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      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GREGORY T EDWARDS</NamePerson>
        <Title>VP &amp; GENERAL COUNSEL</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>333952</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>113262</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELLEN BROWN</NamePerson>
        <Title>VP MGD CARE &amp; BUS RELATION</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>284893</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>94411</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LISA IRVIN</NamePerson>
        <Title>VP NURSING/SR NURSE EXECUT</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>279465</ReportableCompFromRelatedOrgs>
        <OtherCompensation>83939</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FATHER TERENCE K FLEMING</NamePerson>
        <Title>VP MISSION</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>258280</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>74997</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PENNIE L PERALTA</NamePerson>
        <Title>VP NURSING/SR NURSE EXECUT</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>236699</ReportableCompFromRelatedOrgs>
        <OtherCompensation>75265</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DIANA TOPJIAN</NamePerson>
        <Title>VP NURSING/SR NURSE EXEC MPH</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>88026</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15037</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TATE BOMBARD</NamePerson>
        <Title>DIR OF LEGAL SERVICES</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>115712</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5415</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>PETER DINICOLA</NamePerson>
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        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
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        <ReportableCompFromOrganization>206746</ReportableCompFromOrganization>
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        <OtherCompensation>15525</OtherCompensation>
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        <NamePerson>CHRISTOPHER GLENN</NamePerson>
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        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
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        <ReportableCompFromOrganization>171634</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>32299</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>FRANCIS WYCKOFF JR</NamePerson>
        <Title>DIR OF PHARMACY</Title>
        <AverageHoursPerWeek>12.20</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>48647</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>150720</ReportableCompFromRelatedOrgs>
        <OtherCompensation>38175</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BOBBIE JO MANER</NamePerson>
        <Title>DIR PFS ADMINISTRATION</Title>
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        <ReportableCompFromOrganization>168175</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17104</OtherCompensation>
      </Form990PartVIISectionA>
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        <NamePerson>RONALD ROY</NamePerson>
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        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>171403</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27185</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEPHANIE TUCKER</NamePerson>
        <Title>DIR OF PROP. MGMT (FORMER KEY EMPLOYEE)</Title>
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        <Former>X</Former>
        <ReportableCompFromOrganization>157638</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42685</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>5489750</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>2802785</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>2220096</TotalOtherCompensation>
      <NumberIndividualsGT100K>44</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>1</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MCKESSON INFORMATION SOLUTIONS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 98347</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MAINTENANCE &amp; INFO TECH SERVICES</DescriptionOfServices>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CAROLINAS HEALTHCARE SYSTEMS</BusinessNameLine1>
          </NameBusiness>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 32861</AddressLine1>
            <City>CHARLOTTE</City>
            <State>NC</State>
            <ZIPCode>28232</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MANAGEMENT COMPANY</DescriptionOfServices>
        <Compensation>7063584</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ECLINICAL WORKS LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 847950</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>02284</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>INFO TECH SERVICES</DescriptionOfServices>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CREDIT ADJUSTMENT BUREAU</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 62889</AddressLine1>
            <City>NORTH CHARLESTON</City>
            <State>SC</State>
            <ZIPCode>29419</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
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      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>WELLS FARGO INSURANCE SERVICES</BusinessNameLine1>
          </NameBusiness>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 601321</AddressLine1>
            <City>CHARLOTTE</City>
            <State>NC</State>
            <ZIPCode>28260</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PROPERTY INSURANCE</DescriptionOfServices>
        <Compensation>2067320</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>54</NumberOfContractorsGT100K>
      <RelatedOrganizations>8518280</RelatedOrganizations>
      <GovernmentGrants>20000</GovernmentGrants>
      <AllOtherContributions>14232</AllOtherContributions>
      <NoncashContributions>1880</NoncashContributions>
      <TotalContributions>8552512</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NETWORK FEES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>70176626</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>70176626</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDSHARE REVENUE</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>247692</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>247692</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SENIOR CENTER REVENUE</Description>
        <BusinessCode>531390</BusinessCode>
        <TotalRevenueColumn>205997</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>205997</RelatedOrExemptFunctionIncome>
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      <InvestmentIncome>
