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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SISTER DINAH WHITE DC</BusinessNameLine1Txt>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>BRIAN WILCOX MD</BusinessNameLine1Txt>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JOHN JAY WILLIAMS MD</BusinessNameLine1Txt>
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        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MARK PEACOCK MD</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CRAIG POLKOW</BusinessNameLine1Txt>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>7.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>35900</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>KAREN SPRINGER</BusinessNameLine1Txt>
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        <TitleTxt>EVP &amp; COO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18943</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JAMES BAKER II MD</BusinessNameLine1Txt>
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        <TitleTxt>PHYSICIAN</TitleTxt>
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        <OtherCompensationAmt>26463</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JOSEPH BOYD MD</BusinessNameLine1Txt>
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        <TitleTxt>PHYSICIAN</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>STEPHEN FAHRIG MD</BusinessNameLine1Txt>
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        <TitleTxt>PHYSICIAN</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MARK KOENIG MD</BusinessNameLine1Txt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>WESLEY LITTRELL</BusinessNameLine1Txt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ALAN STRAUSS</BusinessNameLine1Txt>
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        <ReportableCompFromRltdOrgAmt>1184936</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19005</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>1184936</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>242514</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>127</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>448743</TotalContributionsAmt>
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        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>206421587</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621111</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>446110</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>523999</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621910</BusinessCd>
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        <ExclusionAmt>21411377</ExclusionAmt>
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        <RealAmt>18000</RealAmt>
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        <PersonalAmt>0</PersonalAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-27268</TotalRevenueColumnAmt>
        <ExclusionAmt>-27268</ExclusionAmt>
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        <BusinessCd>621990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4524</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4642944</UnrelatedBusinessRevenueAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Shared Savings Revenue</Desc>
        <BusinessCd>621111</BusinessCd>
        <TotalRevenueColumnAmt>1413853</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1413853</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Vending Revenue (Coke)</Desc>
        <BusinessCd>722210</BusinessCd>
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        <ExclusionAmt>610170</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>784286</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>108756</UnrelatedBusinessRevenueAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>278760998</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>5912304</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>21994279</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>448153</TotalAmt>
        <ProgramServicesAmt>448153</ProgramServicesAmt>
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        <ProgramServicesAmt>3924171</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>919009</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>12198652</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>3166827</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>1570841</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5606858</ProgramServicesAmt>
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        <ProgramServicesAmt>2734359</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>1747143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>194127</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5177762</ProgramServicesAmt>
        <ManagementAndGeneralAmt>575307</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>653393</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163348</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>426546</ProgramServicesAmt>
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        <ProgramServicesAmt>50742</ProgramServicesAmt>
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        <ProgramServicesAmt>697708</ProgramServicesAmt>
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        <ProgramServicesAmt>13104989</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Collection Agency Fees</Desc>
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        <ProgramServicesAmt>1724065</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Dues and Subscriptions</Desc>
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        <ProgramServicesAmt>1135533</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Minor Equipment</Desc>
        <TotalAmt>436375</TotalAmt>
        <ProgramServicesAmt>349102</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>239000018</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44974428</ManagementAndGeneralAmt>
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        <EOYAmt>262400</EOYAmt>
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        <EOYAmt>5609028</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>1046848</EOYAmt>
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        <EOYAmt>7153837</EOYAmt>
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        <EOYAmt>12783082</EOYAmt>
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      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>8383667</EOYAmt>
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        <EOYAmt>28614863</EOYAmt>
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        <BOYAmt>719207515</BOYAmt>
        <EOYAmt>787696226</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>851549951</EOYAmt>
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        <EOYAmt>24805881</EOYAmt>
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        <EOYAmt>152444</EOYAmt>
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        <EOYAmt>20126806</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>45729000</BOYAmt>
        <EOYAmt>45085131</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>737875320</BOYAmt>
        <EOYAmt>806464820</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>737875320</BOYAmt>
        <EOYAmt>806464820</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>783604320</BOYAmt>
        <EOYAmt>851549951</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
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      <OtherLiabilitiesOrgGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <ExplanationTxt>From the consolidated audited financial statements of Ascension Health Alliance and its member organizations ("The System") which include the activity of Saint Thomas Health: The System accounts for uncertainty in income tax provisions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2015.</ExplanationTxt>
