through the work of more than 113,000 associates serving in more than 500 locations in 20 states and the District of Columbia. Ascension Health's Vision calls for ensuring service that is committed to health and well-being of the communities it serves and that responds to the needs of individuals throughout the life cycle. The System's distributed leadership operating model ensures that decisions in support of that Vision are made at the appropriate level of the organization, giving its local Health Ministries great autonomy in determining how to best serve their communities. This includes deciding what services to provide, where to locate facilities, the credentialing of qualified professionals, and the staffing required to provide needed services. The Health Ministries are based in their local communities and are incorporated separately, with their own Boards of Trustees made up of local citizens who are best able to help guide them in determining the needs of the community and the best way to operate their facilities. At the same time, each Health Ministry has a role as a member of the larger System. Leaders at the System Office support the efforts of the Health Ministries and focus on strategic and thought leadership for the System as a whole. To support a consistent focus on Ascension Health's Mission, a dedicated team called Mission Integration provides strategic leadership in the integration of the Mission, Vision and Values throughout all sponsored organizations and partnerships of Ascension Health in support of System strategy and the Strategic Direction. This includes collaboration with local Health Ministry Mission Vice Presidents by offering System support and resources designed to foster a spiritually vital and effective workplace for the leadership, associates, physicians, board members and volunteers throughout the System. Mission integration involves conceptualizing, developing, promoting and implementing a full continuum of leadership and development activities in the following areas: Catholic Identity and Sponsorship; Ethics (Business, Clinical and Social); Spirituality and Ministry; Care of the Poor and Community Benefit; Leadership Formation; Heritage; and Legacy. The Ethics Department provides ethical and theological reflection, analysis, research, consultation and education for assisting trustees, senior leaders, managers, clinicians and ethics committees in fulfilling their responsibilities for ethical decision making and discernment, and for the ethical integrity and Catholic identity of Ascension Health and its Health Ministries. Services include ethics leadership and support to Health Ministries; policy development and review; ethical analysis and review of management and service contracts, merger agreements, and other forms of partnerships to ensure consistency with the U.S. Conference of Catholic Bishops' Ethical and Religious Directives for Catholic Health Care Services, and Catholic teaching; clinical and organizational ethics consultation; continuing development of ethics education programs; and resources for general use. In Fiscal Year 2009 Ethics provided approximately 40 Health Ministry consultations a month, and a total of 40 educational sessions reaching several hundred individuals. Leadership Formation prepares leaders for stewardship of the Mission into the future, through a process of theological reflection, spiritual development and an application of leadership skills. The process offers a two-year program of formation directed toward the preparation of current and future executives. This program provides its participants with the language and skills to articulate Ascension Health's heritage, beliefs and purpose as a healing ministry and to apply these principles in organizational leadership. The program is implemented in conjunction with the leadership-style assessment tools of the organization's Leadership Continuity Planning process and in partnership with the Aquinas Institute of Theology. In FY10 this program served 50 executives in an intensive program and more than 650 in an ongoing program. Also in FY10. formation programs were extended to managers (75 per year) and to our Health Ministry Boards. This focus on Mission Integration helps ensure that strategic decisions are consistent with Ascension Health's Mission, Vision and Values and supports the organization's overarching strategy, which is articulated through its Strategic Direction. Ascension Health's Strategic Direction incorporates an outward promise to those it serves to deliver Healthcare That Works, Healthcare That Is Safe and Healthcare That Leaves No One Behind, for Life, by the year 2020. In support of Healthcare That Works, Ascension Health strives to achieve absolute satisfaction among those it serves and those who serve. It works to create a consistent, exceptional Ascension Health Experience by seeking to build lifetime relationships with individuals, helping them navigate healthcare options and resources to optimize their health and well-being. The Ascension Health Experience Team has responsibility for the Healthcare That Works portion of the Strategic Direction. The team has been focused on supporting the Health Ministries in their efforts to improve the experience of hospital inpatients, helping Health Ministry associates be more intentional about delivering the kinds of experiences patients desire. Success is measured by a metric called the patient Net Promoter Score (pNPS), which is calculated by asking patients how likely they would be to refer family and friends to their hospital. In its first three years this work resulted in an increase in the overall System pNPS of more than 15 percent. Efforts to explore and improve the experience of those served in physician offices and outpatient settings are under way. To provide Healthcare That Is Safe, Ascension Health collaborates with physicians, other caregivers and values-compatible partners with the goal of ensuring that those it serves have access to safe, clinically excellent care throughout their lives and across the continuum of care, including the outpatient/ambulatory setting, the management of chronic disease, and a focus on community health and well-being. The Clinical Excellence team provides System-level strategic leadership and resources to assist the Health Ministries in a number of quality performance improvement areas for the full continuum of care. In July 2008 Ascension Health met its goal of "excellent clinical care with no preventable injuries or deaths" by dramatically reducing the mortality figure for those not admitted to the hospital for end-of-life care. In pursuit of Healthcare That Is Safe, best practices and clinical improvements are shared across the System. Thanks to the work of Clinical Excellence and leaders and associates in the Health Ministries, improvements in eight patient safety areas of focus called Priorities for Action has been substantially better than national averages. Ascension Health is advancing the next phase of patient safety work to become a High Reliability Organization, through its Healing without Harm by 2014 initiative.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>The objective of Healthcare That Leaves No One Behind is 100% access and 100% coverage. Through national advocacy, new models of care and transformed access leaders, Ascension Health collaborates with others with the goal of ensuring that all persons, particularly those who are uninsured or underinsured, receive healthcare services that create and support the best journey to improved health outcomes for each individual and are funded in an adequate and sustainable fashion. At a national level, Ascension Health continues to advocate for legislation that supports access and coverage for all by 2020. The Advocacy team provides leadership in this area, developing and implementing Ascension Health's advocacy agenda, providing leadership in the development of public-private partnerships that improve access to healthcare delivery services, and coordinating Ascension Health's advocacy efforts with the American Hospital Association and the Catholic Health Association of the United States. In addition, Ascension Health has determined that to realize its Vision through its Strategic Direction by 2020 it is necessary for the organization to both perform and transform. The System's organizational approach provides clear focus and dedicated resources to optimize operations within the five-year timeframe of its Integrated Strategic, Operational and Financial Plan through the Healthcare Operations group. It also dedicates discrete resources to a separate group, Transformational Development, with a longer-term focus to identify, investigate and test innovative solutions to help achieve the Strategic Direction. Through this organizational approach, Ascension Health seeks to ensure that it is best positioned to lead the transformation of healthcare. Transformational Development works to accelerate the achievement of Ascension Health's Strategic Direction by focusing its energy on "what's next" in the evolution of healthcare, beyond the five-year timeframe of the Ascension Health Integrated Strategic, Operational and Financial Plan. Transformational Development seeks to design and test new platforms for meeting the health-related needs of those served, in part by pursuing non-traditional approaches to the traditional challenges facing healthcare. Ascension Health carries on the tradition of a ministry that is 400 years old. It is a steward of the gifts entrusted to it to strengthen the ministry's ability to serve those who are poor and vulnerable. The organization has worked hard to manage its large and complex organization in a way that ensures the continued ability to carry out its Mission.