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        <ManagementAndGeneral>49343</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>102100</Total>
        <ManagementAndGeneral>102100</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>59446</Total>
        <ProgramServices>18765</ProgramServices>
        <ManagementAndGeneral>40681</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>1798650</Total>
        <ProgramServices>1454114</ProgramServices>
        <ManagementAndGeneral>344536</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>745840</Total>
        <ProgramServices>745840</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>90149</Total>
        <ProgramServices>75653</ProgramServices>
        <ManagementAndGeneral>14496</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>19507</Total>
        <ProgramServices>8123</ProgramServices>
        <ManagementAndGeneral>11384</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>263085</Total>
        <ManagementAndGeneral>263085</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>1959662</Total>
        <ManagementAndGeneral>1959662</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>93877</Total>
        <ManagementAndGeneral>93877</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>PURCHASE SERVICES</Description>
        <Total>1705811</Total>
        <ProgramServices>1154561</ProgramServices>
        <ManagementAndGeneral>551250</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BED TAX</Description>
        <Total>657548</Total>
        <ProgramServices>657548</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>INTEREST RATE SWAP SETT</Description>
        <Total>395000</Total>
        <ManagementAndGeneral>395000</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHARMACY</Description>
        <Total>283840</Total>
        <ProgramServices>283840</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT/OTHER EXPENSES</Description>
        <Total>107724</Total>
        <ProgramServices>53833</ProgramServices>
        <ManagementAndGeneral>53891</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>24000</Total>
        <ProgramServices>24000</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>18566155</Total>
        <ProgramServices>12899114</ProgramServices>
        <ManagementAndGeneral>5667041</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>223975</BOY>
        <EOY>1517950</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>640462</BOY>
        <EOY>20537</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>1291369</BOY>
        <EOY>1432603</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>1937901</BOY>
        <EOY>3035063</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>38695</BOY>
        <EOY>24415</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>220052</BOY>
        <EOY>135653</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>51579997</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>17131610</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>31014092</BOY>
        <EOY>34448387</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>8554986</BOY>
        <EOY>11540551</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>270730</BOY>
        <EOY>22195157</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>976486</BOY>
        <EOY>1174398</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>45168748</BOY>
        <EOY>75524714</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1405915</BOY>
        <EOY>2527948</EOY>
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      <TaxExemptBondLiabilities>
        <BOY>13095000</BOY>
        <EOY>40117714</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
        <BOY>10086</BOY>
        <EOY>6840</EOY>
      </EscrowAccountLiability>
      <MortNotesPyblSecuredInvestProp>
        <BOY>175000</BOY>
        <EOY>175000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>19451609</BOY>
        <EOY>19206852</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>34137610</BOY>
        <EOY>62034354</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>11031138</BOY>
        <EOY>13490360</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>11031138</BOY>
        <EOY>13490360</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>45168748</BOY>
        <EOY>75524714</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>2276061</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>183161</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">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
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        <CurrentTaxYearMinus3Years>150129</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>149585</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>122804</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>329405</CurrentTaxYear>
        <Total>937906</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>17344860</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>17829025</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>17886259</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17676784</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19843457</CurrentTaxYear>
        <Total>90580385</Total>
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      <Total509>
        <CurrentTaxYearMinus4Years>17530843</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>17979154</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>18035844</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17799588</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>20172862</CurrentTaxYear>