        <TotalRevenueColumn>2360279</TotalRevenueColumn>
        <ExclusionAmount>2360279</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>596343</TotalRevenueColumn>
        <ExclusionAmount>596343</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <GrossRents>
        <Real>391334</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>223689</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>167645</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>167645</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>5268</UnrelatedBusinessRevenue>
        <ExclusionAmount>162377</ExclusionAmount>
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      <GrossAmountSalesAssets>
        <Securities>3160668</Securities>
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      <GainOrLoss>
        <Securities>3160668</Securities>
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        <TotalRevenueColumn>3160668</TotalRevenueColumn>
        <ExclusionAmount>3160668</ExclusionAmount>
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      <OtherRevenueMisc>
        <Description>DAYCARE REVENUES</Description>
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        <TotalRevenueColumn>570360</TotalRevenueColumn>
        <ExclusionAmount>570360</ExclusionAmount>
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      <OtherRevenueMisc>
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      <TotalRevenue>
        <TotalRevenueColumn>86221922</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>70630315</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>103033</UnrelatedBusinessRevenue>
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      <GrantsToDomesticOrgs>
        <Total>552326</Total>
        <ProgramServices>552326</ProgramServices>
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      <CompCurrentOfficersDirectors>
        <Total>4736910</Total>
        <ManagementAndGeneral>4736910</ManagementAndGeneral>
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      <OtherSalariesAndWages>
        <Total>21726717</Total>
        <ProgramServices>6105305</ProgramServices>
        <ManagementAndGeneral>15621412</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>8719306</Total>
        <ProgramServices>6358511</ProgramServices>
        <ManagementAndGeneral>2360795</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>3812183</Total>
        <ProgramServices>879492</ProgramServices>
        <ManagementAndGeneral>2932691</ManagementAndGeneral>
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      <FeesForServicesManagement>
        <Total>7188354</Total>
        <ProgramServices>7188354</ProgramServices>
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      <FeesForServicesLegal>
        <Total>1472341</Total>
        <ManagementAndGeneral>1472341</ManagementAndGeneral>
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      <FeesForServicesAccounting>
        <Total>316983</Total>
        <ManagementAndGeneral>316983</ManagementAndGeneral>
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      <FeesForServicesLobbying>
        <Total>44666</Total>
        <ManagementAndGeneral>44666</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesInvstMgmntFees>
        <Total>685477</Total>
        <ManagementAndGeneral>685477</ManagementAndGeneral>
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      <FeesForServicesOther>
        <Total>8879876</Total>
        <ProgramServices>4961773</ProgramServices>
        <ManagementAndGeneral>3918103</ManagementAndGeneral>
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      <Advertising>
        <Total>3562402</Total>
        <ProgramServices>2849922</ProgramServices>
        <ManagementAndGeneral>712480</ManagementAndGeneral>
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      <OfficeExpenses>
        <Total>12752435</Total>
        <ProgramServices>9312152</ProgramServices>
        <ManagementAndGeneral>3440283</ManagementAndGeneral>
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      <InformationTechnology>
        <Total>99412</Total>
        <ManagementAndGeneral>99412</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>1182719</Total>
        <ProgramServices>946175</ProgramServices>
        <ManagementAndGeneral>236544</ManagementAndGeneral>
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      <Travel>
        <Total>152765</Total>
        <ManagementAndGeneral>152765</ManagementAndGeneral>
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      <ConferencesMeetings>
        <Total>394222</Total>
        <ManagementAndGeneral>394222</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
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        <ProgramServices>12641280</ProgramServices>
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        <Total>8451976</Total>
        <ProgramServices>5945446</ProgramServices>
        <ManagementAndGeneral>2506530</ManagementAndGeneral>
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        <Total>1844781</Total>
        <ProgramServices>1475825</ProgramServices>
        <ManagementAndGeneral>368956</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>OTHER EXPENSES</Description>
        <Total>1286036</Total>
        <ProgramServices>257207</ProgramServices>
        <ManagementAndGeneral>1028829</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>94503</Total>
        <ProgramServices>94503</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>UBI TAX</Description>
        <Total>1324</Total>
        <ManagementAndGeneral>1324</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>100598994</Total>
        <ProgramServices>59568271</ProgramServices>
        <ManagementAndGeneral>41030723</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
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        <EOY>29432647</EOY>
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      <SavingsAndTempCashInvestments>
        <EOY>3092950</EOY>
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      <LandBuildingsEquipmentBasisNet>
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        <EOY>53502246</EOY>
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        <EOY>171155392</EOY>
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      <InvestmentsOtherSecurities>
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        <EOY>644252</EOY>
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      <InvestmentsProgramRelated>
        <BOY>31508772</BOY>
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      <OtherAssetsTotal>
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        <EOY>15827830</EOY>
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      <TotalAssets>
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        <EOY>276329101</EOY>
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        <EOY>900</EOY>
