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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
        </USAddress>
        <RecipientEIN>430688874</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>2644413</CashGrantAmt>
        <NonCashAssistanceAmt>139672</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Book</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>PPE and Food donations to hospital and appreciation items for hospital staff</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>SUPPORT HOSPITAL PROGRAMS AND EQUIPMENT PURCHASES AT SSM HEALTH ST. MARY'S HOSPITAL - MADISON AND SSM HEALTH ST. MARY'S CARE CENTER</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Scholarships</GrantTypeTxt>
        <RecipientCnt>16</RecipientCnt>
        <CashGrantAmt>64800</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Care assistance</GrantTypeTxt>
        <RecipientCnt>134</RecipientCnt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCEDURE FOR MONITORING USE OF GRANT FUNDS HAS BEEN ESTABLISHED BY THE FOUNDATION, FOR EXPENSES OUTLINED IN A FUNDING REQUEST THAT HAS BEEN PRE-APPROVED BY THE FOUNDATION. THE ISSUANCE OF GRANTS OCCURS AFTER RELATED ORGANIZATION PROVIDES DOCUMENTATION OF ACTUAL EXPENSES INCURRED AND PAID. ALL GRANTS TO DOMESTIC ORGANIZATIONS WERE MADE TO A RELATED ORGANIZATION. AMOUNTS PAID FOR SCHOLARSHIPS ARE SENT DIRECTLY TO THE EDUCATIONAL INSTITUTION AND CARE ASSISTANCE FUNDS ARE PAID TO THE SERVICE PROVIDER.</ExplanationTxt>
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          <BusinessNameLine1Txt>Kyle Nondorf</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Dan Hounchell</BusinessNameLine1Txt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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          <BusinessNameLine1Txt>Jonathan Rozenfeld</BusinessNameLine1Txt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Dina Boyle</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Executive Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>125111</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation's top management official (Executive Director) is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>SSM Health has adopted a severance policy to provide a financial transition in the event of involuntary termination without cause for executive level positions. The amount of the compensation is based on the position held and length of service with SSMH. The following individuals listed in Part VII of the Form 990 received payments under the plan in the current year: Jonathan Rozenfeld $483,007</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Pension Restoration Plan: SSM Health (SSMH) provides this supplemental defined benefit nonqualified retirement plan to any employee who is a participant in the SSMH qualified defined benefit plan who earns over the Internal Revenue Service compensation limit. The plan "restores" the benefits to these employees that would have been provided under the SSMH qualified plan if the regulations did not impose compensation limits. An individual can take a distribution from the plan at (1) age 65 or older if the individual is still employed by SSMH or (2) age 55 or older if the individual is no longer employed by SSMH. No individuals listed on Part VII of Form 990 received distributions from the plan in 2020. Capital Accumulation Plan: SSMH provides this supplemental nonqualified retirement plan to executive level employees. The organization contributed a percentage of the employee's base salary into their choice of a select list of investments. The deposits and earnings of the plan are owned by SSMH and are tax-deferred until a distribution is made to the employee. In addition, the plan has special safeguards in place to protect the funds from contingencies, other than insolvency. For contributions made to the plan in 2014 or after, the distribution will occur after the completion of four plan years for all executives that are still actively employed on the distribution date. Any active participant 65 years or older will receive the contribution in the current year. THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990 RECEIVED DEFERRALS FROM THIS PLAN IN 2020: Kyle Nondorf $32,000 Dan Hounchell $9,800 The following individuals listed on Part VII of the Form 990 received distributions from this plan in 2020. All distributions received from the plan in the current year were included in the individual's taxable compensation. Jonathan Rozenfeld $159,830 Kyle Nondorf $22,369 Douglas Long $78,000 During 2020, the following individuals participated in a nonqualified retirement plan from the organization or a related organization. The amounts reported below represent the change in accrued benefit for each individual and also include amounts accrued under the pension restoration plan: None</ExplanationTxt>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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        <Desc>Appreciation items for hospital staff</Desc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4 Program Service Accomplishments</FormAndLineReferenceDesc>