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>Many of the persons listed in Part VII, Section A have a "business relationship" with each other by virtue of employment for Ascension Health related entities.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Ascension Health is sponsored by six organizations: Four Provinces of the Daughters of Charity, the Congregation of St. Joseph, and the Congregation of St. Joseph of Carondelet. Each of these six organizations is a member in Ascension Health.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The members of Ascension Health have the ability to elect members to the governing body of Ascension Health.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>All decisions that have a material impact to Ascension Health financial information or corporation as a whole are subject to approval by the six members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. In addition, the General Counsel reviews all Conflict of Interest disclosures and makes an annual report to the Board on such disclosures.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>In determining compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee of the Board engaged an independent compensation consultant to advise the Committee with respect to the compensation of the CEO. Then the Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals in other comparable organizations that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. The individual was not present when his compensation was decided. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee of the Board engaged an independent compensation consultant to advise the Committee with respect to the executive team members. Then the Compensation Committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to individuals in other comparable organizations that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. Ascension Health performed all of the above procedures to obtain the rebuttable presumption respecting compensation arrangements (per IRC Section 4958).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The organization will provide any documents open to public inspection upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized gains on investments: 37,708,318. Net Asset Transfers From Health Ministries 262,397,570. Net Asset Transfer from Trusts/Other 89,734,373. Additional Pension Liability 26,374,739. Transfer out to AHIS -27,000,000. Unrealized Losses on Interest Rate Swaps -303,211. Other Changes - Discontinued Operations 3,651,262. Total to Form 990, Part XI, Line 5: 392,563,051.</Explanation>
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          <BusinessNameLine1>Carondelet Heart and Vascular Institute</BusinessNameLine1>
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          <AddressLine1>4888 N Stone Ave</AddressLine1>
          <City>Tucson</City>
          <State>AZ</State>
          <ZIPCode>85704</ZIPCode>
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        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>AZ</LegalDomicileState>
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          <BusinessNameLine1>Carondelet Health Network</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Chalon Living Inc</BusinessNameLine1>
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          <AddressLine1>8553 E San Alberto Dr</AddressLine1>
          <City>Scottsdale</City>
          <State>AZ</State>
          <ZIPCode>85258</ZIPCode>
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        <EIN>860805615</EIN>
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        <LegalDomicileState>AZ</LegalDomicileState>
        <ExemptCodeSection>Section 501(C)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>Holy Cross Hospital</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Carondelet Foundation Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2202 N Forbes Blvd</AddressLine1>
          <City>Tucson</City>
          <State>AZ</State>
          <ZIPCode>85745</ZIPCode>
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        <EIN>860749574</EIN>
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        <LegalDomicileState>AZ</LegalDomicileState>
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          <BusinessNameLine1>Carondelet Health Network</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Vincent's Health Services Corporation</BusinessNameLine1>
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          <AddressLine1>2800 Main Street</AddressLine1>
          <City>Bridgeport</City>
          <State>CT</State>
          <ZIPCode>06606</ZIPCode>
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          <BusinessNameLine1>Ascension Health</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Vincent's Medical Center</BusinessNameLine1>
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          <AddressLine1>2800 Main Street</AddressLine1>
          <City>Bridgeport</City>
          <State>CT</State>
          <ZIPCode>06606</ZIPCode>
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          <BusinessNameLine1>St Vincent's Health Services Corporation</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Vincent's Medical Center Foundation Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2800 Main Street</AddressLine1>
          <City>Bridgeport</City>
          <State>CT</State>
          <ZIPCode>06606</ZIPCode>
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        <EIN>222558132</EIN>
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        <LegalDomicileState>CT</LegalDomicileState>
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          <BusinessNameLine1>St Vincent's Health Services Corporation</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Vincent's Multispecialty Group Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2800 Main Street</AddressLine1>
          <City>Bridgeport</City>
          <State>CT</State>
          <ZIPCode>06606</ZIPCode>
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        <LegalDomicileState>CT</LegalDomicileState>
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          <BusinessNameLine1>St Vincent's Medical Center</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Hall-Brooke Behavioral Health Services Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>47 Long Lots Road</AddressLine1>
          <City>Westport</City>
          <State>CT</State>
          <ZIPCode>06880</ZIPCode>
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        <EIN>060813283</EIN>
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        <LegalDomicileState>CT</LegalDomicileState>
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          <BusinessNameLine1>St Vincent's Health Services Corporation</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Vincent's Development Inc</BusinessNameLine1>
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          <AddressLine1>95 Merritt Boulevard</AddressLine1>
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          <State>CT</State>
          <ZIPCode>06611</ZIPCode>
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        <EIN>222554128</EIN>
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          <BusinessNameLine1>St Vincent's Health Services Corporation</BusinessNameLine1>
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          <BusinessNameLine1>St Vincent's College</BusinessNameLine1>
