﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-05-09T08:47:24-05:00</Timestamp>
    <TaxPeriodEndDate>2013-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>470617373</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
        <City>ENGLEWOOD</City>
        <State>CO</State>
        <ZIPCode>80112</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>421323808</EIN>
      <Name>
        <BusinessNameLine1>HOUSE OF MERCY</BusinessNameLine1>
      </Name>
      <NameControl>HOUS</NameControl>
      <Phone>5156437302</Phone>
      <USAddress>
        <AddressLine1>1111 6TH AVENUE</AddressLine1>
        <City>DES MOINES</City>
        <State>IA</State>
        <ZIPCode>50314</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>MIKE WEGNER</Name>
      <Title>SVP/CFO MMC</Title>
      <DateSigned>2014-05-15</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Pamela Krohn</Name>
      <PTIN>P01210500</PTIN>
      <Phone>3032989100</Phone>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="IRS990" softwareId="12000266" softwareVersion="v2012.1.0">
      <NameOfPrincipalOfficerBusiness>
        <BusinessNameLine1>TODD C BEVERIDGE</BusinessNameLine1>
      </NameOfPrincipalOfficerBusiness>
      <AddressPrincipalOfficerUS>
        <AddressLine1>1111 6TH AVENUE</AddressLine1>
        <City>DES MOINES</City>
        <State>IA</State>
        <ZIPCode>50314</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>6212591</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <GroupExemptionNumber>0928</GroupExemptionNumber>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.HOUSEOFMERCYDESMOINES.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1988</YearFormation>
      <StateLegalDomicile>IA</StateLegalDomicile>
      <ActivityOrMissionDescription>DEDICATED TO ASSISTING PREGNANT, PARENTING AND NON-PARENTING WOMEN IN DEVELOPING RESPONSIBILITY AND INDEPENDENCE THROUGH COUNSELING, EDUCATION AND MEDICAL CARE IN COLLABORATION WITH PROVIDERS.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>21</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>19</NbrIndependentVotingMembers>
      <TotalNbrEmployees>0</TotalNbrEmployees>
      <TotalNbrVolunteers>21</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>3645931</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>3556812</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>2176344</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>2342541</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>0</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>0</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>203724</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>288648</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>6025999</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>6188001</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>0</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>0</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>0</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>5479931</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>5644314</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>5479931</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>5644314</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>546068</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>543687</RevenuesLessExpensesCY>
      <TotalAssetsBOY>1206348</TotalAssetsBOY>
      <TotalAssetsEOY>1661604</TotalAssetsEOY>
      <TotalLiabilitiesBOY>201894</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>113463</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>1004454</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>1548141</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>5249256</Expense>
      <Grants>0</Grants>
      <Revenue>2342541</Revenue>
      <Description>SEE SCHEDULE O</Description>
      <TotalProgramServiceExpense>5249256</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds>false</DonorAdvisedFunds>
      <ConservationEasements>false</ConservationEasements>
      <CollectionsOfArt>false</CollectionsOfArt>
      <CreditCounseling>false</CreditCounseling>
      <TermOrPermanentEndowments>false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities>false</ReportInvestOthSecurities>
      <ReportProgRelInvest>false</ReportProgRelInvest>