        <ExplanationTxt>Since it was founded in 1872 by Catholic sisters, SSM Health (SSMH) has existed to meet the health needs of the communities it serves. SSMH is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation. With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSMH includes 23 acute care hospitals, one children's hospital, more than 300 physician offices and other outpatient and virtual care services, 10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company, and an Accountable Care Organization. The health system employs nearly 40,000 people and is affiliated with 11,000 physicians making it one of the largest employers in every community it serves. In the tradition of its founding sisters, SSMH strives to fulfill its mission by providing exceptional health care to everyone who comes to its hospitals, regardless of their ability to pay. SSM HEALTH ST. MARY'S FOUNDATION - MADISON HELPS PRESERVE A LEGACY THAT IS IMPORTANT TO OUR COMMUNITY - A LEGACY OF HEALING THE BODY, MIND AND SPIRIT THROUGH THE EXCEPTIONAL, COMPASSIONATE CARE PROVIDED TO THOSE WE HAVE THE PRIVILEGE TO SERVE. IN 2020, ST. MARY'S FOUNDATION ESTABLISHED THE EMERGENCY RESPONSE FUND (ERF) TO SUPPORT EMERGING NEEDS OF THE HOSPITAL AND CARE CENTER DURING THE MOST SIGNIFICANT HEALTHCARE CRISIS OF OUR TIME. PROGRAM DISBURSEMENTS PROVIDED ADDED SAFETY AND SUPPORT FOR OUR PATIENTS, FAMILIES AND HEALTH CARE HEROES THROUGH THE DISTRIBUTION OF MEALS, GIFT CARDS, SUPPLIES AND PPE, AS WELL AS THE FUNDING OF IPADS AND AMPLIFIED SPEAKER STANDS, EMPLOYEE SCREENING DEVICES, COVID/COMPASSION CURTAINS, SPECIALIZED PPE (CAPRs AND PAPRs), AND FINANCIAL ASSISTANCE TO EMPLOYEES FACING A SIGNIFICANT FINANCIAL HARDSHIP WHEN THEY HAD NO WHERE ELSE TO TURN. ADDITIONAL PROGRAM SUPPORT INCLUDES THE FUNDING FOR CAPITAL AND PRIORITY INITIATIVES, INNOVATIVE TECHNOLOGY, CLINICAL EQUIPMENT, SAFETY ENHANCEMENTS AND SCHOLARSHIPS. MOST NOTABLY, A NEW INTERVENTIONAL RADIOLOGY LAB WAS MADE POSSIBLE THROUGH A BOARD-DESIGNATED DISTRIBUTION. ADDITIONAL PROGRAM SUPPORT PROVIDED FUNDING FOR AN O-ARM FOR NEUROSCIENCES, DURESS BADGES AND BEHAVIORAL HEALTH CAMERAS FOR EMPLOYEE AND PATIENT SAFETY, EMS REMOTE TRAINING TECHNOLOGY, CHAPEL IMPROVEMENTS, MUSIC THERAPY PILOT AND SWADDLES FOR OUR TINIEST PATIENTS. COMMITMENTS TO IMPROVING THE PATIENT EXPERIENCE WERE FUNDED THROUGH ENDOWMENT DISTRIBUTIONS, MOST NOTABLY THE SPIRIT &amp; LIFE ENDOWMENT FUND, ESTABLISHED IN 1985 TO HONOR SR. REBECCA WRIGHT - THE LAST FRANCISCAN SISTER OF MARY TO SERVE AS HOSPITAL ADMINISTRATOR. PROGRAM SUPPORT FOR THE NEW SMART TVS AND MYCHART BEDSIDE SOLUTION WILL EMPOWER PATIENTS WITH MORE INFORMATION TO HELP MANAGE THEIR CARE, AND ACCESS TO CONTENT TO MAKE THEIR HOSPITAL STAY MORE ENJOYABLE. ADDITIONAL INFORMATION ABOUT ST. MARY'S FOUNDATION MAY BE FOUND AT https://www.ssmhealth.com/donate/st-marys-foundation-madison.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL APPLICABLE 1099 AND 1096 IRS TAX FORMS ARE REPORTED AND FILED BY THE PARENT ORGANIZATION, SSM HEALTH CARE CORPORATION, EIN 46-6029223.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process for determining compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation's top management official (Executive Director) is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process for determining compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>The Foundation's top management official (Executive Director) is compensated by a related organization that utilized the following to determine compensation: (1) independent compensation consultant; (2) compensation survey or study; (3) approval by the board or compensation committee.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole corporate member is SSM Health Care of Wisconsin, Inc. SSM Health Care of Wisconsin, Inc. is a nonprofit 501(c)(3) organization that operates three hospitals and two skilled nursing facilities. Both the Foundation and SSM Health Care of Wisconsin, Inc. are part of the integrated health care system known as SSM Health.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The member has the right to appoint the Board of Directors, except for any Director who serves ex officio, and to remove the Directors with or without cause.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The member has the following powers: a. To establish and change the philosophy of the Corporation b. To appoint the Board of Directors, except for any Director who serves ex officio, and to remove the Directors with or without cause c. To approve amendments to the Articles of Incorporation of the Corporation as provided therein d. To approve the Bylaws of the Corporation and any amendments thereto e. To approve the merger, consolidation or dissolution of the Corporation f. To approve the sale, conveyance, assignment, transfer, alienation, pledge, encumbrance, mortgage or lease of real property or any interest therein of the Corporation in accordance with the policies approved by the Member from time to time g. To approve (i) the acquisition of real property or any interest therein or (ii) the acquisition of stock of a corporation if, after the acquisition, the Corporation will own a majority of the voting stock of such corporation, in accordance with policies approved by the Member from time to time h. To approve the sale, transfer or other disposition ("Disposition") of the voting stock of a corporation if before the Disposition the Corporation owned a majority of the voting stock of the corporation and after such disposition the Corporation would not own a majority of the voting stock of the corporation, in accordance with policies approved by the Member from time to time i. To approve any borrowing or guarantees of the Corporation in accordance with policies approved by the Member from time to time j. To establish centralized employee benefit, insurance, investment, financing, corporate responsibility, performance assessment and improvements and other operational and support programs; to require the participation of the Corporation in such programs; and to authorize the opening and closing of bank accounts and investment accounts in the name of the Corporation in connection with such programs k. To approve the acceptance of any gift or contribution which, in connection therewith, would impose a continuing obligation upon the Corporation, including, without limitation, the obligation to provide health care services, pay an annuity or undertake any other obligations, except as otherwise determined by the Member pursuant to policies adopted by the Member from time to time; and l. To approve or reject proposals for expenditures or contributions in accordance with the Bylaws in the event the President of St Mary's Hospital and the Board of Directors do not agree with respect to the approval of such proposal.