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      <OtherLiabilities>
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        <EOY>186398558</EOY>
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      <TotalLiabilities>
        <BOY>712527060</BOY>
        <EOY>673040153</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-370337959</BOY>
        <EOY>-397211052</EOY>
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      <PermanentlyRestrictedNetAssets>
        <BOY>500000</BOY>
        <EOY>500000</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>-369837959</BOY>
        <EOY>-396711052</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>342689101</BOY>
        <EOY>276329101</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-14377072</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-12496021</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
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      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>1</DirectContactLegislators>
      <DirectContactLegislatorsAmount>27521</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>17145</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>44666</TotalLobbyingExpendituresIIB>
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        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>THE TOTAL EXPENSES DIRECTED FOR LOBBYING OF THE SC GENERAL ASSEMBLY ON ANY AND ALL LEGISLATIVE, REGULATORY, OR GUBERNATORIAL ACTION AS IT RELATES TO HEALTHCARE FOR 2010 WAS $27,521. THE ORGANIZATION IS A MEMBER OF THE SOUTH CAROLINA HOSPITAL ASSOCIATION (SCHA). THE SCHA ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERSHIP BODY, AND EACH YEAR A PORTION OF THE DUES PAID TO THE SCHA ARE ALLOCATED TOWARDS THOSE EFFORTS. FOR 2010, THE AMOUNT OF MEMBERSHIP DUES ALLOCATED TO LOBBYING WAS $ 15,645. THE ORGANIZATION ALSO PAID $ 1,500 TO SPONSOR THE HOSPITAL POLITICAL ACTION COMMITTEE GOLF TOURNAMENT.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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        <OtherCostOrOtherBasis>4031955</OtherCostOrOtherBasis>
        <BookValue>4031955</BookValue>
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      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4550004</OtherCostOrOtherBasis>
        <BookValue>4550004</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>53502246</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DEFERRED COMPENSATION ASSET</Description>
        <BookValue>1765890</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>2757204</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>NET BOND ISSUANCE COSTS</Description>
        <BookValue>9914474</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>1390262</BookValue>
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        <Amount>172218079</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP LIABILITY</Description>
        <Amount>13738948</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>441531</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>186398558</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>CAREALLIANCE, ROPER HOSPITAL, ST.FRANCIS, MOUNT PLEASANT, THE FOUNDATION, AND PHYSICIAN PARTNERS ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501C3 OF THE INTERNAL REVENUE CODE AND ARE GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES. THE SURGERY CENTER AND NEUROSCIENCES MRI ARE LIMITED LIABILITY COMPANIES. UNDER CURRENT LAWS, INCOME OR LOSS OF LIMITED LIABILITY COMPANIES IS INCLUDED IN THE INCOME TAX RETURNS OF THE MEMBERS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS. ALTHOUGH CAREALLIANCE IS GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES, IT EVALUATES WHETHER THERE ARE ANY UNCERTAIN TAX POSITIONS THAT FAIL TO MEET THE MORE-LIKELY-THAN-NOT THRESHOLD FOR RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNCERTAIN TAX POSITIONS MAY INCLUDE THE CHARACTERISTICS OF INCOME, SUCH AS A CHARACTERIZATION OF INCOME AS PASSIVE, A DECISION TO EXCLUDE REPORTING TAXABLE INCOME IN A TAX RETURN, OR A DECISION TO CLASSIFY A TRANSACTION, ENTITY, OR OTHER POSITION IN A TAX RETURN AS TAX EXEMPT. THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION IS RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTIONS OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON TECHNICAL MERITS. CAREALLIANCE HAD NO UNRECOGNIZED TAX POSITIONS AS OF DECEMBER 31, 2010 AND 2009, AND DOES NOT EXPECT THAT UNRECOGNIZED TAX BENEFITS WILL MATERIALLY INCREASE WITHIN THE NEXT TWELVE MONTHS. TAX YEARS FROM 2007 THROUGH 2009 ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES, RESPECTIVELY. THERE ARE NO INCOME TAX EXAMINATIONS CURRENTLY IN PROCESS. INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, WOULD BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS AS INCOME TAX EXPENSE.</Explanation>
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      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN CANCER SOCIETY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5900 CORE ROAD SUITE 504</AddressLine1>
          <City>N CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29406</ZIPCode>
        </AddressUS>
        <EINOfRecipient>580659875</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP FOR RELAY FOR LIFE IN CHARLESTON &amp; MONCKS CORNER</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>AMERICAN HEART ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>409 KING STREET</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29403</ZIPCode>
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        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>35000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP DONATION FOR THE AMERICAN HEART ASSOCIATION'S FUND RAISING EVENTS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>BARRIER ISLAND FREE MEDICAL CLINIC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3226 MAYBANK HIGHWAY SUITE A</AddressLine1>
          <City>JOHNS ISLAND</City>
          <State>SC</State>
          <ZIPCode>29455</ZIPCode>
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        <EINOfRecipient>205628911</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>6000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP DONATION TOWARDS FUNDRAISING EVENTS</PurposeOfGrant>
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      <RecipientTable>
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        <AddressUS>
          <AddressLine1>1806 WASHINGTON STREET</AddressLine1>
          <City>COLUMBIA</City>
          <State>SC</State>
          <ZIPCode>29201</ZIPCode>
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        <EINOfRecipient>262031919</EINOfRecipient>
        <IRCSection>501(C)(4)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>DONATION TO THE 2010 CHARLESTON BLACK EXPO</PurposeOfGrant>
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          <BusinessNameLine1>CHARLESTON METRO CHAMBER OF COMMERCE</BusinessNameLine1>