        <Total>91518291</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>91518291</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>465860</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>561511</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>605256</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>507829</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>673827</CurrentTaxYear>
        <Total>2814283</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>561511</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>605256</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>507829</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>673827</CurrentTaxYear>
        <Total>2814283</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>387305</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>506771</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>514872</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>510046</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>-7340</CurrentTaxYear>
        <Total>1911654</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>18384008</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>19047436</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>19155972</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>18817463</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>20839349</CurrentTaxYear>
        <Total>96244228</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.95090</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.94710</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.02920</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.02740</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <TotalLobbyingExpendituresIIB>0</TotalLobbyingExpendituresIIB>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>THE PERCENTAGE OF DUES PAID TO THE OHIO HEALTH CARE ASSOCIATION THAT WAS USED FOR LOBBYING IN 2010 IS 37.35%. THIS PERCENTAGE INCLUDES THE DUES PAID TO AMERICAN HEALTH CARE ASSOCIATION THROUGH THE OHIO HEALTH CARE ASSOCIATION.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtc>0</AgentTrusteeEtc>
      <IncludedOnFS>1</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>6421471</OtherCostOrOtherBasis>
        <BookValue>6421471</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>29690071</OtherCostOrOtherBasis>
        <Depreciation>8602471</Depreciation>
        <BookValue>21087600</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>7670988</OtherCostOrOtherBasis>
        <Depreciation>6779619</Depreciation>
        <BookValue>891369</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>7797467</OtherCostOrOtherBasis>
        <Depreciation>1749520</Depreciation>
        <BookValue>6047947</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>34448387</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>TRUSTEE HELD FUNDS</Description>
        <BookValue>22195157</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>22195157</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>NONREFUNDABLE ENTRANCE FEES</Description>
        <Amount>2628478</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>REFUNDABLE RESIDENT FEES</Description>
        <Amount>16578374</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>19206852</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <ReturnReference>PART IV, LINE 2B:</ReturnReference>
        <Explanation>RESIDENT TRUST ACCOUNTS ARE HELD IN A SEPARATE BANK ACCOUNT.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>INCOME TAX FOOTNOTE FROM THE DECEMBER 31, 2010 AUDITED FINANCIAL STATEMENTS: ST. LEONARD AND THE FOUNDATION WERE INCORPORATED UNDER THE LAWS OF THE STATE OF OHIO AS NOT-FOR-PROFIT CORPORATIONS EXEMPT FROM STATE AND LOCAL TAXES. THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT ST. LEONARD AND THE FOUNDATION ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>RICK RYAN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>288625</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1097</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>23465</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>36828</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>350015</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TIMOTHY DRESSMAN</NamePerson>
        <BaseCompensationFilingOrg>164944</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>11546</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17692</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>194182</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>COUNTY OF MONTGOMERY OHIO</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>316000172</IssuerEIN>
        <CUSIPNumber>61351QAC3</CUSIPNumber>
        <DateIssued>2010-06-30</DateIssued>
        <IssuePrice>40672000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE K, PART V</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>40867133</TotalProceeds>
        <AmountInReserveFund>4900235</AmountInReserveFund>
        <CapitalizedInterest>671040</CapitalizedInterest>
        <RefundingEscrow>12402167</RefundingEscrow>
        <IssuanceCostsFromProceeds>813454</IssuanceCostsFromProceeds>
        <CapitalExpenditures>6480305</CapitalExpenditures>
        <AmountUnspent>14809695</AmountUnspent>
        <YearOfSubstCompletion>2011</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <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 I, LINE A, COLUMN (F):</Identifier>
        <ReturnReference>DESCRIPTION OF PURPOSE</ReturnReference>
