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        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>137189</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12256</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Shutt Robert</NamePerson>
        <Title>RN</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>134790</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15674</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dixon-Martin Kelly</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>131114</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12365</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2080832</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>707582</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>247217</TotalOtherCompensation>
      <NumberIndividualsGT100K>47</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Brasfield and Gorrie LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1990 Vaughn Rd Ste 100</AddressLine1>
            <City>Kennesaw</City>
            <State>GA</State>
            <ZIPCode>301440000</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction</DescriptionOfServices>
        <Compensation>2489443</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Athens Hospitalist Services PC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 7695</AddressLine1>
            <City>Athens</City>
            <State>GA</State>
            <ZIPCode>306060000</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Physicians</DescriptionOfServices>
        <Compensation>2372286</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Rehabcare Group Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 502096</AddressLine1>
            <City>St Louis</City>
            <State>MO</State>
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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>IP Management Services</DescriptionOfServices>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Sodexo Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 536922</AddressLine1>
            <City>Atlanta</City>
            <State>GA</State>
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          </AddressUS>
        </AddressOfContractor>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Anesthesia Consult of Athens</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 7127</AddressLine1>
            <City>Athens</City>
            <State>GA</State>
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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Anesthosiologist</DescriptionOfServices>
        <Compensation>1107116</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>37</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>Hospital Patient Servi</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>169684100</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>169684100</RelatedOrExemptFunctionIncome>
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      <TotalProgramServiceRevenue>169684100</TotalProgramServiceRevenue>
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        <TotalRevenueColumn>660246</TotalRevenueColumn>
        <ExclusionAmount>660246</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>416766</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>416766</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>416766</TotalRevenueColumn>
        <ExclusionAmount>416766</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>358186</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>60694</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>297492</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>297492</TotalRevenueColumn>
        <ExclusionAmount>297492</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>Fitness Revenue</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>575625</TotalRevenueColumn>
        <ExclusionAmount>575625</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Gift Shop Revenue</Description>
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        <TotalRevenueColumn>191154</TotalRevenueColumn>
        <ExclusionAmount>191154</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Thrift Revenue</Description>
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        <ExclusionAmount>155307</ExclusionAmount>
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      <MiscellaneousRevenue>
        <TotalRevenueColumn>866071</TotalRevenueColumn>
        <ExclusionAmount>866071</ExclusionAmount>
      </MiscellaneousRevenue>
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      <TotalRevenue>
        <TotalRevenueColumn>172846761</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>169684100</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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      <GrantsToDomesticOrgs>
        <Total>247707</Total>
        <ProgramServices>247707</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>2214392</Total>
        <ProgramServices>578173</ProgramServices>
        <ManagementAndGeneral>1636219</ManagementAndGeneral>
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      <OtherSalariesAndWages>
        <Total>54330373</Total>
        <ProgramServices>42576792</ProgramServices>
        <ManagementAndGeneral>11753581</ManagementAndGeneral>
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        <Total>2627627</Total>
        <ProgramServices>2005405</ProgramServices>
        <ManagementAndGeneral>622222</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>6762357</Total>
        <ProgramServices>5161031</ProgramServices>
        <ManagementAndGeneral>1601326</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>3978754</Total>
        <ProgramServices>3036585</ProgramServices>
        <ManagementAndGeneral>942169</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>211998</Total>
        <ManagementAndGeneral>211998</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesOther>
        <Total>15559875</Total>
        <ProgramServices>4373786</ProgramServices>
        <ManagementAndGeneral>11186089</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>797968</Total>
        <ProgramServices>202262</ProgramServices>
        <ManagementAndGeneral>595706</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>1137200</Total>
        <ProgramServices>422073</ProgramServices>
        <ManagementAndGeneral>715127</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>226506</Total>
        <ManagementAndGeneral>226506</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>1569941</Total>
        <ProgramServices>1265186</ProgramServices>
        <ManagementAndGeneral>304755</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>493160</Total>
        <ProgramServices>347661</ProgramServices>