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          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29402</ZIPCode>
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        <EINOfRecipient>570138852</EINOfRecipient>
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      <RecipientTable>
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          <BusinessNameLine1>CHARLESTON REGIONAL DEVELOPMENT ALLIANCE</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>5300 INTERNATIONAL BLVD STE 103-A</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29418</ZIPCode>
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        <EINOfRecipient>571015804</EINOfRecipient>
        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>DUES TO REGIONAL DEVELOPMENT ALLIANCE</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>CITY OF CHARLESTON OFFICE OF CULTURAL AFFAIRS</BusinessNameLine1>
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          <AddressLine1>180 MEETING STREET SUITE 200</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29401</ZIPCode>
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        <EINOfRecipient>576000226</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>8000</AmountOfCashGrant>
        <PurposeOfGrant>DONATION TO 2010 PICCOLO SPOLETO FESTIVAL &amp; MOJA FESTIVAL</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>COLLEGE OF CHARLESTON</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>66 GEORGE STREET</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29424</ZIPCode>
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        <EINOfRecipient>570640443</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>10500</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP DONATION</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>CRISIS MINISTRIES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>P O BOX 20038</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>294130038</ZIPCode>
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        <EINOfRecipient>570789483</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>38494</AmountOfCashGrant>
        <PurposeOfGrant>DONATION TOWARDS THE TOTAL SALARY &amp; BENEFITS FOR A FAMILY NURSE PRACTITIONER</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>DRAGON BOAT CHARLESTON</BusinessNameLine1>
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          <AddressLine1>1643 SAVANNAH HWY 261</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29407</ZIPCode>
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        <EINOfRecipient>320253953</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSOR 2010 DRAGON BOAT FESTIVAL BENEFITTING LOCAL CANCER PROGRAMS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>EAST COOPER COMMUNITY OUTREACH</BusinessNameLine1>
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          <AddressLine1>1145 SIX MILE ROAD</AddressLine1>
          <City>MT PLEASANT</City>
          <State>SC</State>
          <ZIPCode>29466</ZIPCode>
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        <EINOfRecipient>570939280</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>19000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP OF 2010 PRESCRIPTION ASSISTANCE PROGRAM &amp; ANNUAL FUNDRAISER</PurposeOfGrant>
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          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29402</ZIPCode>
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        <EINOfRecipient>570737326</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
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          <City>DANIEL ISLAND</City>
          <State>SC</State>
          <ZIPCode>29492</ZIPCode>
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        <EINOfRecipient>420410230</EINOfRecipient>
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        <PurposeOfGrant>SPONSORSHIP OF FAMILY CIRCLE CUP TENNIS TOURNAMENT</PurposeOfGrant>
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          <BusinessNameLine1>FRANKLIN C FETTER FAMILY HEALTH CTR INC</BusinessNameLine1>
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          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29403</ZIPCode>
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        <EINOfRecipient>570604703</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP TOWARDS SALARY OF AN INTERPRETER</PurposeOfGrant>
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          <BusinessNameLine1>LEUKEMIA AND LYMPHOMA SOCIETY</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>300 W COLEMAN BLVD STE 206</AddressLine1>
          <City>MT PLEASANT</City>
          <State>SC</State>
          <ZIPCode>29464</ZIPCode>
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        <EINOfRecipient>135644916</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>6000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP DONATION OF THE LIGHT THE NIGHT EVENT &amp; TEAM IN TRAINING EVENTS</PurposeOfGrant>
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          <BusinessNameLine1>MARCH OF DIMES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1064 GARDNER RD STE 314</AddressLine1>
          <City>GREENVILLE</City>
          <State>SC</State>
          <ZIPCode>29407</ZIPCode>
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        <EINOfRecipient>131846366</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>11000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP DONATION</PurposeOfGrant>
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          <BusinessNameLine1>RILEY INSTITUTE</BusinessNameLine1>
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          <AddressLine1>3300 POINSETT HWY</AddressLine1>
          <City>GREENVILLE</City>
          <State>SC</State>
          <ZIPCode>29613</ZIPCode>
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        <EINOfRecipient>570314395</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>9000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP DONATION TOWARDS DIVERSITY LEADERS INITIATIVE</PurposeOfGrant>
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          <BusinessNameLine1>SUSAN G KOMEN RACE FOR THE CURE</BusinessNameLine1>
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          <AddressLine1>9300 MEDICAL PLAZA DR STE F N</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29406</ZIPCode>
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          <State>SC</State>
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          <City>CHARLESTON</City>
          <State>SC</State>
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      <Form990ScheduleJPartII>
        <NamePerson>JOHN SULLIVAN</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>DOUGLAS W BOWLING</NamePerson>
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        <NamePerson>MICHAEL TAYLOR</NamePerson>