      <ReportOtherAssets>false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt>false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="IRS990ScheduleL">true</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>0</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>0</NumberOfEmployees>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>21</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>19</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>true</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>false</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>false</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>RANDALL L RUBIN</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>5156437307</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>BARBARA HODNE</NamePerson>
        <Title>CHAIRMAN</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EMILY ECKMAN</NamePerson>
        <Title>VICE CHAIRMAN</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANNE HAPPEL</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ASHLEY SHAFER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRADLEY REIMAN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DON NICKERSON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DON SCANDRETT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELIZABETH A COONAN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HEATHER CAMPBELL</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JIM THOMPSON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KARLA A OLSON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LIZ MYERS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL DEE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHELLE PARKS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MIKE CROWLEY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NANCY BALL</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL DREY</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PENNY THOMPSON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICK BALL</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROGER GREFE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>1.00</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SAM J BILLMEYER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TODD BEVERIDGE</NamePerson>
        <Title>TREASURER/SECRETARY</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <AverageHoursPerWeekRelated>0</AverageHoursPerWeekRelated>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>125082</ReportableCompFromRelatedOrgs>
        <OtherCompensation>26991</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>0</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>125082</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>26991</TotalOtherCompensation>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SECURITAS SECURITY SERVICES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>12672 COLLECTION DR</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60690</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SECURITY SERVICES</DescriptionOfServices>
        <Compensation>193331</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>1</NumberOfContractorsGT100K>
      <RelatedOrganizations>2453387</RelatedOrganizations>
      <GovernmentGrants>1067760</GovernmentGrants>
      <AllOtherContributions>35665</AllOtherContributions>
      <TotalContributions>3556812</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PROGRAM SERVICE REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2342541</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2342541</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>2342541</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>66947</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>24590</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>42357</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>42357</TotalRevenueColumn>
        <ExclusionAmount>42357</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GainOrLoss>
        <Securities>0</Securities>
        <Other>0</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>CAFETERIA</Description>
        <BusinessCode>722100</BusinessCode>
        <TotalRevenueColumn>129682</TotalRevenueColumn>
        <ExclusionAmount>129682</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>LABORATORY SERVICES</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>116609</TotalRevenueColumn>
