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        <Description>OTHER CURRENT LIABILITIES</Description>
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      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>DYERSVILLE HEALTH FOUNDATION, INC. MAINTAINS AN ENDOWMENT FUND TO SUPPORT THE FUTURE NEEDS OF MERCY MEDICAL CENTER - DYERSVILLE, OAK CREST MANOR, AND THE ELLEN KENNEDY LIVING CENTER.</Explanation>
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          <City>DYERSVILLE</City>
          <State>IA</State>
          <ZIPCode>52040</ZIPCode>
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        <EINOfRecipient>311373080</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>39363</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT HOSPITAL PROGRAM AND FACILITY</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ELLEN KENNEDY LIVING CENTER</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1177 7TH STREET SW</AddressLine1>
          <City>DYERSVILLE</City>
          <State>IA</State>
          <ZIPCode>52040</ZIPCode>
        </AddressUS>
        <EINOfRecipient>421472720</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>11000</AmountOfCashGrant>
        <PurposeOfGrant>WIRELESS COMPUTER ACCESS</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
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      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY DYERSVILLE HEALTH FOUNDATION, INC. TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS.</Explanation>
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        <TotalCompensationRelatedOrgs>280364</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 2</Identifier>
        <Explanation>DIRECTORS JULIE UNGS AND MARY UNGS-SOGAARD HAVE A FAMILY RELATIONSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE SOLE MEMBER OF DYERSVILLE HEALTH FOUNDATION, INC. IS MERCY HEALTH SERVICES - IOWA, CORP. SEE LINE 7 FOR ADDITIONAL INFORMATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>MERCY HEALTH SERVICES - IOWA, CORP. IS THE SOLE MEMBER OF DYERSVILLE HEALTH FOUNDATION, INC. MERCY HEALTH SERVICES - IOWA, CORP. HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF DYERSVILLE HEALTH FOUNDATION, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>AS SOLE MEMBER, MERCY HEALTH SERVICES - IOWA, CORP. MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY HEALTH SERVICES - IOWA, CORP. MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>DYERSVILLE HEALTH FOUNDATION, INC.'S FORM 990 WAS REVIEWED BY MANAGEMENT. MANAGEMENT REVIEW TOOK PLACE BEFORE THE FORM 990 WAS FILED WITH THE INTERNAL REVENUE SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>DYERSVILLE HEALTH FOUNDATION, INC. HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF DYERSVILLE HEALTH FOUNDATION, INC., WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH DYERSVILLE HEALTH FOUNDATIN, INC.'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO DYERSVILLE HEALTH FOUNDATION, INC. OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF DYERSVILLE HEALTH FOUNDATION, INC. IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO DYERSVILLE HEALTH FOUNDATION, INC. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF DIRECTORS OF DYERSVILLE HEALTH FOUNDATION, INC. ON AN ANNUAL BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15B</ReturnReference>
        <Explanation>TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF DYERSVILLE HEALTH FOUNDATION, INC. ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>DYERSVILLE HEALTH FOUNDATION, INC. IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:</Identifier>
        <ReturnReference>PART VII,SECTION A, LINE 1, COLUMN B:</ReturnReference>
        <Explanation>THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: GARY GUETZKO - 49.5 HOURS KARI WITTMEYER - 39.5 HOURS LAVERN BIRD - 39.5 HOURS</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: 42,691. PRIOR PERIOD ADJUSTMENTS: 1,781. TOTAL TO FORM 990, PART XI, LINE 5: 44,472.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2:</ReturnReference>
        <Explanation>DYERSVILLE HEALTH FOUNDATION INC.'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY11 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.</Explanation>
      </GeneralExplanation>
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          <State>MI</State>
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          <BusinessNameLine1>TRINITY HEALTH WELFARE BENEFIT TRUST</BusinessNameLine1>
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          <AddressLine1>27870 CABOT DRIVE</AddressLine1>
          <City>NOVI</City>
          <State>MI</State>
          <ZIPCode>483772920</ZIPCode>
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        <EIN>208151733</EIN>
        <PrimaryActivities>RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE</PrimaryActivities>
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        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
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          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>17410 COLLEGE PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
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        <EIN>382621935</EIN>
        <PrimaryActivities>HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
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        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
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          <BusinessNameLine1>ADVANCED IMAGING SERVICES OF BATTLE CREEK</BusinessNameLine1>
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          <AddressLine1>5352 BECKLEY ROAD STE A</AddressLine1>
          <City>BATTLE CREEK</City>
          <State>MI</State>
          <ZIPCode>49015</ZIPCode>
        </AddressUS>
        <EIN>204594297</EIN>
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        <AddressUS>