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        <NamePerson>H DOUGLAS HARRISON</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>GREGORY T EDWARDS</NamePerson>
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        <OtherCompensationFilingOrg>683</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>ELLEN BROWN</NamePerson>
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        <BonusFilingOrg>98512</BonusFilingOrg>
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        <OtherCompensationFilingOrg>5635</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>70119</DeferredCompFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>LISA IRVIN</NamePerson>
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        <CompBasedOnRelatedOrgs>182524</CompBasedOnRelatedOrgs>
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        <BonusRelatedOrgs>91804</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>5137</OtherCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>FATHER TERENCE K FLEMING</NamePerson>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>68580</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>6417</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>10290</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>PENNIE L PERALTA</NamePerson>
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        <CompBasedOnRelatedOrgs>153036</CompBasedOnRelatedOrgs>
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        <BonusRelatedOrgs>83028</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>635</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>19495</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>311964</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>PETER DINICOLA</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>29922</BonusFilingOrg>
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        <OtherCompensationFilingOrg>635</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10464</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>5061</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>CHRISTOPHER GLENN</NamePerson>
        <BaseCompensationFilingOrg>146980</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>23983</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>671</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8643</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>FRANCIS WYCKOFF JR</NamePerson>
        <BaseCompensationFilingOrg>41043</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>127167</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>7019</BonusFilingOrg>
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        <OtherCompensationFilingOrg>585</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1804</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsFilingOrg>2356</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>7259</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>179542</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>BOBBIE JO MANER</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>23251</BonusFilingOrg>
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        <OtherCompensationFilingOrg>7792</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9737</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>7367</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <NamePerson>RONALD ROY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>141066</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>20472</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>9865</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>198588</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>STEPHANIE TUCKER</NamePerson>
        <BaseCompensationFilingOrg>131564</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>23251</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2823</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>25879</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>16806</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>THE ORGANIZATION PROVIDED REIMBURSEMENT FOR TAX PREPARATION SERVICES TO THE FOLLOWING INDIVIDUALS: STEVEN D. SHAPIRO H. DOUGLAS HARRISON ELLEN BROWN THE ORGANIZATION PROVIDED TAX GROSS-UP PAYMENTS FOR EMPLOYEE PERSONAL USE OF CELL PHONES FOR THE FOLLOWING: DOUGLAS BOWLING ELLEN BROWN PETER DINICOLA GREGORY EDWARDS FATHER TERENCE FLEMING CHRISTOPHER GLENN H. DOUGLAS HARRISON STEVEN SHAPIRO MICHAEL TAYLOR STEPHANIE TUCKER FRANCIS WYCKOFF</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>THE FOLLOWING PARTICIPANTS RECEIVED COMPENSATION THROUGH A 457(F) PLAN: TERENCE FLEMING - 10,290 ELLEN BROWN - 11,400 DOUGLAS BOWLING - 19,710 H. DOUGLAS HARRISON - 50,046 MATTHEW SEVERANCE - 29,237 (FROM A RELATED ORGANIZATION) LISA IRVIN - 11,100 (FROM A RELATED ORGANIZATION) ALLEN CARROLL - 22,285 (FROM A RELATED ORGANIZATION) GREGORY EDWARDS - 16,362 PENNIE PERALTA - 9,600 (FROM A RELATED ORGANIZATION) STEVEN SHAPIRO - 24,087 MICHAEL TAYLOR - 14,400</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>GOALS ARE DEVELOPED EACH YEAR TO SUPPORT THE ORGANIZATION'S STRATEGIC INITIATIVES FOR PEOPLE, QUALITY, FINANCIAL, GROWTH AND SERVICE. THE AD HOC COMPENSATION COMMITTEE APPROVES THE SYSTEM GOALS ANNUALLY AND REPORTS TO THE FULL BOARD OF DIRECTORS. PROGRESS ON EACH METRIC IS REPORTED TO THE BOARD EACH MONTH ON THE CORPORATE SCORECARD. AT YEAR END, THE AD HOC COMPENSATION COMMITTEE APPROVES THE FINAL SCORECARD NUMBER AND REPORTS RESULTS TO THE FULL BOARD. ANNUAL INCENTIVES FOR THE EXECUTIVES ARE BASED ON 60% ON THE CORPORATE SCORECARD AND 40% ON INDIVIDUAL PERFORMANCE. EXECUTIVES MAINTAIN AN INDIVIDUAL SCORECARD ON THE LEADER EVALUATION MANAGER AND DISCUSS RESULTS MONTHLY WITH THE PRESIDENT/CEO. THE PRESIDENT/CEO APPROVES THE INDIVIDUAL EXECUTIVE SCORECARD. SYSTEM VICE PRESIDENTS AND THE SYSTEM CEO ARE ELIGIBLE TO PARTICIPATE IN A LONG TERM INCENTIVE PLAN (LTIP). AN LTIP PLAN TYPICALLY TAKES PLACE OVER A THREE YEAR PERIOD AND DOES NOT VEST UNTIL THE END OF THE THIRD YEAR. TO RECEIVE PAYMENT, EXECUTIVES MUST STILL BE EMPLOYED BY THE SYSTEM AT THE END OF THE PLAN PERIOD. EACH LTIP PLAN HAS A FINANCIAL AND CLINICAL OBJECTIVE THAT IS ALIGNED WITH THE ORGANIZATIONS STRATEGIC GOALS. THRESHOLD, TARGET, AND MAXIMUM PERFORMANCE RANGES ARE ESTABLISHED FOR THESE OBJECTIVES AND ARE MEASURED BASED ON PERFORMANCE AGAINST SIMILAR ORGANIZATIONS OR COMPARED TO AN INTERNAL METRIC SUCH AS AN IMPROVEMENT OVER PRIOR PERFORMANCE. THESE TARGETS AND OBJECTIVES ARE APPROVED BY THE AD HOC COMPENSATION COMMITTEE. THE INCENTIVE IS EARNED BASED ON THE SATISFACTION OF THE THRESHOLD, TARGET, OR MAXIMUM PERFORMANCE RANGES. THE AD HOC COMPENSATION COMMITTEE ALSO APPROVES THE FINAL LTIP PERFORMANCE SCORE AND THE AMOUNT PAID TO EXECUTIVES UNDER THE PLAN. RESULTS ARE REPORTED TO THE FULL BOARD ANNUALLY.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>SEE THE RESPONSE TO LINE 6 ABOVE.