        <ExclusionAmount>116609</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>246291</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>6188001</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2342541</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>288648</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>0</Total>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>0</Total>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>0</Total>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>0</Total>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>4201869</Total>
        <ProgramServices>4080480</ProgramServices>
        <ManagementAndGeneral>121389</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>470438</Total>
        <ProgramServices>430415</ProgramServices>
        <ManagementAndGeneral>40023</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>239241</Total>
        <ProgramServices>221715</ProgramServices>
        <ManagementAndGeneral>17526</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>31171</Total>
        <ProgramServices>25754</ProgramServices>
        <ManagementAndGeneral>5417</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>154</Total>
        <ProgramServices>154</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>49489</Total>
        <ProgramServices>49489</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>REPAIRS AND MAINTENANCE</Description>
        <Total>195351</Total>
        <ProgramServices>195351</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CHI IA MBO ASSESSMENT</Description>
        <Total>193905</Total>
        <ManagementAndGeneral>193905</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>30684</Total>
        <ProgramServices>30684</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>29662</Total>
        <ProgramServices>12864</ProgramServices>
        <ManagementAndGeneral>16798</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>202350</Total>
        <ProgramServices>202350</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>5644314</Total>
        <ProgramServices>5249256</ProgramServices>
        <ManagementAndGeneral>395058</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <TotalJointCosts>
        <Total>0</Total>
      </TotalJointCosts>
      <CashNonInterestBearing>
        <BOY>3000</BOY>
        <EOY>3000</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>260561</BOY>
        <EOY>271151</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>493088</BOY>
        <EOY>833849</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <LandBuildingsEquipmentBasis>2393267</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1839663</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>449699</BOY>
        <EOY>553604</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>1206348</BOY>
        <EOY>1661604</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>34391</BOY>
        <EOY>67029</EOY>
      </AccountsPayableAccruedExpenses>
      <LoansFromOfficersDirectors>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <OtherLiabilities>
        <BOY>167503</BOY>
        <EOY>46434</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>201894</BOY>
        <EOY>113463</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>1004454</BOY>
        <EOY>1548141</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>1004454</BOY>
        <EOY>1548141</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1206348</BOY>
        <EOY>1661604</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>543687</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000266" softwareVersion="v2012.1.0">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>1974346</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5315623</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2505445</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3645931</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3556812</CurrentTaxYear>
        <Total>16998157</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>1974346</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5315623</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2505445</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3645931</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3556812</CurrentTaxYear>