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization does not have any committees with authority to act on behalf of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by the tax department of the parent organization, SSM Health Care Corporation (SSMH). The return is then reviewed by an independent accounting firm who signs as paid preparer. The return is then provided to member of senior management. Any questions are addressed by the tax department of SSMH prior to filing the Form 990 with the Internal Revenue Service. A copy of the Form 990 is provided to the board of directors at the next regularly scheduled board meeting.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members are required to complete a conflict of interest disclosure statement annually. The President and Secretary of the Board oversee compliance with this requirement. All Board members with an identified conflict of interest abstain from Board discussions and votes when applicable. Employees with purchasing authority and/or ability to influence purchasing decisions are assigned the conflict of interest disclosure course (COI) which must be completed on line. Periodically through the year, the entity's corporate responsibility contact person (with the help of the entity's learning management system coordinator) sends department managers a list of employees who have not yet completed their COI so they can remind the employees and ensure the employees have time in their schedule to complete the required course. Resolution of any conflicts that are disclosed must be documented and kept on file at the entity. Supervisors verify required course completion prior to year end.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The year-end audited consolidated financial statements and unaudited quarterly consolidated financial statements for the SSM Health System are made available to the public on SSM Health's website. The organization's articles of incorporation are available upon request to the Wisconsin Department of Financial Institution's office. Copies of the Form 990 and the organization's conflict of interest policy are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTUARIAL LOSS ON GIFT ANNUITIES - -14994;</ExplanationTxt>
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          <BusinessNameLine1Txt>SSM Health Care Corporation</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
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        <EIN>466029223</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>SSMHC Liability Trust I</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM Health Foundation - St Louis</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SSM Health Care of Oklahoma Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SSM Health Care of Wisconsin Inc</BusinessNameLine1Txt>
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          <ZIPCd>63132</ZIPCd>
        </USAddress>
        <EIN>237408025</EIN>
        <PrimaryActivitiesTxt>MOB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SSM Regional Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Mary's Janesville Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
        </USAddress>
        <EIN>273439133</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SSM Health Care of Wisconsin</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM Health Ministries</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3221 McKelvey Road Suite 107</AddressLine1Txt>
          <CityNm>Bridgeton</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63044</ZIPCd>
        </USAddress>
        <EIN>431012492</EIN>
        <PrimaryActivitiesTxt>Religious Organization</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>1</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Lee Dewey Corporation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
        </USAddress>
        <EIN>731279603</EIN>
        <PrimaryActivitiesTxt>MOB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SSM Health Care of Oklahoma</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM Hospice &amp; Home Care Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
        </USAddress>
        <EIN>300012246</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SSM Health Businesses</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Mary's Hospital Auxiliary</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 St Marys Medical Plaza</AddressLine1Txt>
          <CityNm>Jefferson City</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65101</ZIPCd>
        </USAddress>
        <EIN>436049878</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Good Samaritan Hospital Auxiliary</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 Good Samaritan Way</AddressLine1Txt>
          <CityNm>Mount Vernon</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62864</ZIPCd>
        </USAddress>
        <EIN>237049599</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Anthony Shawnee Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1000 N Lee Ave</AddressLine1Txt>
          <CityNm>Oklahoma City</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73102</ZIPCd>
        </USAddress>
        <EIN>455055149</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SSM Health Care of Oklahoma</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM Audrain Health Care Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
        </USAddress>
        <EIN>431550298</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SSM Regional Health Services</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Audrain Medical Center Foundation Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 E Monroe St</AddressLine1Txt>
          <CityNm>Mexico</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>65265</ZIPCd>
        </USAddress>
        <EIN>431265060</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM-SLUH Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