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>PART II, LINE 1: COMPENSATION FROM UNRELATED ORGANIZATIONS CAROLINAS HEALTHCARE SYSTEM PROVIDES THE COMPENSATION OF DAVID L. DUNLAP, CEO, CAREALLIANCE HEALTH SERVICES; BRET D. JOHNSON, CFO, CAREALLIANCE HEALTH SERVICES; AND JOHN SULLIVAN, CEO, ROPER ST. FRANCIS MT. PLEASANT HOSPITAL. MR. DUNLAP AND MR. JOHNSON ARE EMPLOYEES OF CAROLINAS HEALTHCARE SYSTEM AND THEIR COMPENSATION IS PAID BY CAREALLIANCE HEALTHCARE SERVICES THROUGH A MANAGEMENT FEE TO CAROLINAS HEALTHCARE SYSTEM. MR. SULLIVAN IS ALSO AN EMPLOYEE OF CAROLINAS HEALTHCARE SYSTEM, AND HIS COMPENSATION IS PAID BY ROPER ST. FRANCIS MT. PLEASANT HOSPITAL, A RELATED ORGANIZATION, THROUGH A MANAGEMENT FEE TO CAROLINAS HEALTHCARE SYSTEM. OF THE FULL BONUS AMOUNT RECEIVED BY JOHN SULLIVAN ($147,737), $71,456 RELATES TO SERVICES PROVIDED UNDER CAROLINAS HEALTHCARE SYSTEM PRIOR TO HIS SERVICE WITH ROPER ST. FRANCIS MT. PLEASANT HOSPITAL. ADDITIONAL INFORMATION: CAREALLIANCE HEALTH SERVICES HAS BOARD REPRESENTATIONS FROM THE 3 FOUNDING ORGANIZATIONS: THE MEDICAL SOCIETY OF SC (6 BOARD MEMBERS), BON-SECOURS HEALTH SYSTEM, INC. (6 BOARD MEMBERS), AND CAROLINAS HEALTHCARE SYSTEM (1 BOARD MEMBER). NONE OF THE 13 APPOINTED BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR MEMBERSHIP. ADDITIONALLY, 4 OF THE 6 BOARD MEMBERS APPOINTED BY THE MEDICAL SOCIETY OF SOUTH CAROLINA ALSO SERVE ON THE BOARD OF THE MEDICAL SOCIETY. NONE RECEIVE COMPENSATION FOR THEIR SERVICES AS A BOARD MEMBER. IT IS THE FOUNDING MEMBERS' INTENT THAT THE MEMBERS OF THE BOARD OF DIRECTORS ARE APPOINTED TO SUCH POSITIONS BECAUSE THEY HAVE A WILLINGNESS TO SERVE THE NEEDS OF THE SYSTEM AS A WHOLE AND NOT THE NEEDS OF ANY INDIVIDUAL FOUNDING MEMBER.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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        <IssuerName>
          <BusinessNameLine1>CHARLESTON COUNTY SOUTH CAROLINA</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>576001289</IssuerEIN>
        <CUSIPNumber>160900JK3</CUSIPNumber>
        <DateIssued>2004-07-13</DateIssued>
        <IssuePrice>100661242</IssuePrice>
        <DescriptionOfPurpose>PATIENT CARE TOWER/PARKING GARAGE</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>SOUTH CAROLINA JOBS - ECONOMIC DEVELOPMENT AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>570960018</IssuerEIN>
        <CUSIPNumber>83703FBD3</CUSIPNumber>
        <DateIssued>2007-11-01</DateIssued>
        <IssuePrice>130000000</IssuePrice>
        <DescriptionOfPurpose>BUILDINGS, EQUIPMENT &amp; IMPROVEMENTS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
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      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>SOUTH CAROLINA JOBS - ECONOMIC DEVELOPMENT AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>570960018</IssuerEIN>
        <CUSIPNumber>NONEAVAIL</CUSIPNumber>
        <DateIssued>2009-09-15</DateIssued>
        <IssuePrice>12500000</IssuePrice>
        <DescriptionOfPurpose>ACQUISITION OF MEDICAL EQUIPMENT</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
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      <Form990ScheduleKPartI>
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          <BusinessNameLine1>SOUTH CAROLINA JOBS - ECONOMIC DEVELOPMENT AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>570960018</IssuerEIN>
        <CUSIPNumber>NONEAVAIL</CUSIPNumber>
        <DateIssued>2010-08-10</DateIssued>
        <IssuePrice>30000000</IssuePrice>
        <DescriptionOfPurpose>REFINANCED PORTION OF SERIES 1999 B BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
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        <CreditEnhancement>3510342</CreditEnhancement>
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        <TotalProceeds>12500000</TotalProceeds>
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        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
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        <AnyLeaseArrangements>1</AnyLeaseArrangements>
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        <AnyResearchAgreements>0</AnyResearchAgreements>
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        <PrcntgePrvtBusinessUseByOthers>0.00430</PrcntgePrvtBusinessUseByOthers>
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        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
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        <NameOfGICProvider>
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        <GrossProceedsInvestedInGIC>1</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>CITIGROUP</BusinessNameLine1>
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        <GrossProceedsInvested>0</GrossProceedsInvested>
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          <BusinessNameLine1>BB&amp;T</BusinessNameLine1>
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        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE STATEMENT</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>AT ROPER ST. FRANCIS HEALTHCARE EVERY NUMBER IS A HUMAN STORY COST OF CHARITY CARE: $33,516,340 COMMUNITY OUTREACH PROGRAMS: $8,539,229 UNREIMBURSED COST OF MEDICAID: $4,777,286 SPONSORSHIPS: $479,905 THE TOTAL AMOUNT OF COMMUNITY BENEFIT WE GAVE BACK INCLUDING CHARITY CARE, UNREIMBURSED COST OF MEDICAID, SPONSORSHIPS AND COMMUNITY OUTREACH PROGRAMS: $47,312,760 PATIENTS WHO RECEIVED FINANCIAL ASSISTANCE FOR THEIR HEALTHCARE: 40,200 SPONSORSHIP DOLLARS GIVEN TO LOCAL ORGANIZATIONS WHO SUPPORT THE OVERALL HEALTH OF OUR NEIGHBORS: $479,905 DONATED TO THE TRIDENT UNITED WAY BY ROPER ST. FRANCIS EMPLOYEES SHATTERING THE RECORD AMOUNT GIVEN BY EMPLOYEES FROM A LOWCOUNTRY COMPANY: $506,497.84 HOURS OF ROPER ST. FRANCIS EMPLOYEE TIME DEVOTED TO SUPPORTING OUTSIDE COMMUNITY HEALTH INITIATIVES: 78,312 FREE COMMUNITY HEALTHFAIRS OFFERING VITAL HEALTH SCREENINGS AND INFORMATION: 36 EVENTS THAT ROPER ST. FRANCIS ATTENDED AND PROVIDED PREVENTIVE SCREENINGS AND SUPPORT: 80+ MEALS PROVIDED BY THE LOWCOUNTRY FOOD BANK FROM ROPER ST. FRANCIS FOOD DRIVES AND FINANCIAL SUPPORT: 14,198 HEALTHY BABIES BROUGHT INTO THE WORLD THANKS TO THE GREAT PRENATAL CARE THEIR MOMS RECEIVED AT THE ROPER ST. FRANCIS SUPPORTED OUR LADY OF MERCY COMMUNITY OUTREACH CENTER: 69 RAISED BY ROPER ST. FRANCIS EMPLOYEES FOR THE AMERICAN HEART ASSOCIATION: $56,400 VOLUNTEERS SERVED 88,000 HOURS IN 2010 EQUALING THE WORK OF 42 FULL TIME EMPLOYEES: 860 MEALS CREATED IN ROPER ST. FRANCIS KITCHENS AND DISTRIBUTED TO OUR COMMUNITY THROUGH MEALS ON WHEELS: 16,652 PEOPLE WHO RECEIVED THEIR PRESCRIPTION DRUGS FROM EAST COOPER COMMUNITY OUTREACH: 523 PATIENT VISITS TO THE BARRIER ISLAND FREE CLINIC: 4,497 REDUCTION IN WATER BORNE ILLNESSES IN CHILDREN SINCE THE EMPLOYEE FUNDED WATER TREATMENT SYSTEM WE SENT TO KENYA WAS PUT IN PLACE: 80% PEOPLE ASSISTED WITH NAVIGATING THEIR HEALTHCARE OPTIONS BY OUR MEDICAID NAVIGATOR PROGRAM: 872 LAB TESTS FOR THE HOMELESS WHO STAY AT THE CRISIS MINISTRIES CLINIC: 110 