        <ManagementAndGeneral>145499</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>962835</Total>
        <ManagementAndGeneral>962835</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>10341863</Total>
        <ProgramServices>4739746</ProgramServices>
        <ManagementAndGeneral>5602117</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>585</ProgramServices>
        <ManagementAndGeneral>1908980</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Medical &amp; General Suppl</Description>
        <Total>33132958</Total>
        <ProgramServices>33051352</ProgramServices>
        <ManagementAndGeneral>81606</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>12685270</Total>
        <ProgramServices>12685270</ProgramServices>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Physician Fees</Description>
        <Total>4941811</Total>
        <ProgramServices>4787098</ProgramServices>
        <ManagementAndGeneral>154713</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Maintenance</Description>
        <Total>4752843</Total>
        <ProgramServices>1796778</ProgramServices>
        <ManagementAndGeneral>2956065</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Pension Adjustment</Description>
        <Total>1968358</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1968358</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>7622894</Total>
        <ProgramServices>3263418</ProgramServices>
        <ManagementAndGeneral>4359476</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ProgramServices>120540908</ProgramServices>
        <ManagementAndGeneral>47935347</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>2</BOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>25176849</BOY>
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        <EOY>760226</EOY>
      </OtherNotesLoansReceivableNet>
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        <EOY>3531338</EOY>
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        <EOY>1258496</EOY>
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      <LandBuildingsEquipmentBasis>189159660</LandBuildingsEquipmentBasis>
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      <LandBuildingsEquipmentBasisNet>
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        <EOY>66846816</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
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        <EOY>28595199</EOY>
      </InvestmentsPubTradedSecurities>
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        <EOY>347377</EOY>
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        <EOY>25965709</EOY>
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      <TotalAssets>
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        <EOY>19055348</EOY>
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        <BOY>19437387</BOY>
        <EOY>22201089</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>58746476</BOY>
        <EOY>67224011</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>107803483</BOY>
        <EOY>113415521</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>-323648</BOY>
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      <TotalNetAssetsFundBalances>
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        <EOY>112977045</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>180201056</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
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      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
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      <FSAudited>0</FSAudited>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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      </Land>
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      </Buildings>
      <LeaseholdImprovements>
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      </LeaseholdImprovements>
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      </Equipment>
      <OtherLandBuildings>
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      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>66846816</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Total Due From Other Entities</Description>
        <BookValue>14835154</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Investment in Uncon Sub-Premier Co-op</Description>
        <BookValue>6177605</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LT-Swap Prgm CHE-Market Valuation</Description>
        <BookValue>4952950</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>25965709</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>3rd Party Payables</Description>
        <Amount>1589708</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Related Parties</Description>
        <Amount>32535</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Worker's Compensation Reserve</Description>
        <Amount>794000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Pension Liability</Description>
        <Amount>14824384</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LT Swap Prgm CHE-Market Valuation</Description>
        <Amount>4960462</Amount>
      </OtherLiabilities>
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      </TotalCharityCare>
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        <PercentOfTotalExpense>0.00070</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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        <NetCommunityBenefitExpense>1127848</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00620</PercentOfTotalExpense>
      </HealthProfessionsEducation>
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        <NetCommunityBenefitExpense>300117</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00170</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <PersonsServed>4088</PersonsServed>
        <TotalCommunityBenefitExpense>150407</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>150407</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
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        <NetCommunityBenefitExpense>1699342</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00940</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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      </TotalCommunityBenefits>
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        <NetCommunityBuildingExpense>67856</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>1647</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1647</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CoalitionBuilding>
      <Total>
        <TotalCommunityBuildingExpense>69503</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>69503</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>4784797</BadDebtExpenseAmount>