        <Total>16998157</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>16998157</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>67367</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>73533</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>59053</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>66619</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>66947</CurrentTaxYear>
        <Total>333519</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>169152</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>134826</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>161705</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>246291</CurrentTaxYear>
        <Total>711974</Total>
      </OtherIncome170>
      <TotalSupport>18043650</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>8731053</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.94200</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.95410</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <GeneralExplanation>OTHER INCOME, SCHEDULE A, PART II, LINE 10, DESCRIPTION - LABORATORY SERVICES, COLUMN A - , COLUMN B - 106784, COLUMN C - 80816, COLUMN D - 108902, COLUMN E - 116609, COLUMN F - 413111; DESCRIPTION - CAFETERIA, COLUMN A - , COLUMN B - 62368, COLUMN C - 54010, COLUMN D - 52803, COLUMN E - 129682, COLUMN F - 298863;,</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000266" softwareVersion="v2012.1.0">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000266" softwareVersion="v2012.1.0">
      <Land>
        <OtherCostOrOtherBasis>4250</OtherCostOrOtherBasis>
        <BookValue>4250</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>20750</OtherCostOrOtherBasis>
        <Depreciation>5533</Depreciation>
        <BookValue>15217</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2132988</OtherCostOrOtherBasis>
        <Depreciation>1623491</Depreciation>
        <BookValue>509497</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>235279</OtherCostOrOtherBasis>
        <Depreciation>210639</Depreciation>
        <BookValue>24640</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <BookValue>0</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>553604</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>INTERCOMPANY PAYABLES</Description>
        <Amount>46434</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>46434</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>FIN 48 (ASC 740) footnote</Identifier>
        <ReturnReference>Schedule D, Part X, Line 2</ReturnReference>
        <Explanation>HOUSE OF MERCY IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES - IOWA, CORP DBA MERCY MEDICAL CENTER - DES MOINES ("CHI-IOWA, CORP.") A RELATED ORGANIZATION. BELOW IS THE TEXT OF THE FOOTNOTE FROM THOSE FINANCIAL STATEMENTS: "THE CORPORATION AND ALL SUBSIDIARIES, EXCEPT MPA, AND DMMC ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER 501(C)(3) OF THE CODE. ASC 740, INCOME TAXES, PRESCRIBES CRITERIA FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. MANAGEMENT HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT HAVE NOT BEEN REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED JUNE 30, 2009 THROUGH JUNE 20, 2013."</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000266" softwareVersion="v2012.1.0">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>TODD BEVERIDGE</NamePerson>
        <Title>TREASURER/SECRETARY</Title>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>116063</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>7501</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1518</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>14786</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>12205</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>152073</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 3</ReturnReference>
        <Explanation>COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CHI IOWA CORP, A RELATED ORGANIZATION. THE FOLLOWING METHODS WERE USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERENCE OR CHANGE-OF-CONTROL PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4A</ReturnReference>