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          <AddressLine1>2800 Main Street</AddressLine1>
          <City>Bridgeport</City>
          <State>CT</State>
          <ZIPCode>06606</ZIPCode>
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          <BusinessNameLine1>St Vincent's Health Services Corporation</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Vincent's Special Needs Center Inc</BusinessNameLine1>
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          <AddressLine1>95 Merritt Boulevard</AddressLine1>
          <City>Trumbull</City>
          <State>CT</State>
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          <BusinessNameLine1>St Vincent's Health Services Corporation</BusinessNameLine1>
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          <BusinessNameLine1>Providence Hospital</BusinessNameLine1>
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          <BusinessNameLine1>Ascension Health</BusinessNameLine1>
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          <BusinessNameLine1>St Joseph Regional Medical Center</BusinessNameLine1>
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          <State>IN</State>
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          <AddressLine1>3700 Washington Avenue</AddressLine1>
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          <State>IN</State>
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        <PublicCharityStatus>Schedule A, Line 3</PublicCharityStatus>
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          <BusinessNameLine1>St Vincent Randolph Hospital Inc</BusinessNameLine1>
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          <AddressLine1>473 Greenville Avenue</AddressLine1>
          <City>Winchester</City>
          <State>IN</State>
          <ZIPCode>47394</ZIPCode>
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        <EIN>352103153</EIN>
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        <PublicCharityStatus>Schedule A, Line 3</PublicCharityStatus>
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          <BusinessNameLine1>St Vincent Health Inc</BusinessNameLine1>
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          <BusinessNameLine1>St Vincent Randolph Hospital Foundation Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>473 Greenville Avenue</AddressLine1>
          <City>Winchester</City>
          <State>IN</State>
          <ZIPCode>47394</ZIPCode>
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        <EIN>352133006</EIN>
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          <BusinessNameLine1>St Vincent Randolph Hospital Inc</BusinessNameLine1>
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          <BusinessNameLine1>St Vincent Salem Hospital Inc</BusinessNameLine1>
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          <AddressLine1>911 N Shelby Street</AddressLine1>
          <City>Salem</City>
          <State>IN</State>
          <ZIPCode>47167</ZIPCode>
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        <EIN>270847538</EIN>
        <PrimaryActivities>Critical Access Hospital</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
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        <PublicCharityStatus>Schedule A, Line 3</PublicCharityStatus>
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          <BusinessNameLine1>St Vincent Health Inc</BusinessNameLine1>
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          <BusinessNameLine1>St Vincent Seton Specialty Hospital Inc</BusinessNameLine1>
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          <AddressLine1>8050 Township Line Road</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46260</ZIPCode>
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        <EIN>351712001</EIN>
        <PrimaryActivities>Long Term Care Hospital</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
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        <PublicCharityStatus>Schedule A, Line 3</PublicCharityStatus>
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          <BusinessNameLine1>St Vincent Health Inc</BusinessNameLine1>
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          <BusinessNameLine1>St Vincent Williamsport Hospital Inc</BusinessNameLine1>
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          <AddressLine1>412 N Monroe Street</AddressLine1>
          <City>Williamsport</City>
          <State>IN</State>
          <ZIPCode>47993</ZIPCode>
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        <EIN>350784551</EIN>
        <PrimaryActivities>Critical Access Hospital</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
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        <PublicCharityStatus>Schedule A, Line 3</PublicCharityStatus>
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          <BusinessNameLine1>St Vincent Health Inc</BusinessNameLine1>
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          <BusinessNameLine1>St Vincent Williamsport Hospital Foundation Inc</BusinessNameLine1>
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          <AddressLine1>412 N Monroe Street</AddressLine1>
          <City>Williamsport</City>
          <State>IN</State>
          <ZIPCode>47993</ZIPCode>
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        <EIN>743130159</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
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        <PublicCharityStatus>Schedule A, Line 11a</PublicCharityStatus>
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          <BusinessNameLine1>St Vincent Williamsport Hospital Inc</BusinessNameLine1>
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          <BusinessNameLine1>SVSM Inc</BusinessNameLine1>
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          <AddressLine1>2001 W 86th Street</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46260</ZIPCode>
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        <EIN>810607827</EIN>
        <PrimaryActivities>Holding Company</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
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        <PublicCharityStatus>Schedule A, Line 11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Vincent Health Inc</BusinessNameLine1>
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          <BusinessNameLine1>Daughters Of Charity Services Of New Orleans</BusinessNameLine1>
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          <AddressLine1>4162 Canal Street</AddressLine1>
          <City>New Orleans</City>
          <State>LA</State>
          <ZIPCode>70119</ZIPCode>
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        <EIN>721332678</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>LA</LegalDomicileState>
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        <DirectControllingEntityName>
          <BusinessNameLine1>Ascension Health</BusinessNameLine1>
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          <BusinessNameLine1>Daughters of Charity of New Orleans Foundation</BusinessNameLine1>
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          <AddressLine1>4164 Canal Street</AddressLine1>
          <City>New Orleans</City>
          <State>LA</State>
          <ZIPCode>70119</ZIPCode>
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        <PrimaryActivities>Provide Support to the Daughters of Charity Services of New Orleans</PrimaryActivities>
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          <BusinessNameLine1>Daughters of Charity of New Orleans</BusinessNameLine1>
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          <BusinessNameLine1>St Catherine Nursing Center</BusinessNameLine1>
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          <AddressLine1>331 South Seton Avenue</AddressLine1>
          <City>Emmitsburg</City>
          <State>MD</State>
          <ZIPCode>21727</ZIPCode>
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        <EIN>521835288</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
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          <BusinessNameLine1>Ascension Health</BusinessNameLine1>
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          <BusinessNameLine1>St Agnes Healthcare Inc</BusinessNameLine1>
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          <AddressLine1>900 Caton Avenue</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21229</ZIPCode>
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        <LegalDomicileState>MD</LegalDomicileState>