      <AmountAttributableTo>2656240</AmountAttributableTo>
      <AmountReimbursedByMedicare>57103668</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>73955229</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-16851561</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>St Mary's Health Care System Inc</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1230 Baxter Street</AddressLine1>
          <City>Athens</City>
          <State>GA</State>
          <ZIPCode>30606</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
        <Other>Home Health, Hospice, and other OP Centers</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>NOT APPLICABLE</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>0</EligibilityCriteriaExplained>
        <UsesFPGFree>0</UsesFPGFree>
        <UsesFPGDiscounted>0</UsesFPGDiscounted>
        <ExplainsBasis>0</ExplainsBasis>
        <ExplainsApplicationMethod>0</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>0</IncludesPublicityMeasures>
        <ActionsOnNonpayment>0</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>0</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 6a: Saint Mary's Health Care System issues it's own community benefit report in addition to a related organization, Catholic Health East, issuing a consolidated community benefit report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: The cost to charge ratio is not computed using worksheet 2 from the instructions: the cost to charge ratio is computed by taking the full amount of expenses from the hospital statement of expeses, subtracting bad debt the dividing by gross revenue.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7g: St. Mary's Health Care System has a Pediatric Subspecialty Clinic where specialty physicians from outside the local area come and see patients from the local area. The total cost for the Pedicatric Sub-specialty Clinic included in Part I, line 7g is $59,471.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, L7 Col(f): The amount of bad debt expense included on Form 990, Part IX, Line 25, column (a), but subtracted for purposes of calculating the percentages on schedule H, part I, line 7 column (f) is $12,685,270.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part II: St. Mary's partnered with Habitat for Humanity to complete an apartment renovation project which houses sixteen previously homeless families. St. Mary's donated the funds to pay for a portion of the renovation as well as provided volunteers to help work on the actual renovation work. Homelessness can have serious effects on a person's physical, mental and emotional health. Many homeless people lack access to health care, live in unsafe situations, and overall live very stressful lives. Providing a safe and affordable home to a homeless family can greatly improve their health and well-being.The Director of Security attends and participates in emergency planning meetings throughout the year. The planning allows collaboration of state and local agencies and organizations in order to prepare for a local or statewide emergency. The Emergency Department also participates in quarterly meetings to address emergency service coordination in the Athens-Clarke County area. Planning is a vital step in disaster management and will certainly increase community health in the case of an emergency.Several departments of St. Mary's are involved in mentoring students interested in healthcare careers. The Explorer Program is a program for local high school students. They come to the hospital once a month to learn about and experience the health care environment. The Adopt-a-Class program places a St. Mary's employee each month in a middle school classroom to teach the kids about health care careers.Each year St. Mary's hosts a Clergy Conference for the local clergy who visit and minister to patients in the hospital throughout the year. This conference provides valuable education to these clergy and allows them to better address the emotional and spiritual needs of their parishioners and St. Mary's patients.St. Mary's has played a vital role in the establishment of the new Medical College of Georgia/ University of Georgia Medical Partnership. The Chief Medical Officer has served on a committee to help guide the new medical school and establish working relationship with St. Marys as well as other health care organizations in the community.St. Mary's hosts many volunteers throughout the year including high school and college students as well as community members of all ages. Volunteers work as part of the Auxiliary and serve more than 2,000 hours each month. The volunteers not only serve the hospital in vital ways, but also receive experiential training in health care in a hospital setting. Increased education and training correlates with increased health status. St. Mary's has played an integral role in the creation and work of the Athens Health Network.The partnership St. Mary's has with the Athens Health Network is seen as a very important part of our ministry and committment to the Athens community. The Athens Health Network was established to address the health care needs of the uninsured and underinsured populations of the Athens community. St. Mary's in partnership with three other institutions, University of Georgia, Athens-Clarke County government, and Athens Regional Medical Center, helped to establish this network and develop it into a 501(c)(3) organization. Currently, the Athens Health Network is working to help clinics implement electronic medical records, increase the capacity of the free or reduced cost clinics, and prepare for any changes that will affect our community over the next few years as a result of health care reform. St. Mary's believes that the Athens Health Network is going to greatly impact our community's health and we are eager to be a part of their mission.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses (excluding bad debt expense) by total grosspatient charges. The cost-to-charge ratio was applied to total bad debt write-offs to calculate the costs for line 2.While we make all reasonable efforts to identify patients eligible for charity care prior to billing, such pre-billing identification is not always possible. This problem arises largely with patients treated in our Emergency Department ("ED") on an outpatient basis. Frequently, these patients do not complete an application for financial assistance therefore making a definitive determination difficult. The estimated amount for patients who likely would qualify for financial assistance is calculated for line 3 based on a review of bad debt write-offs to include only bad debt for uninsured patients, and estimating the amount of that cost that could be charity based on a review of applications for financial assistance. A reasonable estimate based on the percentage of patients whose applications do not meet the criteria for financial assistance is used to estimate the amount that could qualify for financial assistance. For financial reporting, an allowance for doubtful accounts is recordedfor estimated losses resulting from the unwillingness of patients to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are written off against the allowance for doubtful accounts when management determines that recovery is unlikely and collection efforts cease.