        <Explanation>POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POSTTERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2012 CALENDAR YEAR.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>DURING THE 2012 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. NONE OF THE INTERESTED PERSONS OF HOUSE OF MERCY PARTICIPATED IN THE PLAN DURING THE YEAR.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="12000266" softwareVersion="v2012.1.0">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>BALL CONSTRUCTION SERVICES LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER OWNS 50%</Relationship>
        <AmountOfTransaction>153394</AmountOfTransaction>
        <DescriptionOfTransaction>ENTRYWAY REMODEL</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000266" softwareVersion="v2012.1.0">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>I. INTRODUCTION: ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE IN 1988, IOWA RESIDENTS WERE CONFRONTED WITH DATA SHOWING A HIGH RATE OF INFANT MORTALITY IN DES MOINES AND POLK COUNTY. MANY CAUSES WERE CITED: SUBSTANCE ABUSE; PHYSICAL ABUSE; HOMELESSNESS; LACK OF PRENATAL CARE; LACK OF INSURANCE; AND, ALL TOO OFTEN, SIMPLY A LACK OF HOPE. IN RESPONSE TO THIS SITUATION, MERCY MEDICAL CENTER - DES MOINES AND THE SISTERS OF MERCY, FOUNDED "HOUSE OF MERCY." SISTER MARY BRIGID CONDON LED THE CHARGE, MODELING IT AFTER THE FIRST "HOUSE OF MERCY" FOUNDED IN DUBLIN, IRELAND BY SISTER CATHERINE MCCAULEY, FOUNDRESS OF THE SISTERS OF MERCY. LOCATED ON SIX ACRES OF LAND IN DES MOINES' INNER CITY, A FEDERALLY DESIGNATED ENTERPRISE COMMUNITY, HOUSE OF MERCY'S INITIAL FOCUS WAS ON ASSISTING PREGNANT, PARENTING, AND NON-PARENTING WOMEN IN DEVELOPING PERSONAL RESPONSIBILITY AND INDEPENDENCE THROUGH COUNSELING, EDUCATION, AND PRIMARY MEDICAL CARE IN COLLABORATION WITH OTHER PROVIDERS. OVER THE YEARS, HOUSE OF MERCY'S MISSION AND SERVICES HAVE EXPANDED TO NOW ADDRESS THE UNMET HEALTH AND HUMAN SERVICE NEEDS OF THOSE IN THE COMMUNITY (REGARDLESS OF GENDER AND PARENTING STATUS) FOR WHOM ACCESS TO SERVICES IS DIFFICULT. OUR CURRENT VISION IS TO BE A PREEMINENT PROVIDER OF HEALTH, WELLNESS, AND HUMAN SERVICES TO THOSE FOR WHOM ACCESS TO CARE/SERVICES IS DIFFICULT. IN KEEPING WITH THIS VISION HOUSE OF MERCY IS COMMITTED TO: *INSURING THE SAFETY, HEALTH, AND WELL-BEING OF CHILDREN. *BUILDING HEALTHY FAMILIES. *SUPPORTING AT-RISK INDIVIDUALS IN THEIR DEVELOPMENT OF A POSITIVE SELF-REGARD. *ASSISTING CHEMICALLY DEPENDENT MEN AND WOMEN, OF ALL AGES, IN ACHIEVING AND MAINTAINING A LIFE OF QUALITY RECOVERY. *ASSISTING CHEMICALLY DEPENDENT INDIVIDUALS IN BECOMING SELF-SUFFICIENT THROUGH THE ENHANCEMENT OF THEIR EDUCATIONAL STATUS AND DEVELOPMENT OF THE SKILLS NECESSARY TO SEEK AND MAINTAIN MEANINGFUL EMPLOYMENT. *PROMOTING COMMUNITY BEHAVIORAL HEALTH THROUGH THE PROVISION OF QUALITY OUTPATIENT BEHAVIORAL HEALTH SERVICES TO MEN AND WOMEN OF ALL AGES. *PROVIDING WOMEN AND WOMEN WITH CHILDREN WITH SAFE, SECURE, THERAPEUTICALLY SUPPORTIVE HOUSING SERVICES. HOUSE OF MERCY IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT ENTITY. SERVICES ARE PROVIDED TO THE COMMUNITY ON A NON-DISCRIMINATORY BASIS AND GOVERNED BY A BOARD IN WHICH INDEPENDENT PERSONS, REPRESENTATIVE OF THE COMMUNITY, COMPRISE THE MAJORITY. HOUSE OF MERCY RECEIVES FUNDING FROM GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS LIKE MEDICAID. II. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT SUPPORTIVE COMMUNITY LIVING SERVICES PROGRAMMING PROJECT TOGETHER IS A CHEMICAL DEPENDENCY TREATMENT PROGRAM OFFERING HIGH INTENSITY RESIDENTIAL - III.5; MEDIUM INTENSITY RESIDENTIAL - III.3; AND LOW INTENSITY RESIDENTIAL - III.1 LEVELS OF CARE TO HOMELESS/NON-HOMELESS, CHEMICALLY DEPENDENT, PREGNANT AND/OR PARENTING WOMEN WHO ARE IN NEED OF ASSISTANCE WITH RECOVERY, SELF-SUFFICIENCY, PARENTING, AND LIFE SKILLS. HOUSE OF MERCY SUBSCRIBES TO A PHILOSOPHY OF CARE THAT FOCUSES ON ACCESS, ENGAGEMENT, RETENTION, AND OUTCOMES. ALL PARTICIPATING PERSONS IN RECOVERY HAVE ACCESS TO NOT ONLY SUBSTANCE ABUSE TREATMENT SERVICES BUT ALSO CO-OCCURRING TREATMENT ASSISTANCE (SUCH AS PROBLEM GAMBLING, MENTAL HEALTH, AND PHYSICAL HEALTH CONCERNS) THROUGH A RECOVERY-ORIENTED SYSTEM OF CARE. PARTICIPANTS WORK WITH A COUNSELOR TO DEVELOP AND IMPLEMENT AN INDIVIDUALIZED TREATMENT PLAN THAT COLLABORATIVELY ADDRESSES THE ISSUES WHICH BROUGHT THEM TO HOUSE OF MERCY. PROGRAMMING IS HOLISTIC IN SCOPE, RESEARCH/BEST PRACTICES-BASED, GENDER-SPECIFIC, AND UNIQUE IN THAT IT ALLOWS FOR MOTHERS TO PURSUE TREATMENT WHILE STILL RESIDING WITH