GRANTS RECEIVED BY THE ROPER ST. FRANCIS FOUNDATION TO BENEFIT THE COMMUNITY: $2,830,108 HIV-POSITIVE RESIDENTS BROUGHT INTO CARE THROUGH FEDERAL AND FOUNDATION GRANTS TO THE ROPER ST. FRANCIS FOUNDATION: 469 COMMUNITY PARTNERS BROUGHT TOGETHER TO PROVIDE ACCESS TO QUALITY HEALTHCARE FOR THE TRI-COUNTYS 149,000 UNINSURED THROUGH A GRANT TO THE ROPER ST. FRANCIS FOUNDATION FROM THE DUKE ENDOWMENT: 25 IN COMMUNITY SUPPORT FROM INDIVIDUALS, BUSINESSES AND CORPORATIONS TO THE ROPER ST. FRANCIS FOUNDATION: $3,060,411 HARD-WORKING, SUPPORTIVE MEMBERS MADE UP OUR 2010 BOARD OF DIRECTORS: 13 JOHN JORDAN, CHAIRPERSON BLOUNT ELLISON, MD, VICE CHAIRPERSON ALISON DILLON, MD KATHERINE DUFFY, PHD DAVID ELLISON, MD JULIUS IVESTER, JR, MD SISTER ANNE LUTZ RICHARD STATUTO MICHAEL TARWATER BRANTLEY THOMAS, PHD ANGRESS WALKER PERRY WARING FREDERICK WORSHAM, MD DEAR FRIENDS, WHEN YOU READ THAT ROPER ST. FRANCIS GAVE OVER $47 MILLION* IN COMMUNITY BENEFIT IN 2010, IT CAN BE HARD TO UNDERSTAND WHAT THAT REALLY MEANS. IN OUR CASE, EACH DOLLAR WE GIVE BACK OR EACH VOLUNTEER HOUR THAT IS SPENT DIRECTLY IMPACTS A LIFE. IN THIS YEARS REPORT TO THE COMMUNITY WE HAVE BROKEN DOWN SOME OF THESE BIG NUMBERS TO REVEAL THEIR IMPORTANCE TO THE PEOPLE WE SERVE. WARM REGARDS, DAVID L. DUNLAP, FACHE PRESIDENT AND CHIEF EXECUTIVE OFFICER * ROPER ST. FRANCIS USES THE VOLUNTARY HOSPITAL ASSOCIATION /CATHOLIC HEALTH ASSOCIATIONS STANDARDIZED COMMUNITY BENEFIT VALUATION METHODOLOGY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 3</Identifier>
        <Explanation>CAROLINAS HEALTHCARE SYSTEM (CHS), AN UNRELATED ORGANIZATION, PROVIDES THE COMPENSATION OF MR. DAVID L. DUNLAP, CEO, CAREALLIANCE HEALTH SERVICES; MR. BRET D. JOHNSON, CFO, CAREALLIANCE HEALTH SERVICES; AND MR. JOHN SULLIVAN, CEO, ROPER ST. FRANCIS MT. PLEASANT HOSPITAL. MR. DUNLAP AND MR. JOHNSON ARE EMPLOYEES OF CHS AND THEIR COMPENSATION IS PAID BY CAREALLIANCE HEALTH SERVICES THROUGH A MANAGEMENT FEE TO CHS. MR. SULLIVAN IS ALSO AN EMPLOYEE OF CHS, AND HIS COMPENSATION IS PAID THROUGH A MANAGEMENT FEE BY ROPER ST. FRANCIS MT. PLEASANT HOSPITAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE ORGANIZATION IS GOVERNED BY A THIRTEEN MEMBER BOARD OF DIRECTORS APPOINTED BY THE FOUNDING MEMBERS. SUBJECT TO CERTAIN NOMINATING AND GOVERNANCE COMMITTEE APPROVALS, SIX DIRECTORS ARE APPOINTED BY THE MEDICAL SOCIETY OF SOUTH CAROLINA (MSSC), BON SECOURS HEALTH SYSTEMS, INC. (BSHSI) AND ONE DIRECTOR IS APPOINTED BY CAROLINAS HEALTHCARE SYSTEMS (CHS). IT IS THE FOUNDING MEMBERS' INTENT THAT THE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS ARE APPOINTED TO SUCH POSITIONS BECAUSE THEY HAVE A WILLINGNESS TO SERVE THE NEEDS OF THE SYSTEM AS A WHOLE AND NOT THE NEEDS OF ANY INDIVIDUAL FOUNDING MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>SEE ANSWER TO PART VI, SECTION A, LINE 6 ABOVE. THE BYLAWS OF THE ORGANIZATION SPECIFY CERTAIN QUALIFICATIONS OF THE THIRTEEN MEMBER BOARD OF DIRECTORS. AT LEAST NINE DIRECTORS MUST HAVE THEIR PRIMARY RESIDENCE IN A COMMUNITY SERVED BY THE SYSTEM. FIVE DIRECTORS MUST BE PHYSICIANS ACTIVELY ENGAGED IN THE FULL TIME PRACTICE OF MEDICINE. FIVE OF THE DIRECTORS ARE APPOINTED TO THE BOARD OF DIRECTORS BY VIRTUE OF POSITIONS HELD WITHIN MSSC, BSHSI AND CHS (EX-OFFICIO DIRECTORS). EACH OF THE FIVE EX-OFFICIO DIRECTORS SERVES AS A DIRECTOR OF THE ORGANIZATION FOR SO LONG AS SUCH PERSON HOLDS HIS OR HER RESPECTIVE ELECTED OR APPOINTED OFFICE IN HIS OR HER RESPECTIVE FOUNDING MEMBER ORGANIZATION. DIRECTORS SERVE THREE-YEAR TERMS AND ARE LIMITED TO THREE CONSECUTIVE TERMS. AFTER AN ABSENCE OF AT LEAST ONE YEAR, DIRECTORS ARE AGAIN ELIGIBLE FOR APPOINTMENT TO THE BOARD OF DIRECTORS FOR TWO CONSECUTIVE COMPLETE TERMS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>THE FOLLOWING ACTIONS SHALL REQUIRE THE UNANIMOUS AFFIRMATIVE APPROVAL OF ALL OF THE FOUNDING MEMBERS: (A) TO AMEND THE ARTICLES OF INCORPORATION OR BY-LAWS, INCLUDING WITHOUT LIMITATION, ANY CHANGE IN THE CORPORATION'S PURPOSES; PROVIDED, HOWEVER, THAT, SUBJECT TO THE PROCEDURES AND VOTING REQUIREMENTS WITH RESPECT TO THE ADMISSION OF NON-FOUNDING MEMBERS, SCHEDULE 3.1 MAY BE AMENDED WITH THE APPROVAL OF TWO (2) OF THE FOUNDING MEMBERS TO REFLECT THE ADMISSION OF A NON-FOUNDING MEMBER; (B) TO DISSOLVE OR LIQUIDATE THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF ASSETS UPON DISSOLUTION; (C) TO MERGE OR CONSOLIDATE THE CORPORATION OR TO SELL, CONVEY, TRANSFER, LEASE, OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL OF ITS ASSETS; (D) TO APPOINT THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION IN A MANNER OTHER THAN THAT ESTABLISHED WITHIN THE BY-LAWS; (E) TO ALTER OR AMEND THE CORPORATION'S ETHICAL PERFORMANCE STANDARDS (DEFINED BELOW); OR (F) TO ENTER INTO ANY MATERIAL AGREEMENT WHEREBY A THIRD PARTY WILL: (I) BECOME AN EQUITY OWNER IN ANY JOINT VENTURE WITH THE CORPORATION OR ANY SYSTEM PARTICIPANT AND WILL NOT BE LEGALLY OBLIGATED TO SUPPORT THE CORPORATION'S ETHICAL PERFORMANCE STANDARDS; OR (II) MANAGE A SUBSTANTIAL PART OF THE FACILITIES, ASSETS, OR OPERATIONS OF THE SYSTEM AND WILL NOT BE LEGALLY OBLIGATED TO COMPLY WITH AND SUPPORT THE CORPORATION'S ETHICAL PERFORMANCE STANDARDS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE 2010 FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. REVIEWS WERE THEN CONDUCTED BY THE ASSISTANT CONTROLLER, DIRECTOR OF FINANCE, AND CHIEF FINANCIAL OFFICER BEFORE PRESENTATION AND REVIEW WITH THE ORGANIZATION'S GOVERNING BODY. HIGHLIGHTS OF THE 2010 FORM 990 WERE PRESENTED TO THE ORGANIZATION'S BOARD OF DIRECTORS ON OCTOBER 15, 2011. IN ADDITION TO THE ORGANIZATION'S EXECUTIVE MANAGEMENT, REPRESENTATIVES OF DIXON HUGHES GOODMAN PARTICIPATED IN THIS REVIEW WITH BOARD MEMBERS. THE OCTOBER 15 BOARD MEETING WAS HELD PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. A FINAL VERSION OF THE FORM 990 WAS SENT TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE DIRECTORS SHALL COMPLETE AND RETURN TO THE SECRETARY AN ANNUAL STATEMENT THAT EACH OF THEM: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) AGREES TO COMPLY WITH THIS POLICY; (D) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES; AND (E) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>AN INDEPENDENT COMPANY, TOWERS PERRIN, PROVIDES RESEARCH, ADVICE AND GUIDANCE TO THE COMPENSATION COMMITTEE AND SENIOR LEADERSHIP TO ENSURE THE ORGANIZATION'S COMPENSATION PROGRAMS FOR EXECUTIVES COVERED BY THE "INTERMEDIATE SANCTIONS LEGISLATION" (IRC SECTION 4958) ARE ALIGNED WITH ITS STATED PHILOSOPHY: BASE SALARIES ARE TARGETED AT THE 50TH PERCENTILE OF THE ESTABLISHED COMPARATOR MARKET; TOTAL CASH COMPENSATION (BASE SALARY PLUS ANNUAL INCENTIVE PAYMENTS) ARE TARGETED AT THE 75TH PERCENTILE OF THE ESTABLISHED COMPARATOR MARKET; TOTAL DIRECT COMPENSATION (TOTAL CASH COMPENSATION PLUS LONG TERM INCENTIVE PAYMENTS) WILL NOT EXCEED THE 90TH PERCENTILE OF THE ESTABLISHED COMPARATOR MARKET; BENEFITS ARE TARGETED AT MARKET MEDIAN; AND IN AGGREGATE, BASE SALARY, TOTAL CASH COMPENSATION, TOTAL DIRECT COMPENSATION AND BENEFITS COMPRISE TOTAL COMPENSATION FOR EXECUTIVES. THE COMPENSATION COMMITTEE ENSURES THAT EXECUTIVE TOTAL COMPENSATION IS REFLECTIVE OF THE ORGANIZATION'S STATED COMPENSATION PHILOSOPHY. THE COMMITTEE, IN THIS PROCESS, AUTHORIZES AND SUPPORTS AN ANNUAL THREE STEP PROCESS UTILIZING TOWERS PERRIN'S RESOURCES: 1) SALARY LEVELS, ANNUAL BONUS TARGETS/PAYMENTS AND LONG TERM INCENTIVE GRANTS ARE COMPARED RIGOROUSLY EACH YEAR WITH MARKET DATA BASED ON COMPARABLE POSITIONS AND ORGANIZATIONS. A. COMPARABLE ORGANIZATIONS ARE TYPICALLY NOT-FOR-PROFIT HEALTHCARE SYSTEMS WITH SIMILAR OPERATING REVENUES. PRIVATE SECTOR EMPLOYER DATA, WHEN AVAILABLE, ARE ALSO INCLUDED IN THE ANALYSIS FOR "TRANSFERABLE SKILLS POSITIONS". B. HISTORICALLY, PERFORMANCE INCENTIVE PAYOUTS GENERALLY TRACK WITH A NORMAL BONUS PAYOUT DISTRIBUTION. INCENTIVE GOALS ARE PRIMARILY BASED ON FORMALLY DEFINED QUANTITATIVE GOALS. 