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: The amount here is determined by using the actual patient charges, the Medicare cost-to-charge ratios that we are currently being paid on, and the payment-to-charges from the actual remittances. Based on the calculation this shortfall should be viewed as uncompensated care provided to those patients and thus treated entirely as community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: Accounts with applications pending for Charity Care or other assistance programs are held until the outcome of the application. A "pending charity approval" is defined as an application that has been fully completed by the patient, submitted and is in the process of being determined for eligiblity. It is acceptable ( but not preferable) to take an account though the full collection cycle and later reclassify it as Charity Care as long as a consistent process is followed and a legitimate basis exists that the patient is unable to pay. For example, with self pay accounts written off and sent to bad debt, reclassifying the account to Charity Care may be considered on the basis of all of the following factors:1. No Third party coverage or inadequate coverage exists, 2. No payments are recorded on the account,and 3. The patient/guarantor was billed a minimum of 4 times.All self-pay accounts are automatically transferred to a third party billing agency. The third party billing agency contacts the accountholder to arrange for payment. If the third party billing agency has an account that has not been paid in full within 120 days, the account is then sent back to St. Mary's Health Care System. Upon receipt of an outstanding account, St. Mary's Health Care System transfers the account to a collection agency.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 7, The list of states in which CHE's community benefit report is filed are: Alabama, Connecticut, Delaware, Florida, Georgia, Maine, Massachusetts, New Jersey, New York, North Carolina and Pennsylvania.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: In July of 2010, St. Mary's Health Care System completed a community health needs assessment. The assessment focused on Athens-Clarke County, where the hospital is located. The assessment included several steps including planning, collecting data, prioritizing needs with community leaders, and meeting with a hospital committee to establish which needs the hospital will work to address. Demographic, health status, and economic data was collected from various governmental databases and community organizations. Qualitative data was collected through focused interviews with knowledgeable community members who are stakeholders in the health of the Athens community. After data was collected, a group of community members met to discuss priorities of needs, and finally a committee of hospital leadership met to determine which needs the hospital will work to address through community partnerships and possible increased services.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: Information is displayed on the hospital website and at all registration areas about financial assistance policies. All self-pay patients are visited by a financial counselor in the hospital and are screened for eligibility of financial assistance. The screening process includes screening for eligibility for the Charity Care policy as well as government programs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: St. Mary's Health Care System is located in Athens-Clarke County and serves this community as well as Jackson, Madison, Monroe, Oglethorpe, and Oconee Counties. The estimated population of Athens-Clarke County in 2008 was 114,737 people. The 2008 estimated median age was 26.8 years, almost 10 years younger that the Georgia county average. This is due largely to the presence of the University of Georgia which currently enrolls more than 34,000 undergraduate and graduate students in total. Athens-Clarke County is diverse with about 68% of the population being white, 19% African American, and about 8% Latino and 5% other. Athens-Clarke County is very educated, about 40% of residents have a Bachelors degree or higher, but also a large proportion, 20%, have not completed high school. Athens-Clarke County has a large population living in poverty, about 30%, and more than 32% of the population is without health insurance. The surrounding counties are more rural, slightly less diverse, and have less people living in poverty and without health insurance. However, people in these counties have fewer local resources and may face barriers to receiving care related to distance or transportation.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: Many of St. Mary's senior leadership serve on boards of community organizations. Our President, most Vice Presidents and many Directors donate their time and expertise to organizations that strive to improve community or state health. These organizations include Mercy Health Center, Parish Nurses Resource Center, Athens Health Network, Oncology Nursing Society, American Red Cross and Athens Nurses Clinic. St. Mary's is dedicated to serving the community not only within the hospital but also through partnerships in our community.Second, many of the physicians who work for St. Mary's or are associated with our hospital, donate their time and services to the free clinics in Athens, for example Mercy Health Center and Athens Nurses Clinic. The mission of St. Mary's is to serve the community and we encourage all staff to serve the community outside of the hospital.In addition, we maintain a 24-hour emergency room, an open medical staff and board comprised largely of independent members of the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 7:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 7: St. Mary's Health Care System Inc. operates as one organization to promote the health of the community. All Community Benefits are reported together and there is one needs assessment for St. Mary's Health Care System.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <PurposeOfGrant>Medical treatment of the underserved</PurposeOfGrant>