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      <RecipientTable>
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      <RecipientTable>
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        <ExplanationTxt>Organizations requesting grants are asked to submit a request in writing which identifies the community health need the grant will be addressing, along with goals and objectives. Requests are reviewed by the Saint Thomas Health Community Health &amp; Benefit Committee prior to approval. Awarded grantees are asked to submit a report of program/event activities. It is requested the report include demographic summary of population benefited and achieved objectives and impact on health. The reports are reviewed by the Community Health &amp; Benefit Team in a broad manner upon receipt, but will be more thoroughly scrutinized if the grant recipient comes back to ask for a renewal or another grant.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>Organizations requesting grants are asked to submit a request in writing which identifies the community health need the grant will be addressing, along with goals and objectives. Requests are reviewed by the Saint Thomas Health Community Health &amp; Benefit Committee prior to approval. Awarded grantees are asked to submit a report of program/event activities. It is requested the report include demographic summary of population benefited and achieved objectives and impact on health. The reports are reviewed by the Community Health &amp; Benefit Team in a broad manner upon receipt, but will be more thoroughly scrutinized if the grant recipient comes back to ask for a renewal or another grant.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>KAREN SPRINGER</BusinessNameLine1Txt>
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        <TitleTxt>EVP &amp; COO</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>5943</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JAMES BAKER II MD</BusinessNameLine1Txt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18663</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JOSEPH BOYD MD</BusinessNameLine1Txt>
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        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>576292</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>622291</BonusFilingOrganizationAmount>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>STEPHEN FAHRIG MD</BusinessNameLine1Txt>
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        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>721799</BaseCompensationFilingOrgAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MARK KOENIG MD</BusinessNameLine1Txt>
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        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>VAFA MANSOURI MD</BusinessNameLine1Txt>
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        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>648492</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>537019</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2053</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>A portion of the compensation paid to Michael Schatzlein, MD is for services provided to other Ascension Health Alliance related organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2014 COMPENSATION AMOUNTS SHOWN FOR ALAN STRAUSS WERE PAID BY A RELATED ORGANIZATION FOR HIS SERVICES AS THE CFO OF THE RELATED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals received severance payments in the amount noted: Wesley Littrell $355,904</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. There were no payments made from the supplemental nonqualified retirement plan.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="14000329" softwareVersionNum="2014v1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 1,385,790 including grants of $ 0)(Revenue $ 833,939) THE DISPENSARY OF HOPE IS THE NATION'S ONLY FULLY-LICENSED, CHARITABLE, MEDICATION DISTRIBUTOR THAT WORKS ACROSS THE ENTIRE SPECTRUM OF HEALTH CARE. THROUGH INNOVATIVE STEWARDSHIP OF THE PHARMACEUTICAL SUPPLY-CHAIN, THE DISPENSARY OF HOPE DISTRIBUTES MEDICATIONS FROM MANUFACTURERS, DISTRIBUTORS, AND PROVIDERS TO CHARITABLE CLINICS AND PHARMACIES SERVING THE POOR AND UNINSURED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 1,318,920 including grants of $)(Revenue $ 1,509,082) SAINT THOMAS RESEARCH INSTITUTE IS A COMMUNITY-BASED CLINICAL RESEARCH SITE BASED IN NASHVILLE, TENNESSEE. FOCUSED ON HIGH QUALITY RESEARCH PRACTICES, THE INSTITUTE WORKS EFFECTIVELY WITH SPONSORS, PHYSICIANS, AND PATIENTS TO IMPROVE THE HEALTH OF THE COMMUNITY BY CONDUCTING RESEARCH. ACTING AS A PARTNER AND SYSTEM-WIDE RESOURCE, SAINT THOMAS RESEARCH INSTITUTE LAUNCHES STUDIES AND ENROLLS PATIENTS QUICKLY, WHICH ALLOWS PHYSICIANS TO SPEND MORE TIME WITH THEIR PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 BUSINESS RELATIONSHIPS</FormAndLineReferenceDesc>
        <ExplanationTxt>MANY OF THE PERSONS LISTED ON PART VII HAVE A "BUSINESS RELATIONSHIP" WITH EACH OTHER BY VIRTUE OF SITTING ON RELATED SAINT THOMAS HEALTH ENTITY BOARDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Thomas Health has a single corporate member, Ascension Health.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Saint Thomas Health has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of Saint Thomas Health.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations &amp; major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic &amp; financial plans; assets; system policies &amp; procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>In determining the compensation of the organization's CEO, the process, performed by Ascension Health, a related organization of Saint Thomas Health, included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the CEO was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes. The individual was not present when his compensation was decided. In determining the compensation of other officers of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were individuals at other health systems in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when compensation was decided.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization will provide any documents open to public inspection upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section B, Line 1 Independent Contractor Reporting</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Dispensary of Hope - Total Revenue: 483691, Related or Exempt Function Revenue: 483691, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Ancillary Revenue - Total Revenue: -24003, Related or Exempt Function Revenue: -24003, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Revenue - Total Revenue: 675530, Related or Exempt Function Revenue: 675530, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Managed Care Contract - Total Revenue: 108756, Related or Exempt Function Revenue: , Unrelated Business Revenue: 108756, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased Services - Total Expense: 70214352, Program Service Expense: 63192917, Management and General Expenses: 7021435, Fundraising Expenses: ; Consulting - Total Expense: 3473852, Program Service Expense: 3126467, Management and General Expenses: 347385, Fundraising Expenses: ; Physician Fees - Total Expense: 5673876, Program Service Expense: 5106488, Management and General Expenses: 567388, Fundraising Expenses: ; Other - Total Expense: 2033256, Program Service Expense: 1829930, Management and General Expenses: 203326, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfer to/from Ascension for Pension - -4966461; Transfer to/from Ascension - -25675353; IntraCompany Write-Downs - XXX-XX-XXXX;</ExplanationTxt>