2) ALL RECOMMENDED PAY DECISIONS ARE TESTED AGAINST THESE DATA AND THE ORGANIZATION'S STATED COMPENSATION PHILOSOPHY. 3) A FORMAL OPINION LETTER IS PREPARED BY TOWERS PERRIN, REPRESENTING THAT SENIOR EXECUTIVES ARE COMPENSATED WITHIN THE REASONABLENESS STANDARDS MANDATED BY THE IRS. A SIMILAR PROCESS IS PERFORMED BY WATSON WYATT (COMPENSATION CONSULTING FIRM) FOR THE CEO AND CFO POSITIONS. THIS LETTER PROVIDES A "SAFE HARBOR" FOR THE ORGANIZATION'S "DIRECTORS" RELATIVE TO THE REASONABLENESS OF TOTAL EXECUTIVE COMPENSATION CONSISTENT WITH IRC SECTION 4958.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. IN ADDITION, RECENT FILING OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE PUBLISHED ANNUALLY AND ARE AVAILABLE TO THE PUBLIC AT WWW.DACBOND.COM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION OF BOARD MEMBERS:</Identifier>
        <ReturnReference>FORM 990, PART VII, LINE 1</ReturnReference>
        <Explanation>THE FOLLOWING BOARD MEMBERS WERE COMPENSATED FOR SERVICES PERFORMED FOR THE ORGANIZATION (OR A RELATED ORGANIZATION) NOT IN THE CAPACITY OF THEIR POSITIONS ON THE BOARD. NO BOARD MEMBER IS COMPENSATED FOR HIS SERVICES AS A BOARD MEMBER. JOHN M. JORDAN WAS COMPENSATED BY THE MEDICAL SOCIETY OF SOUTH CAROLINA FOR SERVICES AS CHIEF EXECUTIVE OFFICER. DAVID M. ELLISON WAS COMPENSATED FOR MEDICAL SERVICES RENDERED TO A RELATED ORGANIZATION. ALISON E. DILLON WAS COMPENSATED FOR MEDICAL SERVICES RENDERED TO A RELATED ORGANIZATION.</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: 14,302,438. CHANGE IN FMV OF INTEREST RATE SWAPS -4,347,795. LOSS ON EXTINGUISHMENT OF DEBT 2,275,976. ACCRUED DISTRIBUTIONS TO FOUNDERS -12,074,568. FUNDS RELEASED FOR CAPITAL 20,777. ADJUSTMENT TO FOUNDATION CONTRIBUTIONS -8,128,113. OTHER NON-OPERATING GAINS -304,026. INTERCOMPANY ACCOUNT ELIMINATION -4,240,710. TOTAL TO FORM 990, PART XI, LINE 5: -12,496,021.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROPER HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>315 CALHOUN STREET 107</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29401</ZIPCode>
        </AddressUS>
        <EIN>570828733</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>SC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BON SECOURS ST FRANCIS XAVIER HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>315 CALHOUN STREET 107</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29401</ZIPCode>
        </AddressUS>
        <EIN>571067254</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>SC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROPER ST FRANCIS MT PLEASANT HOSPITAL</BusinessNameLine1>
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          <AddressLine1>315 CALHOUN STREET 107</AddressLine1>
          <City>CHARLESTON</City>
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        </AddressUS>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROPER ST FRANCIS HOSPITAL - BERKELEY</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>315 CALHOUN STREET 107</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29401</ZIPCode>
        </AddressUS>
        <EIN>263710229</EIN>
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          <BusinessNameLine1>ROPER ST FRANCIS PHYSICIANS NETWORK</BusinessNameLine1>
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          <City>CHARLESTON</City>
          <State>SC</State>
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        </AddressUS>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
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        <AddressUS>
          <AddressLine1>315 CALHOUN STREET 107</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29401</ZIPCode>
        </AddressUS>
        <EIN>571068509</EIN>
        <PrimaryActivities>SUPPORTING ORG</PrimaryActivities>
        <LegalDomicileState>SC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE MEDICAL SOCIETY OF SOUTH CAROLINA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>69-B BARRE STREET</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29401</ZIPCode>
        </AddressUS>
        <EIN>570288358</EIN>
        <PrimaryActivities>SUPPORTING ORG/FOUNDING MEMBER</PrimaryActivities>
        <LegalDomicileState>SC</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11C, III-FI</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CAREALLIANCE MEDICAL SERVICES ORGANIZATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>225 DOUGHTY STREET</AddressLine1>
          <City>CHARLESTON</City>
          <State>SC</State>
          <ZIPCode>29403</ZIPCode>
        </AddressUS>
        <EIN>571012837</EIN>
        <PrimaryActivity>INACTIVE</PrimaryActivity>
        <LegalDomicileState>SC</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>1</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
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          <BusinessNameLine1>ROPER ST FRANCIS FOUNDATION</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROPER HOSPITAL INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BON SECOURS ST FRANCIS HOSPITAL INC</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>ROPER ST FRANCIS MT PLEASANT HOSPITAL</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROPER ST FRANCIS PHYSICIANS NETWORK</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROPER ST FRANCIS FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BON SECOURS ST FRANCIS HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROPER ST FRANCIS PHYSICIANS NETWORK</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>2279753</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROPER ST FRANCIS MT PLEASANT HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>295847</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROPER HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>19236720</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROPER ST FRANCIS FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>7982</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>