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          <State>GA</State>
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        <PurposeOfGrant>Construction of Homes for the needy</PurposeOfGrant>
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          <City>Newton Square</City>
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        <PurposeOfGrant>Supplies for Mission Trips</PurposeOfGrant>
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          <ZIPCode>30601</ZIPCode>
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        <Explanation>Schedule I, Part I, Line 2: The type of financial assistance provided by the organization can be broken into two categories, national charities and local not-for-profit entities. The organization does not ask organizations such as the American Cancer Society and the United Way for any documentation has to how the donated funds were used. Smaller donations made to local organizations are usually event specific. A committee reviews the donations request and assumes the money provided pays for the program subject to the request.</Explanation>
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      <Form990ScheduleJPartII>
        <NamePerson>Camp Steven</NamePerson>
        <BaseCompensationFilingOrg>176850</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>14745</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6445</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9520</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>207560</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Wright Gary</NamePerson>
        <BaseCompensationFilingOrg>136227</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>21265</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>6665</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1442</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8474</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>174073</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Shutt Robert</NamePerson>
        <BaseCompensationFilingOrg>127608</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>7182</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7397</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8277</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>150464</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>Linda Bigelow retired during 2010 and received $43,266 in severence paid.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Dev Auth - Unified Govt of Athens Series 2009</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>582613761</IssuerEIN>
        <CUSIPNumber>047059BB5</CUSIPNumber>
        <DateIssued>2009-03-19</DateIssued>
        <IssuePrice>16036560</IssuePrice>
        <DescriptionOfPurpose>Current Refunding &amp; Swap Termination</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>16036560</TotalProceeds>
        <IssuanceCostsFromProceeds>296790</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>15739770</OtherSpentProceeds>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part II, line 11:</Identifier>
        <Explanation>Of the amount scheduled, $3,442,770 represents proceeds used to terminate an integrated swap.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K,Part III, line 3a:</Identifier>
        <Explanation>The organization has entered into various management and service contracts. Collectively, these contracts do not constitute an amount of private business use that exceeds the prescribed percentage.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Bruce Middendorf</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Employee of Athens Hospitalist Services PC and an officer of SMHCS</Relationship>
        <AmountOfTransaction>2372286</AmountOfTransaction>
        <DescriptionOfTransaction>Dr. Middendorf was an employee of Athens Hospitalist Services PC in 2010 and in that capacity he provided services to St. Mary's Health Care System.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>CHE is the sole member.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>Yes, CHE approves the appointment of all Board members.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>CHE has limited reserved powers to approve decisions of the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by the Form 990. The form was reviewed by management and then submitted to the board or a subcommittee thereof which reported its findings to the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The organization has adopted CHE's policy 103, which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving St. Mary's Health Care System in a fiduciary capacity, including directors, officers and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and board's Chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriated committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The organization has adopted CHE's process for determining compensation which includes the following: The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market postioning and pay elements. The committee engages with external consultants to provide market data comparing CHE roles to similarly sized health systems utilizing both title and job contenet comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorparated into the incentive plan. All of these discussions and decsions are documented through the provision of meeting minutes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Organizational Articles of Incorporation, Corporate By-laws, governance policies believed to be of interest to the public, conflict-of-interest policy, annual community benefit report and IRS Form 990 are available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII, Section A:</ReturnReference>
        <Explanation>Individuals compensated by a related organization have responsibilities and perform services for several related organizations including the filing organization. The amount of compensation appearing in Columns (E) and (F) reflect the services performed for this organization and its affiliates.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Release of Net Assets for Depreciation -114,828. Unrealized Gain/(Loss) on Investments 1,377,396. Rounding 1. Donations of Used Ambulances 67,000. Change in FV of Int. Rates Swaps -268,859. Transfer to/from affiliates 65,995. Total to Form 990, Part XI, Line 5: 1,126,705.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Explanation of financial statements:</Identifier>
        <ReturnReference>Form 990, Part XII, Line 2a &amp; 2b:</ReturnReference>
        <Explanation>While the entity does not have individual audited financial statements, an audit for CHE's consolidated financial statements was performed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Adjustments to net assets or fund balances:</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5:</ReturnReference>