          <AddressLine1>607 DEWEY AVENUE SUITE 300</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49504</ZIPCode>
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        <EIN>383306673</EIN>
        <PrimaryActivity>REHABILITATION THERAPY SERVICES</PrimaryActivity>
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          <BusinessNameLine1>BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311608125</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
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          <BusinessNameLine1>CENTER FOR DIGESTIVE CARE LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>5300 ELLIOTT DRIVE</AddressLine1>
          <City>YPSILANTI</City>
          <State>MI</State>
          <ZIPCode>48197</ZIPCode>
        </AddressUS>
        <EIN>030447062</EIN>
        <PrimaryActivity>PROVIDE GASTROINTESTINAL SERVICES</PrimaryActivity>
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          <BusinessNameLine1>CENTRAL OHIO SLEEP MEDICINE LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5955 EAST BROAD ST</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
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        <EIN>311701029</EIN>
        <PrimaryActivity>SLEEP MEDICINE SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>CLINTON IMAGING SERVICES LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>615 VALLEY VIEW DR STE 202</AddressLine1>
          <City>MOLINE</City>
          <State>IL</State>
          <ZIPCode>61265</ZIPCode>
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        <EIN>412044739</EIN>
        <PrimaryActivity>MRI DIAGNOSTIC SERVICES</PrimaryActivity>
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          <BusinessNameLine1>FOREST PARK IMAGING LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1000 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
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        <EIN>134365966</EIN>
        <PrimaryActivity>X-RAY AND MAMMOGRAPHY SERVICES</PrimaryActivity>
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          <BusinessNameLine1>FRANCES WARDE MEDICAL LABORATORY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>300 WEST TEXTILE ROAD</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48104</ZIPCode>
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        <EIN>382648446</EIN>
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        <LegalDomicileState>MI</LegalDomicileState>
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          <BusinessNameLine1>FRESNO IMAGING CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1303 E HERNDON AVE</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93720</ZIPCode>
        </AddressUS>
        <EIN>770363563</EIN>
        <PrimaryActivity>DIAGNOSTIC IMAGING</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>HAWARDEN COMMUNITY CLINIC LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1122 AVENUE L</AddressLine1>
          <City>HAWARDEN</City>
          <State>IA</State>
          <ZIPCode>51023</ZIPCode>
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        <EIN>201444339</EIN>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
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          <BusinessNameLine1>IDAHO GYNONCOLOGY SERVICES LLC</BusinessNameLine1>
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          <AddressLine1>1055 N CURTIS RD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
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        <EIN>202975807</EIN>
        <PrimaryActivity>PROVIDE GYN ONCOLOGY SERVICES</PrimaryActivity>
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          <BusinessNameLine1>INTERMOUNTAIN MEDICAL IMAGING LLC</BusinessNameLine1>
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          <AddressLine1>877 WEST MAIN ST STE 603</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83702</ZIPCode>
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        <EIN>820514422</EIN>
        <PrimaryActivity>PROVIDE IMAGING SERVICES</PrimaryActivity>
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          <BusinessNameLine1>MAGNETIC RESONANCE SERVICES PARTNERSHIP</BusinessNameLine1>
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          <AddressLine1>1416 SIXTH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
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        <EIN>421328388</EIN>
        <PrimaryActivity>MRI SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
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          <BusinessNameLine1>MASON CITY AMBULATORY SURGERY CENTER LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>990 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
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        <PrimaryActivity>SURGERY-SAME DAY</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
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          <BusinessNameLine1>MCE MOB IV LIMITED PARTNERSHIP</BusinessNameLine1>
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          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
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        <EIN>421544707</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
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        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
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          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
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        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
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        <AddressUS>
          <AddressLine1>1000 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>134237594</EIN>
        <PrimaryActivity>CARDIOVASCULAR SERVICES</PrimaryActivity>
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          <AddressLine1>1512 12TH AVENUE ROAD</AddressLine1>
          <City>NAMPA</City>