        <Explanation>THE COUNTY OF MONTGOMERY, OHIO FIXED RATE OHIO HEALTHCARE AND MULTIFAMILY HOUSING IMPROVEMENT AND REFUNDING REVENUE BONDS, SERIES 2010 PROCEEDS WERE USED TO REPAY THE SERIES 2001 BONDS IN JULY 2010 IN FULL AND TO FINANCE NEW CONSTRUCTION, CONSISTING OF NEW SKILLED NURSING AND ASSISTED CARE BUILDING, A WELLNESS CENTER FOR INDEPENDENT LIVING RESIDENTS, A MAINTENANCE BUILDING, AND CORE CAMPUS ROAD IMPROVEMENTS.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>SCHEDULE K, PART II, LINE 3, COLUMN (A):</Identifier>
        <ReturnReference>TOTAL PROCEEDS OF ISSUE</ReturnReference>
        <Explanation>ISSUE PROCEEDS PLUS INVESTMENT EARNINGS</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>SCHEDULE K, PART II, LINE 5, COLUMN (A):</Identifier>
        <ReturnReference>CAPITALIZED INTEREST FROM PROCEEDS</ReturnReference>
        <Explanation>AN INTEREST PAYMENT OF $671,040 WAS PAID FROM THE CAPITALIZED INTEREST RESERVE FUND IN 2010.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>SCHEDULE K, PART II, LINE 6, COLUMN (A):</Identifier>
        <ReturnReference>PROCEEDS IN REFUNDING ESCROWS</ReturnReference>
        <Explanation>AMOUNT OF REFUNDING PROCEEDS REPORTED ON FORM 8038 - FUNDS WERE DISBURSED BY DECEMBER 31, 2010.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>FRANCISCAN LIVING COMMUNITIES IS THE SOLE MEMBER OF ST. LEONARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>FRANCISCAN LIVING COMMUNITIES, AS THE SOLE MEMBER OF THE ORGANIZATION, HAS THE RESERVED POWERS TO ELECT THE TRUSTEES OF THE ORGANIZATION, AND ELECT AND REMOVE THE CHAIRPERSON AND PRESIDENT/CEO OF ST. LEONARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>FRANCISCAN LIVING COMMUNITIES HAS THE RESERVED POWER TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF ST. LEONARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE ORGANIZATION'S EXECUTIVE COMMITTEE AND BOARD OF TRUSTEES REVIEW THE FORM 990 PRIOR TO FILING. ALL MEMBERS OF THE BOARD OF TRUSTEES ARE INVITED TO REVIEW THE COMPLETED FORM 990 PRIOR TO THE ANNUAL FILING DEADLINE. ANY QUESTIONS OR CONCERNS BROUGHT BY MEMBERS OF THE BOARD OF TRUSTEES WILL BE FORWARDED TO THE DIRECTOR OF ST. LEONARD FOUNDATION FOR CHANGES OR AMENDMENTS AS NECESSARY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE BOARD OF TRUSTEES HAS TO INFORM THE ORGANIZATION OF A CONFLICT OF INTEREST WHEN IT ARISES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE BOARD OF TRUSTEES EXECUTIVE COMMITTEE IS RESPONSIBLE FOR OVERSEEING FULL DISCLOSURE OF EXECUTIVE COMPENSATION. THE EXECUTIVE COMMITTEE SHALL ANNUALLY REVIEW AND APPROVE ELEMENTS OF EXECUTIVE COMPENSATION IN A MANNER THAT IS DESIGNED TO COMPLY WITH THE REGULATIONS GOVERNING THE IRS'S INTERMEDIATE SANCTIONS PROVISIONS. COMPENSATION DETERMINATIONS MADE BY THE COMMITTEE WILL BE PREMISED UPON THE FOLLOWING GUIDELINES. THE COMMITTEE SHALL OBTAIN AND RELY UPON COMPETITIVE COMPENSATION INFORMATION THAT REFLECTS COMPARABLE ORGANIZATIONS AND POSITIONS. THE COMMITTEE SHALL RELY UPON SURVEY DATA WHEN DETERMINING THE REASONABLENESS OF THE COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC IN THE ORGANIZATION'S FINANCE OFFICE.</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: 183,161.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE ORGANIZATION'S COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEARS. THE FINANCIAL STATEMENTS ARE CONSOLIDATED WITH ST. LEONARD FOUNDATION.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LEONARD FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8100 CLYO ROAD</AddressLine1>
          <City>CENTERVILLE</City>
          <State>OH</State>
          <ZIPCode>45458</ZIPCode>
        </AddressUS>
        <EIN>320102715</EIN>
        <PrimaryActivities>CHARITABLE FUND RAISING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BURLESON ST JOSEPH HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742759890</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BURLESON ST JOSEPH MANOR</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742913931</EIN>
        <PrimaryActivities>NURSING CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN CARE CENTER SYLVANIA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4111 HOLLAND SYLVANIA RD</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43623</ZIPCode>
        </AddressUS>
        <EIN>341931806</EIN>
        <PrimaryActivities>LT CARE FACILITY</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN LIVING COMMUNITIES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>341892096</EIN>
        <PrimaryActivities>MANAGEMENT SUPPORT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN PROPERTIES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>341412966</EIN>
        <PrimaryActivities>RESIDENTIAL HOUSING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN SERVICES CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>341412964</EIN>
        <PrimaryActivities>CHURCH ORG</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 1</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN SERVICES CORP SELF INSURANCE TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>346895492</EIN>
        <PrimaryActivities>SELF INSURANCE TRUST</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN SHELTERS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>341612437</EIN>
        <PrimaryActivities>DOMESTIC VIOLENCE SHELTER</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MADISON ST JOSEPH HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742761145</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MADONNA MANOR</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2344 AMSTERDAM RD</AddressLine1>
          <City>VILLA HILLS</City>
          <State>KY</State>
          <ZIPCode>41017</ZIPCode>
        </AddressUS>
        <EIN>610654635</EIN>
        <PrimaryActivities>CONTINUING CARE RETIREMENT COMMUNITY</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROVIDENCE CARE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 HAYES AVE</AddressLine1>