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          <BusinessNameLine1>Caton Health Corporation</BusinessNameLine1>
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          <AddressLine1>900 Caton Avenue</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21229</ZIPCode>
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          <BusinessNameLine1>Caton Health Corporation-Pac</BusinessNameLine1>
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          <AddressLine1>900 Caton Avenue</AddressLine1>
          <City>Baltimore</City>
          <State>MD</State>
          <ZIPCode>21229</ZIPCode>
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          <BusinessNameLine1>St Agnes Foundation</BusinessNameLine1>
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          <AddressLine1>900 Caton Avenue</AddressLine1>
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          <State>MD</State>
          <ZIPCode>21229</ZIPCode>
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          <ZIPCode>21229</ZIPCode>
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          <State>MI</State>
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          <State>MI</State>
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          <State>MI</State>
          <ZIPCode>48439</ZIPCode>
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          <State>MI</State>
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          <State>MI</State>
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          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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          <BusinessNameLine1>Mount St Mary's Hospital Of Niagara Falls</BusinessNameLine1>
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          <AddressLine1>5310 Military Rd</AddressLine1>
          <City>Lewiston</City>
          <State>NY</State>
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          <BusinessNameLine1>Our Lady Of Peace Inc</BusinessNameLine1>
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          <AddressLine1>5285 Lewiston Rd</AddressLine1>
          <City>Lewiston</City>
          <State>NY</State>
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          <BusinessNameLine1>Mount St Mary's Hospital</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mount St Mary's Hospital Child Care Center</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>5310 Military Rd</AddressLine1>
          <City>Lewiston</City>
          <State>NY</State>
          <ZIPCode>140921997</ZIPCode>
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        <PrimaryActivities>Child Care Center</PrimaryActivities>
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          <BusinessNameLine1>Mount St Mary's Hospital</BusinessNameLine1>
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          <BusinessNameLine1>Mount St Mary's Hospital Foundation</BusinessNameLine1>
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          <AddressLine1>5300 Military Rd</AddressLine1>
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          <State>NY</State>
          <ZIPCode>140921997</ZIPCode>
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          <BusinessNameLine1>Mount St Mary's Hospital</BusinessNameLine1>
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          <BusinessNameLine1>St Joseph Regional Medical Center Foundation Inc</BusinessNameLine1>
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          <AddressLine1>415 Sixth Street</AddressLine1>
          <City>Lewiston</City>
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          <BusinessNameLine1>Saint Thomas Health</BusinessNameLine1>
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          <AddressLine1>4220 Harding Road</AddressLine1>
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          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
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          <BusinessNameLine1>Baptist Health Care Affiliates Inc</BusinessNameLine1>
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          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37236</ZIPCode>
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        <PrimaryActivities>Community Health Promotion</PrimaryActivities>
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          <BusinessNameLine1>Seton Corporation</BusinessNameLine1>
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          <BusinessNameLine1>Baptist Healthcare Group</BusinessNameLine1>
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          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
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          <BusinessNameLine1>Baptist Saint Thomas Home Care</BusinessNameLine1>
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          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
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          <BusinessNameLine1>Baptist Hospital Foundation of Nashville Inc</BusinessNameLine1>
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          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
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          <BusinessNameLine1>Hickman Community Health Care Services Inc</BusinessNameLine1>
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          <AddressLine1>135 East Swann</AddressLine1>
          <City>Centerville</City>
          <State>TN</State>
          <ZIPCode>37033</ZIPCode>
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          <BusinessNameLine1>Baptist Health Care Affiliates Inc</BusinessNameLine1>
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          <BusinessNameLine1>Hickman Community Home Care Inc</BusinessNameLine1>
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          <AddressLine1>135 East Swan St</AddressLine1>
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          <State>TN</State>
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          <AddressLine1>400 N Highland Avenue</AddressLine1>
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          <AddressLine1>1345 Philomena Street</AddressLine1>
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          <State>TX</State>
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          <BusinessNameLine1>Park Avenue Heart And Vascular Center LLC</BusinessNameLine1>
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          <AddressLine1>2562 Park Street</AddressLine1>
          <City>Jacksonville</City>
          <State>FL</State>
          <ZIPCode>32204</ZIPCode>
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          <BusinessNameLine1>Interventional Rehabilitation Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1549 Airport Blvd Ste 420</AddressLine1>
          <City>Pensacola</City>
          <State>FL</State>
          <ZIPCode>32503</ZIPCode>
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        <PrimaryActivity>Medical Services</PrimaryActivity>
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          <BusinessNameLine1>Pet LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>5149 North 9th Ave Suite 124</AddressLine1>
          <City>Pensacola</City>
          <State>FL</State>
          <ZIPCode>32504</ZIPCode>
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        <PrimaryActivity>Medical Services</PrimaryActivity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Emerald Coast Radiation Oncology Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>7720 Us Highway 98 W</AddressLine1>
          <City>Miramar Beach</City>
          <State>FL</State>
          <ZIPCode>32550</ZIPCode>
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        <EIN>680507481</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
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          <BusinessNameLine1>Endoscopy Group LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4810 North Davis Hwy</AddressLine1>
          <City>Pensacola</City>
          <State>FL</State>
          <ZIPCode>32503</ZIPCode>
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        <EIN>593519881</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Gulf Region Radiation Oncology MSO LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>5147 N 9th Ave</AddressLine1>
          <City>Pensacola</City>
          <State>FL</State>
          <ZIPCode>32504</ZIPCode>
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        <EIN>260623827</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