          <State>ID</State>
          <ZIPCode>83686</ZIPCode>
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          <AddressLine1>215 WEST MADISON STREET</AddressLine1>
          <City>SOUTH BEND</City>
          <State>IN</State>
          <ZIPCode>46601</ZIPCode>
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          <BusinessNameLine1>MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP</BusinessNameLine1>
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          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
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        <EIN>311369473</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
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          <BusinessNameLine1>NEWCO AMBULATORY SURGERY CTR LLP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4190 24TH AVENUE</AddressLine1>
          <City>FORT GRATIOT</City>
          <State>MI</State>
          <ZIPCode>48059</ZIPCode>
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        <PrimaryActivity>OUTPATIENT SURGERY CENTER</PrimaryActivity>
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          <BusinessNameLine1>RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
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        <EIN>311531135</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
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          <BusinessNameLine1>ROSENBERG &amp; BRUNO PROPERTIES LLC (FKA BSV MEDICAL OFFICE BUILDING II LLC)</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>855 M STREET TENTH FLOOR</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93721</ZIPCode>
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        <EIN>202673839</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
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          <BusinessNameLine1>SARMED OUTPATIENT PHARMACY LLC</BusinessNameLine1>
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          <AddressLine1>999 N CURTIS RD STE 102</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
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        <EIN>510483218</EIN>
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          <BusinessNameLine1>SIXTY FOURTH STREET LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2373 64TH ST STE 2200</AddressLine1>
          <City>BYRON CENTER</City>
          <State>MI</State>
          <ZIPCode>49315</ZIPCode>
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        <EIN>202443646</EIN>
        <PrimaryActivity>PROVIDE OUTPATIENT SURGICAL CARE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
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        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ALPHONSUS CALDWELL CANCER CTR LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3123 MEDICAL DR</AddressLine1>
          <City>CALDWELL</City>
          <State>ID</State>
          <ZIPCode>83605</ZIPCode>
        </AddressUS>
        <EIN>820526861</EIN>
        <PrimaryActivity>RADIATION ONCOLOGY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311603660</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TAMARACK MEDICAL CLINIC LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>610 VILLAGE DRIVE</AddressLine1>
          <City>DONNELLY</City>
          <State>ID</State>
          <ZIPCode>83615</ZIPCode>
        </AddressUS>
        <EIN>201637921</EIN>
        <PrimaryActivity>OUTPATIENT MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311784409</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WOODLAND IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5301 E HURON RIVER DR</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>760820959</EIN>
        <PrimaryActivity>RADIOLOGY/IMAGING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMMUNITY HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>565 W WESTERN AVE</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49440</ZIPCode>
        </AddressUS>
        <EIN>383522260</EIN>
        <PrimaryActivity>SOFTWARE MARKETING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTH MANAGEMENT CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382961814</EIN>
        <PrimaryActivity>WEIGHT MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382589959</EIN>
        <PrimaryActivity>OTHER MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTHCARE EQUIPMENT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382578569</EIN>
        <PrimaryActivity>HOME MEDICAL EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY PROFESSIONAL CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383024797</EIN>
        <PrimaryActivity>REAL ESTATE RENTAL</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY PROFESSIONAL PHARMACY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382447870</EIN>
        <PrimaryActivity>PHARMACY</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEF INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383086401</EIN>
        <PrimaryActivity>OFFICE STAFFING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOLY CROSS PRIVATE HOME SERVICES CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11801 TECH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20904</ZIPCode>
        </AddressUS>
        <EIN>521986562</EIN>
        <PrimaryActivity>HOME CARE SERVICES</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HPC CO-OWNERS ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 CLINTON</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>270734448</EIN>
        <PrimaryActivity>CONDOMINIUM ASSOCIATION</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HURON ARBOR CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5301 EAST HURON RIVER DR PO BOX 992</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>382475644</EIN>