        <Explanation>There was an adjustment to temporary restricted net assets for depreciation of assets that were purchased and donated to St. Mary's by St. Mary's Foundation.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health System of Maine</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>144 State Street</AddressLine1>
          <City>Portland</City>
          <State>ME</State>
          <ZIPCode>04101</ZIPCode>
        </AddressUS>
        <EIN>010484074</EIN>
        <PrimaryActivities>Management &amp; Support Services</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11c, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Catholic Health East</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>144 State Street</AddressLine1>
          <City>Portland</City>
          <State>ME</State>
          <ZIPCode>04101</ZIPCode>
        </AddressUS>
        <EIN>010211534</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy Health System of Maine</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Care for Kids Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>310 South Manning Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>141717564</EIN>
        <PrimaryActivities>Day care center</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Our Lady of Mercy Life Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2 Mercycare Lane</AddressLine1>
          <City>Guilderland</City>
          <State>NY</State>
          <ZIPCode>12084</ZIPCode>
        </AddressUS>
        <EIN>141743506</EIN>
        <PrimaryActivities>Nursing Home Facility</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Peter's Auxiliary</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>315 South Manning Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>01228</ZIPCode>
        </AddressUS>
        <EIN>222843206</EIN>
        <PrimaryActivities>Auxiliary</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>315 South Manning Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>222702507</EIN>
        <PrimaryActivities>Management &amp; Support Services</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Catholic Health East</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Peter's Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>315 South Manning Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>141348692</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Peter's Hospital Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>319 South Manning Blvd Suite 309</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>222262982</EIN>
        <PrimaryActivities>Fundraising &amp; Public Relations</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Peter's Licensed Home Care Agency</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>159 Wolf Road</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12205</ZIPCode>
        </AddressUS>
        <EIN>141818568</EIN>
        <PrimaryActivities>Home Health</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Community Hospice Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>295 Valley View Blvd</AddressLine1>
          <City>Rensselaer</City>
          <State>NY</State>
          <ZIPCode>12144</ZIPCode>
        </AddressUS>
        <EIN>222692940</EIN>
        <PrimaryActivities>Fundraising &amp; Public Relations</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Community Hospice Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>295 Valley View Blvd</AddressLine1>
          <City>Rensselaer</City>
          <State>NY</State>
          <ZIPCode>12144</ZIPCode>
        </AddressUS>
        <EIN>141608921</EIN>
        <PrimaryActivities>Serving seriously ill people &amp; their families</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Villa Mary Immaculate</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>301 Hackett Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>141438749</EIN>
        <PrimaryActivities>Nursing Home &amp; Physical Rehab</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Warde Service Corporation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>159 Wolf Road 3rd Floor</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12205</ZIPCode>
        </AddressUS>
        <EIN>141732097</EIN>
        <PrimaryActivities>Supporting &amp; strengthing the ministries of rel. sr. mercy</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Brightside Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
        </AddressUS>
        <EIN>042182395</EIN>
        <PrimaryActivities>Behavioral Care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Sisters of Providence Health System Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Farren Care Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
        </AddressUS>
        <EIN>042501711</EIN>
        <PrimaryActivities>Long Term Care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Sisters of Providence Health System Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Hospital Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
        </AddressUS>
        <EIN>043398280</EIN>
        <PrimaryActivities>Acute Care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Sisters of Providence Health System Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Specialist Physicians Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street No 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
        </AddressUS>
        <EIN>264033168</EIN>
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          <State>PA</State>
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          <BusinessNameLine1>Continuing Care Management Services Network</BusinessNameLine1>
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          <AddressLine1>3805 West Chester Pike Suite 100</AddressLine1>
          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
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          <BusinessNameLine1>Catholic Health East</BusinessNameLine1>
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          <BusinessNameLine1>Global Health Ministry</BusinessNameLine1>
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          <AddressLine1>3805 West Chester Pike Suite 100</AddressLine1>
          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
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          <BusinessNameLine1>Catholic Health East</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Jeanette Hospital Foundation</BusinessNameLine1>
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          <AddressLine1>600 Jefferson Avenue</AddressLine1>
          <City>Jeannette</City>
          <State>PA</State>