        </USAddress>
        <EIN>474196634</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SSM Health Care St Louis</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SSM Health Plan</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1277 Deming Way</AddressLine1Txt>
          <CityNm>Madison</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53717</ZIPCd>
        </USAddress>
        <EIN>831979548</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(4)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SSM Health Businesses</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Agnesian Healthcare Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>430 E Division St</AddressLine1Txt>
          <CityNm>Fond du Lac</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54935</ZIPCd>
        </USAddress>
        <EIN>390807236</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>SSM Health Care of Wisconsin</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Ripon Medical Center Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>845 Parkside Street</AddressLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54971</ZIPCd>
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        <EIN>391101287</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Agnesian Healthcare Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Waupun Memorial Hospital Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>620 West Brown Street</AddressLine1Txt>
          <CityNm>Waupun</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53963</ZIPCd>
        </USAddress>
        <EIN>390806265</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Agnesian Healthcare Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>St Francis Home of Fond du Lac Wisconsin Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>33 Everett Street</AddressLine1Txt>
          <CityNm>Fond du Lac</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>54935</ZIPCd>
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        <EIN>391029998</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Agnesian Healthcare Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Sister Servants of Christ the King Villa Loretto</BusinessNameLine1Txt>
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          <AddressLine1Txt>N8114 County WW</AddressLine1Txt>
          <CityNm>Mount Calvary</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53057</ZIPCd>
        </USAddress>
        <EIN>391022770</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Agnesian Healthcare Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        <USAddress>
          <AddressLine1Txt>N8120 County WW</AddressLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
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        <EIN>421670962</EIN>
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          <BusinessNameLine1Txt>The Christian Home and Rehabilitation Center Incorporated</BusinessNameLine1Txt>
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          <StateAbbreviationCd>WI</StateAbbreviationCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <CityNm>Monroe</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53566</ZIPCd>
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          <ZIPCd>53566</ZIPCd>
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          <AddressLine1Txt>430 E Division St</AddressLine1Txt>
          <CityNm>Fond du Lac</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Shared Magnetic Resonance Imaging Facility Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1104 John Nolen Drive</AddressLine1Txt>
          <CityNm>Madison</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53713</ZIPCd>
        </USAddress>
        <EIN>391534744</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>SSM Health Care of Wisconsin</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SSM St Joseph Endoscopy Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
        </USAddress>
        <EIN>270046559</EIN>
        <PrimaryActivitiesTxt>Surgery Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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        <USAddress>
          <AddressLine1Txt>707 14th Street Suite A</AddressLine1Txt>
          <CityNm>Baraboo</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53913</ZIPCd>
        </USAddress>
        <EIN>200122365</EIN>
        <PrimaryActivitiesTxt>Diag. Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Mt Vernon Radiation Therapy Center LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
        </USAddress>
        <EIN>201382620</EIN>
        <PrimaryActivitiesTxt>Radiation Therapy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Sleep &amp; Neurology Center of Southern Illinois LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10101 Woodfield Lane</AddressLine1Txt>
          <CityNm>St Louis</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63132</ZIPCd>
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          <ZIPCd>63132</ZIPCd>
        </USAddress>
        <EIN>264031708</EIN>
        <PrimaryActivitiesTxt>Pharmacy</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Dane County Cytology Center Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2000 Engel Street Suite 201</AddressLine1Txt>
          <CityNm>Madison</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53713</ZIPCd>
        </USAddress>
        <EIN>391414219</EIN>
        <PrimaryActivitiesTxt>Medical Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SSM Health Insurance Company</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1277 Deming Way</AddressLine1Txt>
          <CityNm>Madison</CityNm>
          <StateAbbreviationCd>WI</StateAbbreviationCd>
          <ZIPCd>53717</ZIPCd>
        </USAddress>
        <EIN>834718249</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