        <PrimaryActivity>PROVIDES OFFICE RENTAL SPACE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>INTEGRATED HEALTH ASSOCIATES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 FRANK LLOYD WRIGHT DR LOBBY J</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>383126920</EIN>
        <PrimaryActivity>MEDICAL MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>IHA AFFILIATION CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 FRANK LLOYD WRIGHT DR LOBBY J</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>383188895</EIN>
        <PrimaryActivity>MEDICAL MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>IHA HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 FRANK LLOYD WRIGHT DR LOBBY J</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>383316559</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MARYLAND CARE GROUP INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11801 TECH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20904</ZIPCode>
        </AddressUS>
        <EIN>521815313</EIN>
        <PrimaryActivity>HEALTHCARE HOLDING</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDNOW INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1512 12TH AVENUE ROAD</AddressLine1>
          <City>NAMPA</City>
          <State>ID</State>
          <ZIPCode>83686</ZIPCode>
        </AddressUS>
        <EIN>820389927</EIN>
        <PrimaryActivity>OUTPATIENT PHARMACY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY COMMUNITY PHYSICIANS</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>363 FREMONT STREET</AddressLine1>
          <City>BATTLE CREEK</City>
          <State>MI</State>
          <ZIPCode>49017</ZIPCode>
        </AddressUS>
        <EIN>264252468</EIN>
        <PrimaryActivity>HEALTHCARE SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY MEDICAL SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>801 5TH STREET</AddressLine1>
          <City>SIOUX CITY</City>
          <State>IA</State>
          <ZIPCode>51101</ZIPCode>
        </AddressUS>
        <EIN>421283849</EIN>
        <PrimaryActivity>PRIMARY CARE PHYSICIANS</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MICHIGAN PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>44405 WOODWARD AVENUE H-5</AddressLine1>
          <City>PONTIAC</City>
          <State>MI</State>
          <ZIPCode>48341</ZIPCode>
        </AddressUS>
        <EIN>383293125</EIN>
        <PrimaryActivity>PHYSICIAN SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MICHIGAN ATHLETIC CLUB</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2500 BURTON</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49546</ZIPCode>
        </AddressUS>
        <EIN>382647304</EIN>
        <PrimaryActivity>ATHLETIC CLUB</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>310971510</EIN>
        <PrimaryActivity>BEHAVIORAL HEALTHCARE SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL HEALTH HORIZONS CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311177652</EIN>
        <PrimaryActivity>MEDICAL SERVICES/RENT</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL HEALTH PROVIDERS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311382442</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTH IOWA MERCY MEDICAL SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 4TH ST SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>421382308</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PRIMARY CARE NETWORK OF OHIO INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311422486</EIN>
        <PrimaryActivity>HEALTH MANAGEMENT SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PRIORITY PLUS OF CALIFORNIA</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 27230</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93729</ZIPCode>
        </AddressUS>
        <EIN>770395267</EIN>
        <PrimaryActivity>FORMERLY HEALTH MANAGEMENT NOW DISCONTINUED SUBSTANTIALLY ALL OPERATIONS</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT ALPHONSUS PHYSICIANS PA</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1055 NORTH CURTIS ROAD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>837061370</ZIPCode>
        </AddressUS>
        <EIN>331078261</EIN>
        <PrimaryActivity>PHYSICIANS</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT MARY'S HEALTH MANAGEMENT COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1640 EAST PARIS SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49546</ZIPCode>
        </AddressUS>
        <EIN>383450733</EIN>
        <PrimaryActivity>ATHLETIC CLUB</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SURGERY CENTER FINANCING CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311531102</EIN>
        <PrimaryActivity>FINANCE, INSURANCE AND REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TRINITY HEALTH EMPLOYEE BENEFIT TRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>27870 CABOT DRIVE</AddressLine1>
          <City>NOVI</City>
          <State>MI</State>
          <ZIPCode>483772920</ZIPCode>
        </AddressUS>
        <EIN>383410377</EIN>
        <PrimaryActivity>GRANTOR TRUST</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>T</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VENZKE INSURANCE COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 1051 GRAND CAYMAN</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
        </AddressForeign>
        <EIN>980453602</EIN>
        <PrimaryActivity>PROVISION OF INSURANCE COVERAGE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WESTSHORE HEALTH NETWORK</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1820 44TH STREET</AddressLine1>
          <City>KENTWOOD</City>
          <State>MI</State>
          <ZIPCode>49508</ZIPCode>
        </AddressUS>
        <EIN>383280200</EIN>
        <PrimaryActivity>PHYSICIAN HOSPITAL ORGANIZATION</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WORKPLACE HEALTH OF GRAND HAVEN</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383112035</EIN>
        <PrimaryActivity>OCCUPATIONAL HEALTH</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>