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          <BusinessNameLine1>Ambulatory Care Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1125 Professional Blvd</AddressLine1>
          <City>Evansville</City>
          <State>IN</State>
          <ZIPCode>47714</ZIPCode>
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        <EIN>352006018</EIN>
        <PrimaryActivity>Outpatient Surgery</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>St Mary's Acute Dialysis Services LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3700 Washington Ave</AddressLine1>
          <City>Evansville</City>
          <State>IN</State>
          <ZIPCode>47750</ZIPCode>
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          <BusinessNameLine1>Seton Health Services LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3700 Washington Ave</AddressLine1>
          <City>Evansville</City>
          <State>IN</State>
          <ZIPCode>47750</ZIPCode>
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        <EIN>270451316</EIN>
        <PrimaryActivity>Equipment Rental</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>St Mary's Freestanding Cath Lab LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3700 Washington Ave</AddressLine1>
          <City>Evansville</City>
          <State>IN</State>
          <ZIPCode>47750</ZIPCode>
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        <EIN>320086252</EIN>
        <PrimaryActivity>Management</PrimaryActivity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>St Mary's Peripheral Vascular Services Management Company LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3700 Washington Ave</AddressLine1>
          <City>Evansville</City>
          <State>IN</State>
          <ZIPCode>47750</ZIPCode>
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        <EIN>205062635</EIN>
        <PrimaryActivity>Management</PrimaryActivity>
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          <BusinessNameLine1>Breast MRI Leasing Company LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>10330 N Meridian St Ste 430n</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46290</ZIPCode>
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          <BusinessNameLine1>Care Group Cardiovascular Management LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>8333 Naab Road Ste 200</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46960</ZIPCode>
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        <EIN>223937477</EIN>
        <PrimaryActivity>Management Of Cardiovascular Service Lines</PrimaryActivity>
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          <BusinessNameLine1>Carmel Ambulatory Surgery Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>13421 Old Meridian St Ste 150</AddressLine1>
          <City>Carmel</City>
          <State>IN</State>
          <ZIPCode>46032</ZIPCode>
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        <EIN>320014795</EIN>
        <PrimaryActivity>Ambulatory Surgery Center</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Chartwell Midwest Indiana LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>8040 Castleway Drive</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46250</ZIPCode>
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        <EIN>351985233</EIN>
        <PrimaryActivity>Home Care Iv/Infusion Services</PrimaryActivity>
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          <BusinessNameLine1>Cooperative Managed Care Services LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6602 E 75th Street Suite 300</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46250</ZIPCode>
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        <PrimaryActivity>Case Management</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>Endoscopy Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>13421 Old Meridian St Ste 150</AddressLine1>
          <City>Carmel</City>
          <State>IN</State>
          <ZIPCode>46032</ZIPCode>
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        <PrimaryActivity>Endoscopy Center</PrimaryActivity>
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          <BusinessNameLine1>Fishers Ambulatory Surgery Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>136914 E State Road 238</AddressLine1>
          <City>Fishers</City>
          <State>IN</State>
          <ZIPCode>46037</ZIPCode>
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        <EIN>262001288</EIN>
        <PrimaryActivity>Ambulatory Surgery Center</PrimaryActivity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Hancock Physician Network LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>801 N State Street</AddressLine1>
          <City>Greenfield</City>
          <State>IN</State>
          <ZIPCode>46140</ZIPCode>
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        <EIN>352051598</EIN>
        <PrimaryActivity>Primary Care Physician Practices</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>HRH SVH Real Estate Development Co LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>10330 N Meridian St Ste 430N</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46290</ZIPCode>
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        <PrimaryActivity>Real estate holding</PrimaryActivity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Lafayette Heart Program Holding LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>11515 W Dragoon Trail</AddressLine1>
          <City>Mishawaka</City>
          <State>IN</State>
          <ZIPCode>46544</ZIPCode>
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        <EIN>383750811</EIN>
        <PrimaryActivity>Cardiac Care Services</PrimaryActivity>
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          <BusinessNameLine1>Meridian Heights Associates LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6100 W 96th Street Ste 250</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46278</ZIPCode>
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        <PrimaryActivity>Real Estate Holding</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>Neuro Oncology Equipment LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>10330 N Meridian St Ste 430n</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46290</ZIPCode>
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        <PrimaryActivity>Sale And Rental Services</PrimaryActivity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Northside Cardiac Cath Lab Partnership</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2001 W 86th Street</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46260</ZIPCode>
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        <EIN>351854388</EIN>
        <PrimaryActivity>Outpatient Cath Lab</PrimaryActivity>
        <LegalDomicileState>IN</LegalDomicileState>
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          <BusinessNameLine1>Saint John's Ambulatory Surgery Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2015 Jackson Street</AddressLine1>
          <City>Anderson</City>
          <State>IN</State>
          <ZIPCode>46016</ZIPCode>
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        <PrimaryActivity>Surgery Center</PrimaryActivity>
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          <BusinessNameLine1>St Vincent Heart Center Of Indiana LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>10580 N Meridian Street</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46290</ZIPCode>
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        <PrimaryActivity>Heart Hospital</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>St Vincent Northwest Radiology LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>5756 W 71st Street</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46278</ZIPCode>
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        <EIN>352047427</EIN>
        <PrimaryActivity>Mir Facilities</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>The Care Labs LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2001 W 86th Street</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46260</ZIPCode>
        </AddressUS>
        <EIN>351854352</EIN>
        <PrimaryActivity>Outpatient Vascular Lab</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>South Kansas City Surgical Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>10730 Nall Ste 100</AddressLine1>
          <City>Overland Park</City>
          <State>KS</State>
          <ZIPCode>66211</ZIPCode>