THEIR CHILDREN. KEEPING MOTHERS AND THEIR CHILDREN TOGETHER OR REUNITING THEM AFTER A PROLONGED ABSENCE IS IMPORTANT TO THE HEALING PROCESS. PARTICIPANTS (AND THEIR CHILDREN) HAVE ACCESS TO: INDIVIDUAL AND GROUP THERAPY; 12-STEP MEETINGS; ASSERTIVENESS/COMMUNICATION EDUCATION; TRAUMA EDUCATION AND COUNSELING; MENTAL HEALTH COUNSELING; LIFE SKILLS EDUCATION; SMOKING EDUCATION AND CESSATION SERVICES; PRIMARY MEDICAL CARE (INCLUDING PRENATAL CARE); PRIMARY PEDIATRIC CARE (INCLUDING IMMUNIZATIONS); CHILD CARE; THERAPEUTIC INTERVENTIONS TO ADDRESS RELATIONSHIP, SEXUAL AND PHYSICAL ABUSE ISSUES; GENDER SPECIFIC SERVICES; URINALYSIS RELATED TO SUBSTANCE ABUSE SERVICES; AND, PARENTING EDUCATION AND SKILL DEVELOPMENT SESSIONS. WHEN PARTICIPANTS HAVE DEMONSTRATED PROGRESS AND STABILITY IN THE AREAS OF RECOVERY AND PARENTING, THEY EXPAND THEIR TREATMENT FOCUS TO INCLUDE SELF-SUFFICIENCY PROGRAMMING. THIS INCLUDES, BUT IS NOT LIMITED TO, GED CLASSES AND COLLEGE COURSES, JOB SKILL TRAINING SESSIONS, EMPLOYMENT SEARCH INITIATIVES, MONEY MANAGEMENT AND DEBT REPARATION ACTIVITIES, ETC. ALL PROGRAMMING IS RESPECTFUL OF CLIENT ISSUES RELATED TO DIVERSITY INCLUDING LANGUAGE, CULTURE, RELIGION, ETHNICITY, AND DISABILITY. SPECIALIZED EFFORTS ARE DIRECTED TOWARDS PROVIDING SERVICES SENSITIVE TO THE NEEDS OF THOSE SERVED (E.G. INTERPRETER SERVICES, USE OF CULTURALLY SPECIFIC MEDIA, ETC.). DURING THE TIME PERIOD JULY 2012 THROUGH JUNE 2013: 158 WOMEN AND 219 CHILDREN RECEIVED RESIDENTIAL SERVICES RESULTING IN 22,489 BED DAYS OF CARE BEING PROVIDED. PROJECT TOGETHER II IS A CHEMICAL DEPENDENCY TREATMENT PROGRAM OFFERING HIGH INTENSITY RESIDENTIAL - III.5; MEDIUM INTENSITY RESIDENTIAL - III.3; AND LOW INTENSITY RESIDENTIAL - III.1 LEVELS OF CARE TO HOMELESS/NON-HOMELESS WOMEN (REGARDLESS OF PARENTING STATUS) WHO ARE IN NEED OF ASSISTANCE WITH RECOVERY, SELF-SUFFICIENCY, PARENTING (IN MOST INSTANCES), AND LIFE SKILLS. HOUSE OF MERCY SUBSCRIBES TO A PHILOSOPHY OF CARE THAT FOCUSES ON ACCESS, ENGAGEMENT, RETENTION, AND OUTCOMES. ALL PARTICIPATING PERSONS IN RECOVERY HAVE ACCESS TO NOT ONLY SUBSTANCE ABUSE SERVICES BUT ALSO CO-OCCURRING TREATMENT ASSISTANCE (SUCH AS PROBLEM GAMBLING, MENTAL HEALTH, AND PHYSICAL HEALTH CONCERNS) THROUGH A RECOVERY-ORIENTED SYSTEM OF CARE. PARTICIPANTS WORK WITH A COUNSELOR TO DEVELOP AND IMPLEMENT AN INDIVIDUALIZED TREATMENT PLAN THAT COLLABORATIVELY ADDRESSES THE ISSUES WHICH BROUGHT THEM TO HOUSE OF MERCY. PROGRAMMING IS HOLISTIC IN SCOPE, RESEARCH/BEST PRACTICES-BASED, GENDER-SPECIFIC, AND UNIQUE IN THAT IT ALLOWS FOR MOTHERS TO PURSUE TREATMENT WHILE STILL RESIDING WITH THEIR CHILDREN. KEEPING MOTHERS AND THEIR CHILDREN TOGETHER OR REUNITING THEM AFTER A PROLONGED ABSENCE IS IMPORTANT TO THE HEALING PROCESS. PARTICIPANTS (AND THEIR CHILDREN) HAVE ACCESS TO: INDIVIDUAL AND GROUP THERAPY; 12-STEP MEETINGS; ASSERTIVENESS/COMMUNICATION EDUCATION; TRAUMA EDUCATION AND COUNSELING; MENTAL HEALTH COUNSELING; LIFE SKILLS EDUCATION; SMOKING EDUCATION AND CESSATION SERVICES; PRIMARY MEDICAL CARE (INCLUDING PRENATAL CARE); PRIMARY PEDIATRIC CARE (INCLUDING IMMUNIZATIONS); CHILD CARE; THERAPEUTIC INTERVENTIONS TO ADDRESS RELATIONSHIP, SEXUAL AND PHYSICAL ABUSE ISSUES; GENDER SPECIFIC SERVICES; URINALYSIS RELATED TO SUBSTANCE ABUSE SERVICES; AND, PARENTING EDUCATION AND SKILL DEVELOPMENT SESSIONS. WHEN PARTICIPANTS HAVE DEMONSTRATED PROGRESS AND STABILITY IN THE AREAS OF RECOVERY AND PARENTING, THEY EXPAND THEIR TREATMENT FOCUS TO INCLUDE SELF-SUFFICIENCY PROGRAMMING. THIS INCLUDES, BUT IS NOT LIMITED TO, GED CLASSES AND COLLEGE COURSES, JOB SKILL TRAINING SESSIONS, EMPLOYMENT SEARCH INITIATIVES, MONEY MANAGEMENT AND DEBT REPARATION ACTIVITIES, ETC. ALL PROGRAMMING IS RESPECTFUL OF CLIENT ISSUES RELATED TO DIVERSITY INCLUDING LANGUAGE, CULTURE, RELIGION, ETHNICITY, AND DISABILITY. SPECIALIZED EFFORTS ARE DIRECTED TOWARDS PROVIDING SERVICES SENSITIVE TO THE NEEDS OF THOSE SERVED (E.G. INTERPRETER SERVICES, USE OF CULTURALLY SPECIFIC MEDIA, ETC.). DURING THE TIME PERIOD JULY 2012 THROUGH JUNE 2013: 169 WOMEN AND 180 CHILDREN RECEIVED RESIDENTIAL SERVICES RESULTING IN 18,708 BED DAYS OF CARE BEING PROVIDED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>IN TOUCH WITH TEENS IS A COMPREHENSIVE GROUP LIVING SERVICES PROGRAM THAT ENCOMPASSES A HOLISTIC APPROACH. THIS PROGRAM IS AVAILABLE TO ADOLESCENT WOMEN UP TO THE