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          <BusinessNameLine1Txt>DISPENSARY OF HOPE LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>102 WOODMONT BOULEVARD</AddressLine1Txt>
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        <PrimaryActivitiesTxt>OPERATES PHARMACEUTICAL WOLESALER/DISTRIBUTOR AND MAIL ORDER PHARMACY</PrimaryActivitiesTxt>
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        <TotalIncomeAmt>833939</TotalIncomeAmt>
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        <EIN>205753831</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <TotalIncomeAmt>34420683</TotalIncomeAmt>
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          <CityNm>NASHVILLE</CityNm>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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        <EIN>311662309</EIN>
        <PrimaryActivitiesTxt>NATIONAL HEALTH SYSTEM</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37205</ZIPCd>
        </USAddress>
        <EIN>620347580</EIN>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT THOMAS NETWORK</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4220 HARDING ROAD</AddressLine1Txt>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37205</ZIPCd>
        </USAddress>
        <EIN>621284994</EIN>
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        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT THOMAS HEALTH FOUNDATIONS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 380</AddressLine1Txt>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
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        <EIN>581663055</EIN>
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        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT THOMAS RUTHERFORD HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1700 MEDICAL CENTER PARKWAY</AddressLine1Txt>
          <CityNm>MURFREESBORO</CityNm>
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        </USAddress>
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        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
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        <USAddress>
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          <BusinessNameLine1Txt>SAINT THOMAS RUTHERFORD HOSPITAL</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SAINT THOMAS MIDTOWN HOSPITAL</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4220 HARDING ROAD</AddressLine1Txt>
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        </USAddress>
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        <PrimaryActivitiesTxt>ACUTE CARE HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SAINT THOMAS HEALTH</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BAPTIST HOSPITAL FOUNDATION OF NASHVILLE INC</BusinessNameLine1Txt>
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        <USAddress>
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        <PrimaryActivitiesTxt>INACTIVE</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        </USAddress>
        <EIN>581509251</EIN>
        <PrimaryActivitiesTxt>COMMUNITY HEALTH PROMOTION</PrimaryActivitiesTxt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BAPTIST HEALTH CARE GROUP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2000 CHURCH STREET</AddressLine1Txt>
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          <StateAbbreviationCd>TN</StateAbbreviationCd>
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        </USAddress>
        <EIN>621529858</EIN>
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        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
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        </USAddress>
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        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SAINT THOMAS HICKMAN HOSPITAL</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
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        </RelatedOrganizationName>
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        <PrimaryActivitiesTxt>OWNS AND OPERATES SPECIALTY HOSPITAL</PrimaryActivitiesTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
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        <PrimaryActivitiesTxt>OPERATES OUTPATIENT SURGERY CENTER</PrimaryActivitiesTxt>
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        </DirectControllingEntityName>
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      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
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        <PrimaryActivitiesTxt>OPERATES A SLEEP CENTER</PrimaryActivitiesTxt>
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        </DirectControllingEntityName>
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        <PrimaryActivitiesTxt>OPERATES OUTPATIENT SURGERY CENTER</PrimaryActivitiesTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
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        <PrimaryActivitiesTxt>AMBULATORY SURGERY CENTER</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>MIDDLE TENNESSEE IMAGING LLC</BusinessNameLine1Txt>
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        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
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          <AddressLine1Txt>102 WOODMONT BOULEVARD SUITE 700</AddressLine1Txt>
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          <BusinessNameLine1Txt>BAPTIST HEALTH CARE VENTURES INC</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MISSIONPOINT HEALTH PARTNERS</BusinessNameLine1Txt>
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          <AddressLine1Txt>102 WOODMONT BOULEVARD SUITE 700</AddressLine1Txt>
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          <BusinessNameLine1Txt>SAINT THOMAS HEALTH</BusinessNameLine1Txt>
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      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
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      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Saint Thomas Health Foundations</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Saint Thomas Medical Partners</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>Actual Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>Saint Thomas Network</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Thomas Hickman Hospital</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>Actual Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Thomas Midtown Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>387067815</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Thomas Rutherford Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>202439744</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Sova Inc</BusinessNameLine1Txt>
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        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>268459</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Thomas West Hospital</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>841959696</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Saint Thomas Home Care</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>888483</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MissionPoint Health Partners</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>4014796</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Ascension Health</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>5077975</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Ascension Health</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>31383652</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Actual Amount Transferred</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