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        <PrimaryActivity>Health Care</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Advent Partners LP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>28000 Dequindre</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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        <EIN>383494197</EIN>
        <PrimaryActivity>Investment</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
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          <BusinessNameLine1>Open MRI Of Michigan LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>28000 Dequindre</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
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        <EIN>383544539</EIN>
        <PrimaryActivity>Diagnostic Services</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>Towne Centre Surgery Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4599 Towne Centre</AddressLine1>
          <City>Saginaw</City>
          <State>MI</State>
          <ZIPCode>48604</ZIPCode>
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        <EIN>204943843</EIN>
        <PrimaryActivity>Outpatient Surgery</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>St Joseph Medical Office Building</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4600 Edmundson Rd</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>631343806</ZIPCode>
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        <EIN>581897718</EIN>
        <PrimaryActivity>Medical Service</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>Lourdes Health Support LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>7246 Janus Park Drive</AddressLine1>
          <City>Liverpool</City>
          <State>NY</State>
          <ZIPCode>13088</ZIPCode>
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        <EIN>161611707</EIN>
        <PrimaryActivity>Medical Equipment Provider</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>Baptist Women's Health Center LLC dba The Center For Spinal Surgery</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2011 Murphy Avenue</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>621772195</EIN>
        <PrimaryActivity>Owns And Operates Specialty Hospital</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Middle Tennessee Ambulatory Surgery Center LP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>500 N Highland Ave</AddressLine1>
          <City>Murfreesboro</City>
          <State>TN</State>
          <ZIPCode>37130</ZIPCode>
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        <PrimaryActivity>Operates Outpatient Surgery Center</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Middle Tennessee Imaging LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>400 N Highland Avenue</AddressLine1>
          <City>Murfreesboro</City>
          <State>TN</State>
          <ZIPCode>37219</ZIPCode>
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        <EIN>010570490</EIN>
        <PrimaryActivity>Diagnostic Imaging Center</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Murfreesboro Diagnostic Imaging LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>400 N Highland Avenue</AddressLine1>
          <City>Murfreesboro</City>
          <State>TN</State>
          <ZIPCode>37219</ZIPCode>
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        <EIN>200291952</EIN>
        <PrimaryActivity>Diagnostic Imaging Center</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Nashville Diagnostic Imaging LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>30 Burton Hills Blvd Ste 165</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37215</ZIPCode>
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        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>STHS Sleep Center LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>618 Church Street Suite 520</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37219</ZIPCode>
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        <EIN>203664894</EIN>
        <PrimaryActivity>Operates A Sleep Center</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Orthopedic Hospital of Wisconsin LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>575 Riverwoods Pkwy</AddressLine1>
          <City>Glendale</City>
          <State>WI</State>
          <ZIPCode>53212</ZIPCode>
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        <EIN>392015655</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>WI</LegalDomicileState>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Baptist Healthcare LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2000 Church Street</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37236</ZIPCode>
        </AddressUS>
        <EIN>621624007</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Thomas Outpatient Neurosurgical Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2410 Patterson Street Ste 500</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37203</ZIPCode>
        </AddressUS>
        <EIN>621802891</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Saint Thomas Research Institute LLC Cardiology Series</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>102 Woodmont Blvd</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
        </AddressUS>
        <EIN>264591782</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Eastside Ventures</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>810 St Vincents Drive</AddressLine1>
          <City>Birmingham</City>
          <State>AL</State>
          <ZIPCode>35205</ZIPCode>
        </AddressUS>
        <EIN>630846221</EIN>
        <PrimaryActivity>Misc Healthcare Services</PrimaryActivity>
        <LegalDomicileState>AL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Vincentian Ventures of North Alabama Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>810 St Vincents Drive</AddressLine1>
          <City>Birmingham</City>
          <State>AL</State>
          <ZIPCode>35205</ZIPCode>
        </AddressUS>
        <EIN>630965456</EIN>
        <PrimaryActivity>Misc Healthcare Services</PrimaryActivity>
        <LegalDomicileState>AL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Ascension Ventures Corporation</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>810 St Vincents Drive</AddressLine1>
          <City>Birmingham</City>
          <State>AL</State>
          <ZIPCode>35205</ZIPCode>
        </AddressUS>
        <EIN>631217059</EIN>
        <PrimaryActivity>Misc Healthcare Services</PrimaryActivity>
        <LegalDomicileState>AL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Providence Park</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>Po Box 850429</AddressLine1>
          <City>Mobile</City>
          <State>AL</State>
          <ZIPCode>36685</ZIPCode>
        </AddressUS>
        <EIN>630886846</EIN>
        <PrimaryActivity>Real Estate</PrimaryActivity>
        <LegalDomicileState>AL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Anesthesia Solutions Of Mobile Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6701 Airport Blvd Suite D-430b</AddressLine1>
          <City>Mobile</City>
          <State>AL</State>
          <ZIPCode>36608</ZIPCode>
        </AddressUS>
        <EIN>820547505</EIN>
        <PrimaryActivity>Anesthesia Services</PrimaryActivity>
        <LegalDomicileState>AL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Gulf Coast Regional Preferred</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>Po Box 3201</AddressLine1>
          <City>Mobile</City>
          <State>AL</State>
          <ZIPCode>36652</ZIPCode>
        </AddressUS>
        <EIN>630931788</EIN>
        <PrimaryActivity>Professional Assoc</PrimaryActivity>
        <LegalDomicileState>AL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carondelet Medical Group Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2202 N Forbes Blvd</AddressLine1>
          <City>Tucson</City>
          <State>AZ</State>
          <ZIPCode>85745</ZIPCode>
        </AddressUS>
        <EIN>860836126</EIN>
        <PrimaryActivity>Physician Group</PrimaryActivity>
        <LegalDomicileState>AZ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carondelet Specialist Group</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2202 N Forbes Blvd</AddressLine1>
          <City>Tucson</City>
          <State>AZ</State>
          <ZIPCode>85745</ZIPCode>
        </AddressUS>
        <EIN>281558773</EIN>
        <PrimaryActivity>Physician Group</PrimaryActivity>
        <LegalDomicileState>AZ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Vincentures Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>95 Merritt Boulevard</AddressLine1>