AGE OF 18 WHO PRESENT WITH A BEHAVIORAL-MEDICAL NEED. A UNIQUE ASPECT TO THIS SERVICE IS THE PROGRAM'S CAPACITY/FLEXIBILITY TO SERVE PREGNANT/PARENTING ADOLESCENT WOMEN, AS WELL AS, THOSE WHO ARE NOT IN NEED OF PARENTING SERVICES. SERVICES ARE AVAILABLE TO ADDRESS A VARIETY OF TREATMENT NEEDS INCLUDING, BUT NOT LIMITED TO: EMOTIONAL INADEQUACY; ABUSE VICTIMIZATION; DELINQUENCY; AND, BEHAVIORAL DISORDERS. HOUSE OF MERCY SUBSCRIBES TO A PHILOSOPHY OF CARE THAT FOCUSES ON ACCESS, ENGAGEMENT, RETENTION, AND OUTCOMES. ALL PARTICIPATING PERSONS IN RECOVERY HAVE ACCESS TO NOT ONLY SUBSTANCE ABUSE SERVICES BUT ALSO CO-OCCURRING ISSUES (SUCH AS PROBLEM GAMBLING, MENTAL HEALTH, AND PHYSICAL HEALTH CONCERNS) THROUGH A RECOVERY-ORIENTED SYSTEM OF CARE. ALL PREGNANT PARTICIPANTS ARE PROVIDED PRENATAL CARE IN ORDER TO BRING THEIR BABIES TO TERM IN A SAFE AND HEALTHY ENVIRONMENT, WHILE AT THE SAME TIME BRINGING ORDER TO THEIR LIVES. KEEPING MOTHERS AND THEIR CHILDREN TOGETHER IS IMPORTANT TO THE HEALING PROCESS AND PROVIDES TEACHING OPPORTUNITIES. COUNSELING STAFF WORK WITH THE WOMEN TO BUILD UPON THEIR EXISTING SKILLS AND DEVELOP NEW PARENTING APPROACHES. THE WOMEN WORK WITH A COUNSELOR TO DEVELOP AND IMPLEMENT AN INDIVIDUALIZED TREATMENT PLAN. EACH TEEN IS ASSIGNED A COUNSELOR WHO PROVIDES ONE-TO-ONE COUNSELING IN ADDITION TO GROUP AND FAMILY COUNSELING. PARTICIPANTS FOCUS ON THEIR OWN LIVES AND CAN PROCESS PAST EVENTS WITH A SUPPORTIVE ADULT. SPECIALTY SERVICES OFFERED INCLUDE: ANGER MANAGEMENT; HEALTHY RELATIONSHIPS; LIFE SKILLS TRAINING; HEALTH AND WELLNESS ACTIVITIES; SUBSTANCE ABUSE EDUCATION AND COUNSELING; MENTAL HEALTH TREATMENT SERVICES; AND, EDUCATION AND SKILL DEVELOPMENT SESSIONS. SPECIAL EMPHASIS IS PLACED ON CONTINUING THEIR EDUCATION WITH THE GOAL OF ATTAINING A HIGH SCHOOL DIPLOMA OR ITS EQUIVALENCY. JOB TRAINING ASSISTANCE IS PROVIDED WHEN APPROPRIATE. ALL PROGRAMMING IS RESPECTFUL OF CLIENT ISSUES RELATED TO DIVERSITY INCLUDING LANGUAGE, CULTURE, RELIGION, ETHNICITY, AND DISABILITY. SPECIALIZED EFFORTS ARE DIRECTED TOWARDS PROVIDING SERVICES SENSITIVE TO THE NEEDS OF THOSE SERVED (E.G. INTERPRETER SERVICES, USE OF CULTURALLY SPECIFIC MEDIA, ETC.). DURING THE TIME PERIOD JULY 2012 THROUGH JUNE 2013; 38 ADOLESCENT WOMEN AND 32 CHILDREN WERE PROVIDED RESIDENTIAL SERVICES RESULTING IN 3,174 BED DAYS OF CARE BEING PROVIDED. WITH AN INDEFINITE LENGTH OF STAY, HOUSE OF MERCY PERMANENT HOUSING ALLOWS PARTICIPANTS WITH SIGNIFICANT SUBSTANCE-RELATED/ADDICTIVE DISORDER USE HISTORIES AND CO-OCCURRING MENTAL HEALTH ISSUES AND/OR DISABILITIES MORE TIME TO IMPROVE FUNCTIONING WHILE RESIDING IN AN AFFORDABLE, SAFE, CLEAN, AND THERAPEUTICALLY SUPPORTIVE ENVIRONMENT. THE PROGRAM IS DESIGNED TO ASSIST HOMELESS OR FORMERLY HOMELESS INDIVIDUALS AND FAMILIES IN LIVING AS INDEPENDENTLY AS POSSIBLE, IN A PERMANENT SETTING, ALONG WITH OTHER RECOVERING WOMEN AND THEIR FAMILIES. SUPPORTIVE SERVICES THAT PROMOTE RESIDENTIAL STABILITY, INCREASED SKILL LEVEL AND/OR INCOME, AND GREATER SELF-DETERMINATION ARE EITHER PROVIDED ON-SITE OR COORDINATED BY STAFF AND PROVIDED BY OTHER PUBLIC OR PRIVATE AGENCIES. ALL PROGRAM PARTICIPANTS ARE ASKED TO: CONTINUE WORKING A POSITIVE RECOVERY PROGRAM INCLUDING SERVING AS A SUPPORT TO OTHER WOMEN IN THE PROGRAM; COMMIT TO DEVELOPING A SELF-SUFFICIENCY PROGRAM THAT HAS A FULL-TIME FOCUS ON EITHER EDUCATION, EMPLOYMENT OR A COMBINATION OF THE TWO; FURTHER DEVELOP CRITICAL LIFE SKILLS (E.G., PERSONAL FINANCE MANAGEMENT) THAT WILL ENHANCE THEIR ABILITY TO PROVIDE FOR THEMSELVES AND FAMILY; ACHIEVE STABILITY WITH RESPECT TO DECISION MAKING, EMOTIONAL HEALTH CIRCUMSTANCES, AND RELATIONSHIP CHOICES. ALL PARTICIPANTS ARE EXPECTED TO MAKE A SEVEN-MONTH MINIMUM LENGTH OF STAY COMMITMENT TO THE PROGRAM WITH NO MAXIMUM LENGTH OF STAY REQUIREMENT. DURING THE TIME PERIOD MARCH 2012 THROUGH FEBRUARY 2013: 17 ADULT WOMEN AND 24 CHILDREN PARTICIPATED IN THE PROGRAM. CHILD CARE PROGRAMMING HOUSE OF MERCY/JOHN R. GRUBB CHILD DEVELOPMENT CENTER IS A LICENSED AND NATIONALLY ACCREDITED CHILD-CARE FACILITY THAT SERVES THE CHILDREN OF HOUSE OF MERCY'S RESIDENTIAL CLIENTS. THE CENTER SERVES CHILDREN SIX WEEKS OLD THROUGH SCHOOL AGE. ON AVERAGE, TWENTY TO THIRTY PERCENT OF THE CHILDREN RESIDING AT HOUSE OF MERCY HAVE BEEN AFFECTED BY THE DRUG USE OF THEIR MOTHERS DURING PREGNANCY AND AS A RESULT HAVE SPECIAL NEEDS. SOME OF THESE