          <City>SANDUSKY</City>
          <State>OH</State>
          <ZIPCode>44870</ZIPCode>
        </AddressUS>
        <EIN>341658625</EIN>
        <PrimaryActivities>LT CARE FACILITY</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROVIDENCE CARE CENTERS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 HAYES AVE</AddressLine1>
          <City>SANDUSKY</City>
          <State>OH</State>
          <ZIPCode>44870</ZIPCode>
        </AddressUS>
        <EIN>341500601</EIN>
        <PrimaryActivities>FIN SUPPORT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROVIDENCE RESIDENTIAL COMM CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5055 PROVIDENCE</AddressLine1>
          <City>SANDUSKY</City>
          <State>OH</State>
          <ZIPCode>44870</ZIPCode>
        </AddressUS>
        <EIN>341896807</EIN>
        <PrimaryActivities>INDEPENDENT LIVING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROSARY CARE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>341931795</EIN>
        <PrimaryActivities>LT CARE FACILITY</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SISTERS OF ST FRANCIS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>344450609</EIN>
        <PrimaryActivities>RELIGIOUS</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 1</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOPHIA CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>341761656</EIN>
        <PrimaryActivities>OUTPATIENT MENTAL HEALTH</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST CLARE COMMONS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>270163752</EIN>
        <PrimaryActivities>LT CARE FACILITY TO BE CONSTRUCTED</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742351158</EIN>
        <PrimaryActivities>CHARITABLE FUND RAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MANOR</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742847594</EIN>
        <PrimaryActivities>NURSING CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH PHYSICIAN ASSOCIATES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>203159302</EIN>
        <PrimaryActivities>PHYS PRACTICE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH REGIONAL HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>741282696</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742455161</EIN>
        <PrimaryActivities>GOVERNANCE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE COMMONS OF PROVIDENCE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5000 PROVIDENCE DR</AddressLine1>
          <City>SANDUSKY</City>
          <State>OH</State>
          <ZIPCode>44870</ZIPCode>
        </AddressUS>
        <EIN>341826097</EIN>
        <PrimaryActivities>ASSISTED LIVING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>PCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY CARE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>400 E SAYLES</AddressLine1>
          <City>BRENHAM</City>
          <State>TX</State>
          <ZIPCode>77833</ZIPCode>
        </AddressUS>
        <EIN>742663229</EIN>
        <PrimaryActivities>LT CARE FACILITY</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>THSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY COMMUNITY MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 MEDICAL PARKWAY</AddressLine1>
          <City>BRENHAM</City>
          <State>TX</State>
          <ZIPCode>77833</ZIPCode>
        </AddressUS>
        <EIN>742519752</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>THSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY HEALTH SERVICES CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 MEDICAL PARKWAY</AddressLine1>
          <City>BRENHAM</City>
          <State>TX</State>
          <ZIPCode>77833</ZIPCode>
        </AddressUS>
        <EIN>742605157</EIN>
        <PrimaryActivities>HOLDING COMP</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 11A, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY HEALTH SERVICES FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 MEDICAL PARKWAY</AddressLine1>
          <City>BRENHAM</City>
          <State>TX</State>
          <ZIPCode>77833</ZIPCode>
        </AddressUS>
        <EIN>742460815</EIN>
        <PrimaryActivities>CHARITABLE FUND RAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>THSC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LEONARD CENTER LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>88 E BROAD STREET SUITE 1800</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43215</ZIPCode>
        </AddressUS>
        <EIN>311481761</EIN>
        <PrimaryActivity>LOW INCOME RENTAL RE</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LEONARD CENTER I INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8100 CLYO ROAD</AddressLine1>
          <City>CENTERVILLE</City>
          <State>OH</State>
          <ZIPCode>45458</ZIPCode>
        </AddressUS>
        <EIN>311481764</EIN>
        <PrimaryActivity>LOW INCOME RENTAL RE</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742466914</EIN>
        <PrimaryActivity>PHYS HOSP ORG</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TAU ENTERPRISES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742544009</EIN>
        <PrimaryActivity>OFFICE BLDG RENTAL</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH PHYSICIAN ALLIANCE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742764039</EIN>
        <PrimaryActivity>COORD EMPL INSUR</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ST LEONARD FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>311697</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>