          <City>Trumbull</City>
          <State>CT</State>
          <ZIPCode>06611</ZIPCode>
        </AddressUS>
        <EIN>061211417</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Pequot Medical Associates</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>115 Technology Drive</AddressLine1>
          <City>Trumbull</City>
          <State>CT</State>
          <ZIPCode>06611</ZIPCode>
        </AddressUS>
        <EIN>061498813</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>CT</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mission Resources Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1150 Varnum St NE</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20017</ZIPCode>
        </AddressUS>
        <EIN>521347248</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>DC</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Resource Pharmacies Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1150 Varnum St NE</AddressLine1>
          <City>Washington</City>
          <State>DC</State>
          <ZIPCode>20017</ZIPCode>
        </AddressUS>
        <EIN>521410076</EIN>
        <PrimaryActivity>Retail Pharmacy</PrimaryActivity>
        <LegalDomicileState>DC</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Consolidated Pharmacy Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2565 Park Street</AddressLine1>
          <City>Jacksonville</City>
          <State>FL</State>
          <ZIPCode>32204</ZIPCode>
        </AddressUS>
        <EIN>593398033</EIN>
        <PrimaryActivity>Retail Pharmacy &amp; Patient Transport</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>First Coast Primary Care</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2565 Park Street</AddressLine1>
          <City>Jacksonville</City>
          <State>FL</State>
          <ZIPCode>32204</ZIPCode>
        </AddressUS>
        <EIN>205746243</EIN>
        <PrimaryActivity>Primary Care</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Family Medicine Condominium Association Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1 Shircliff Way</AddressLine1>
          <City>Jacksonville</City>
          <State>FL</State>
          <ZIPCode>32204</ZIPCode>
        </AddressUS>
        <PrimaryActivity>Condominium Association</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Vincent's Physician Enterprise Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2565 Park Street</AddressLine1>
          <City>Jacksonville</City>
          <State>FL</State>
          <ZIPCode>32204</ZIPCode>
        </AddressUS>
        <EIN>271927603</EIN>
        <PrimaryActivity>Primary Care</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Gulf Coast Diversified Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5154 N 9th Ave</AddressLine1>
          <City>Pensacola</City>
          <State>FL</State>
          <ZIPCode>32507</ZIPCode>
        </AddressUS>
        <EIN>592432798</EIN>
        <PrimaryActivity>Investment</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Travel Services Corporation</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4600 Edmundson Rd</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>631343806</ZIPCode>
        </AddressUS>
        <EIN>263764978</EIN>
        <PrimaryActivity>Travel Services</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Joseph Ventures Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4600 Edmundson Rd</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>631343806</ZIPCode>
        </AddressUS>
        <EIN>581772748</EIN>
        <PrimaryActivity>Medical Service</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Joseph Health Services</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4600 Edmundson Rd</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>631343806</ZIPCode>
        </AddressUS>
        <EIN>581772748</EIN>
        <PrimaryActivity>Medical Service</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Mary's Medical Group Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3700 Washington Ave</AddressLine1>
          <City>Evansville</City>
          <State>IN</State>
          <ZIPCode>47750</ZIPCode>
        </AddressUS>
        <EIN>352076827</EIN>
        <PrimaryActivity>Investment</PrimaryActivity>
        <LegalDomicileState>IN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Ohio Valley Heart Care Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>901 St Marys Drive Suite 300</AddressLine1>
          <City>Evansville</City>
          <State>IN</State>
          <ZIPCode>47714</ZIPCode>
        </AddressUS>
        <EIN>351487233</EIN>
        <PrimaryActivity>Cardiology Group</PrimaryActivity>
        <LegalDomicileState>IN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carondelet Management Company Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11050 Roe Suite 110</AddressLine1>
          <City>Overland Park</City>
          <State>KS</State>
          <ZIPCode>66211</ZIPCode>
        </AddressUS>
        <EIN>431352545</EIN>
        <PrimaryActivity>Health Management</PrimaryActivity>
        <LegalDomicileState>KS</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Affiliated Health Svcs Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>28000 Dequindre</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
        </AddressUS>
        <EIN>382292922</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Advent Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>28000 Dequindre</AddressLine1>
          <City>Warren</City>
          <State>MI</State>
          <ZIPCode>48092</ZIPCode>
        </AddressUS>
        <EIN>382971743</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Beecher Ballenger Services</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>One Genesys Parkway</AddressLine1>
          <City>Grand Blanc</City>
          <State>MI</State>
          <ZIPCode>484398065</ZIPCode>
        </AddressUS>
        <EIN>382497922</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Genesys Health Enterprises</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3909 Beecher Rd</AddressLine1>
          <City>Flint</City>
          <State>MI</State>
          <ZIPCode>48532</ZIPCode>
        </AddressUS>
        <EIN>382536250</EIN>
        <PrimaryActivity>Medical Equipment</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Genesys Practice Partners</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3943 Beecher Rd</AddressLine1>
          <City>Flint</City>
          <State>MI</State>
          <ZIPCode>48532</ZIPCode>
        </AddressUS>
        <EIN>030516871</EIN>
        <PrimaryActivity>Employed Physician Practice</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Textile Systems Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>817 Walbridge</AddressLine1>
          <City>Kalamazoo</City>
          <State>MI</State>
          <ZIPCode>49007</ZIPCode>
        </AddressUS>
        <EIN>382705047</EIN>
        <PrimaryActivity>Laundry Services</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Joseph Health Enterprises</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 Hemlock Road</AddressLine1>
          <City>Tawas City</City>
          <State>MI</State>
          <ZIPCode>48763</ZIPCode>
        </AddressUS>
        <EIN>382682747</EIN>
        <PrimaryActivity>Other Medic</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Health Partners Of NE MI</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 Hemlock Road</AddressLine1>
          <City>Tawas City</City>
          <State>MI</State>
          <ZIPCode>48763</ZIPCode>
        </AddressUS>
        <EIN>383378622</EIN>
        <PrimaryActivity>Other Medic</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Indian Creek Center Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 Carondelet Drive</AddressLine1>
          <City>Kansas City</City>
          <State>MO</State>
          <ZIPCode>641144673</ZIPCode>
        </AddressUS>
        <EIN>480956627</EIN>
        <PrimaryActivity>Management</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carondelet Pharmacy</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 Carondelet Drive</AddressLine1>
          <City>Kansas City</City>
          <State>MO</State>
          <ZIPCode>641144673</ZIPCode>
        </AddressUS>
        <EIN>431699329</EIN>
        <PrimaryActivity>Pharmacy</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carondelet Primary Care Network Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 Carondelet Drive</AddressLine1>
          <City>Kansas City</City>
          <State>MO</State>