          <ZIPCode>15644</ZIPCode>
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          <BusinessNameLine1>Pittsburgh Mercy Health System</BusinessNameLine1>
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          <BusinessNameLine1>VNA Home Health &amp; Hospice</BusinessNameLine1>
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          <City>South Portland</City>
          <State>ME</State>
          <ZIPCode>04106</ZIPCode>
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          <BusinessNameLine1>Mercy Health System of Maine</BusinessNameLine1>
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          <AddressLine1>5 Gamelin Street</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
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          <AddressLine1>3805 West Chester Pike Suite 100</AddressLine1>
          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
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          <BusinessNameLine1>Catholic Health East</BusinessNameLine1>
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          <AddressLine1>3663 South Miami Avenue</AddressLine1>
          <City>Miami</City>
          <State>FL</State>
          <ZIPCode>33133</ZIPCode>
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          <BusinessNameLine1>Catherine Horan Building Limited Partnership</BusinessNameLine1>
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          <AddressLine1>1221 Main Street Room 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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          <BusinessNameLine1>AmeriHealth Mercy Health Plan</BusinessNameLine1>
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          <AddressLine1>200 Stevens Drive Suite 350</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19113</ZIPCode>
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          <BusinessNameLine1>Amerihealth Mercy of Indiana LLC</BusinessNameLine1>
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          <AddressLine1>200 STEVENS DRIVE Suite 350</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19113</ZIPCode>
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          <BusinessNameLine1>East Norriton Medical Associates</BusinessNameLine1>
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          <AddressLine1>2701 Dekalb Pike</AddressLine1>
          <City>Norristown</City>
          <State>PA</State>
          <ZIPCode>19401</ZIPCode>
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          <AddressLine1>2701 Dekalb Pike</AddressLine1>
          <City>Norristown</City>
          <State>PA</State>
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          <AddressLine1>300 Grant Street</AddressLine1>
          <City>Pittsburgh</City>
          <State>PA</State>
          <ZIPCode>15219</ZIPCode>
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          <BusinessNameLine1>Keystone Mercy Health Plan</BusinessNameLine1>
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          <AddressLine1>100 Stevens Drive</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
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          <AddressLine1>1201 Langhorne-Newtown Road</AddressLine1>
          <City>Langhorne</City>
          <State>PA</State>
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          <AddressLine1>1201 Langhorne-Newtown Road</AddressLine1>
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          <State>PA</State>
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          <AddressLine1>PO Box 10086</AddressLine1>
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          <AddressLine1>c/o Nazareth Hospital 2601 Holme Av</AddressLine1>
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          <State>PA</State>
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          <AddressLine1>c/o Nazareth Hospital 2601 Holme Av</AddressLine1>
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          <State>PA</State>
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          <AddressLine1>1900 S Broad Street</AddressLine1>
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          <AddressLine1>1900 S Broad Street</AddressLine1>
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          <AddressLine1>1375 Washington Avenue Ste 201</AddressLine1>
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          <State>GA</State>
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          <AddressLine1>1000 Medical Center Boulevard</AddressLine1>
          <City>Lawrenceville</City>
          <State>GA</State>
          <ZIPCode>30045</ZIPCode>
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          <AddressLine1>10720 Sikes Places Ste 300</AddressLine1>
          <City>Charlotte</City>
          <State>NC</State>
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          <AddressLine1>1000 NE 56th</AddressLine1>
          <City>Oakland Park</City>
          <State>FL</State>
          <ZIPCode>33334</ZIPCode>
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          <AddressLine1>3641 South Miami Avenue</AddressLine1>
          <City>Miami</City>
          <State>FL</State>
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          <AddressLine1>200 Century Pkwy Ste 200E</AddressLine1>
          <City>Mount Laurel</City>
          <State>NJ</State>
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          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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          <BusinessNameLine1>Mercy Inpatient Medical Associates Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
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          <BusinessNameLine1>Providence Home Care Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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        <EIN>043317426</EIN>
        <PrimaryActivity>Health Care Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
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          <BusinessNameLine1>System Coordinated Services Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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        <EIN>042938181</EIN>
        <PrimaryActivity>Lab Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>Physicians Medical Office Building Condominium Trust</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1221 Main Street Room 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>StMary's Foundation Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>70697</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <ReturnReference>Schedule R, Part V</ReturnReference>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>