          <ZIPCode>641144673</ZIPCode>
        </AddressUS>
        <EIN>431596702</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Saint Joseph Ambulatory Surgical Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 Carondelet Drive</AddressLine1>
          <City>Kansas City</City>
          <State>MO</State>
          <ZIPCode>641144673</ZIPCode>
        </AddressUS>
        <EIN>251905706</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carondelet Occupational Health Wellness &amp; Educational Serv Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 Carondelet Drive</AddressLine1>
          <City>Kansas City</City>
          <State>MO</State>
          <ZIPCode>641144673</ZIPCode>
        </AddressUS>
        <EIN>861144194</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
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          <State>TN</State>
          <ZIPCode>37236</ZIPCode>
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          <City>Nashville</City>
          <State>TN</State>
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          <AddressLine1>4220 Harding Road</AddressLine1>
          <City>Nashville</City>
          <State>TN</State>
          <ZIPCode>37205</ZIPCode>
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          <AddressLine1>2000 Church Street</AddressLine1>
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          <State>TN</State>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Ascension Health Information Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>14934047</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Saint Thomas Health</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>18505077</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Paid</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Saint Thomas Health</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>3065477</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Paid</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St John Health</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>495357</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Seton Healthcare</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>68421</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Vincent's Foundation of Alabama Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>100000</AmountInvolved>
        <MethodOfAmtDetermination>Journal Entry Transaction</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Vincent's Health System</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>46724525</AmountInvolved>
        <MethodOfAmtDetermination>Journal Entry Transaction</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Vincent's Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>2562946</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Paid</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Carondelet Health Network</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>7298798</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amounts Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Holy Cross Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>55745</AmountInvolved>
        <MethodOfAmtDetermination>Actual Amount Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Genesys Ambulatory Health Services</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>235181</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Genesys Convalescent Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>261065</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Genesys Home Health &amp; Hospice</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>367480</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Genesys Regional Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>21803954</AmountInvolved>
        <MethodOfAmtDetermination>Cash Transferred/Paid</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Genesys Regional Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>22943729</AmountInvolved>
        <MethodOfAmtDetermination>Cash Transferred/Paid</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Our Lady of Lourdes Hospital at Pasco</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>6626995</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Our Lady of Lourdes Hospital at Pasco</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1605483</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Our Lady of Lourdes Hospital at Pasco</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>176288</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Our Lady of Lourdes Memorial Hospital Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>4174909</AmountInvolved>
        <MethodOfAmtDetermination>Total Amount Paid</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mount St Mary's Hospital of Niagara Falls</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>2396965</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Our Lady of Peace Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>1815019</AmountInvolved>
        <MethodOfAmtDetermination>Loan Agreement</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Our Lady of Peace Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>214003</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Mary's Healthcare</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>2852048</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Mary's Healthcare</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>72661</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Mary's Healthcare</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>8680743</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Providence Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>4002450</AmountInvolved>
        <MethodOfAmtDetermination>Fair Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph Health Enterprises</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>167611</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph Health System Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>2665954</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph Health Enterprises</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>532465</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph Health System Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>227840</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Catherine's Nursing Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>943292</AmountInvolved>
        <MethodOfAmtDetermination>Fair Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph Regional Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>3115333</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Borgess Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>5897352</AmountInvolved>
        <MethodOfAmtDetermination>Fair Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph Hospital &amp; Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>4000000</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph Hospital &amp; Medical Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>208083</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Mary's Michigan Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>8850644</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Standish Community Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1791822</AmountInvolved>
        <MethodOfAmtDetermination>Actual amount paid</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Providence Health Services of Waco</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>6517096</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Seton Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>33475</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Seton Center Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>15895</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Columbia St Mary's Hospital Milwaukee</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>112258465</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Columbia St Mary's Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>164503054</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Columbia St Mary's Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>11969480</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Columbia St Mary's Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1669996</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Columbia St Mary's Hospital Ozaukee Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>49304970</AmountInvolved>
        <MethodOfAmtDetermination>Fair Market Value</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>