CHILDREN ARE DEVELOPMENTALLY DELAYED AND SUFFER FROM FETAL ALCOHOL SYNDROME. ALL CHILDREN AT HOUSE OF MERCY QUALIFY AS AT-RISK CHILDREN. SERVICES PROVIDED BY THE CHILD DEVELOPMENT CENTER ARE AVAILABLE TO ANY CHILD OF A CLIENT PARTICIPATING IN HOUSE OF MERCY'S TRANSITIONAL HOUSING PROGRAM. A LIMITED NUMBER OF CHILD CARE SLOTS ARE ALSO AVAILABLE TO CLIENTS PARTICIPATING IN HOUSE OF MERCY'S PERMANENT HOUSING PROGRAM. TEACHERS PROVIDE A NON-BIASED, MULTI-CULTURAL, DEVELOPMENTALLY APPROPRIATE CURRICULUM. DEVELOPMENTAL ASSESSMENTS ARE COMPLETED REGULARLY ON ALL OF THE CHILDREN TO SUPPORT THEIR INDIVIDUAL LEARNING PLANS. CHILDREN ARE OFFERED EXPERIENCES DESIGNED TO PROMOTE POSITIVE SELF-CONCEPT, SOCIAL SKILLS, CRITICAL THINKING/PROBLEM SOLVING, LANGUAGE DEVELOPMENT, PHYSICAL DEVELOPMENT, AND CREATIVE EXPRESSION. CHILD DEVELOPMENT CENTER STAFF ALSO WORK WITH THE CLIENTS TO ASSIST THEM IN ENHANCING THEIR EXISTING SKILLS AND DEVELOPING NEW, MORE EFFECTIVE PARENTING APPROACHES. PARENTING EDUCATION IS AGE SPECIFIC AND COMPLIMENTED BY A STRUCTURED DAILY "FAMILY ACTIVITY" THAT FOCUSES ON ASSISTING MOTHERS IN THE DEVELOPMENT OF THE SKILLS THEY REQUIRE TO INTERACT APPROPRIATELY WITH THEIR CHILDREN. ON AVERAGE, 71 CHILDREN A MONTH RECEIVED CHILDCARE SERVICES DURING FY 2013. COMMUNITY SERVICES PROGRAMMING OUTPATIENT COUNSELING SERVICES ARE AVAILABLE TO CHILDREN, ADOLESCENTS, AND ADULTS AND CONSIST OF: LEVEL 0.5, LEVEL I, AND LEVEL II.1 SUBSTANCE ABUSE TREATMENT SERVICES; INDIVIDUAL, FAMILY, AND GROUP MENTAL/BEHAVIORAL HEALTH SERVICES; AND, REMEDIAL SERVICES. HOUSE OF MERCY SUBSCRIBES TO A PHILOSOPHY OF CARE THAT FOCUSES ON ACCESS, ENGAGEMENT, RETENTION, AND OUTCOMES. ALL PARTICIPATING PERSONS IN RECOVERY HAVE ACCESS TO NOT ONLY SUBSTANCE ABUSE SERVICES BUT ALSO CO-OCCURRING ISSUES (SUCH AS PROBLEM GAMBLING, MENTAL HEALTH, AND PHYSICAL HEALTH CONCERNS) THROUGH A RECOVERY-ORIENTED SYSTEM OF CARE. SUBSTANCE ABUSE TREATMENT SERVICES ARE AVAILABLE TO: ANY INDIVIDUAL (REGARDLESS OF AGE OR GENDER) WHO IS IN NEED OF SUPPORT TO ESTABLISH AND MAINTAIN A RECOVERY PROGRAM. ALL PARTICIPANTS WORK WITH A CERTIFIED ADDICTIONS COUNSELOR TO DEVELOP AND IMPLEMENT AN INDIVIDUALIZED TREATMENT PLAN. PARTICIPANTS ARE INVOLVED IN RESEARCH BASED/BEST PRACTICES CURRICULUM IN THE AREA OF RECOVERY (E.G. EDUCATION IN RELAPSE PREVENTION, EARLY RECOVERY SKILLS, TRAUMA AND RECOVERY). THEY RECEIVE INDIVIDUAL AND GROUP THERAPY; CASE MANAGEMENT SERVICES; AND, ENCOURAGED TO DEVELOP A SUPPORT SYSTEM WITHIN THE COMMUNITY UTILIZING THE 12-STEP PROGRAM. CLIENTS PARTICIPATING IN OUTPATIENT PROGRAMMING HAVE ACCESS TO A FLEXIBLE MENU OF SERVICES INCLUDING: INDIVIDUAL AND GROUP COUNSELING; CHEMICAL DEPENDENCY RELATED EDUCATIONAL OFFERINGS; TRAUMA EDUCATION AND COUNSELING; THERAPEUTIC INTERVENTIONS TO ADDRESS RELATIONSHIP, SEXUAL AND PHYSICAL ABUSE ISSUES; GENDER SPECIFIC SERVICES; URINALYSIS RELATED TO SUBSTANCE ABUSE SERVICES; PARENTING CLASSES, AND SELF-SUFFICIENCY ACTIVITIES (E.G., EDUCATION AND EMPLOYMENT ASSISTANCE). OUTPATIENT CLIENTS MAY UTILIZE THE HOUSE OF MERCY/JOHN R. GRUBB CHILD DEVELOPMENT CENTER FOR CHILD-CARE DURING TREATMENT PROGRAMMING. THEY MAY ALSO BE ELIGIBLE TO RECEIVE ASSISTANCE WITH TRANSPORTATION. CONTINUING CARE GROUPS ARE OPEN TO ANYONE WHO COULD BENEFIT FROM HAVING ADDITIONAL THERAPEUTIC SUPPORT IN REINFORCING A POSITIVE RECOVERY OUTCOME. THESE GROUPS PROVIDE A GROUP THERAPY FORMAT THAT PARTICIPANTS CAN UTILIZE FOR SUPPORT AS THEY FACE THE DAILY CHALLENGES OF REINFORCING RECOVERY, PARENTING AND OVERALL LIVING SKILLS ON THEIR OWN. GROUP SESSIONS ARE FACILITATED BY STAFF THAT ARE ALSO AVAILABLE TO PROVIDE INDIVIDUAL THERAPY, AS WELL AS, CASE MANAGEMENT SERVICES. PARTICIPANTS ARE ENCOURAGED TO COMMIT TO THEIR CONTINUING CARE GROUP FOR AT LEAST ONE YEAR SECONDARY TO DISCHARGE YET CAN CONTINUE TO ATTEND INDEFINITELY. DURING FY 2013: 2,462 INDIVIDUALS RECEIVED OUTPATIENT OR CONTINUING CARE SERVICES ONE OR MORE TIMES THROUGH THIS PROGRAM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>MENTAL AND BEHAVIORAL HEALTH SERVICES ARE PROVIDED BY MASTERS PREPARED, LICENSED THERAPISTS AND ARE AVAILABLE TO ANYONE WITH AN IDENTIFIED/DIAGNOSABLE MENTAL HEALTH OR BEHAVIORAL HEALTH NEED. A BOARD CERTIFIED PSYCHIATRIST IS AVAILABLE TO PROVIDE TREATMENT OVERSIGHT, EVALUATE MEDICATION NEEDS, AND PROVIDE ADDITIONAL NEEDED MENTAL HEALTH SUPPORTS. HOUSE OF MERCY MENTAL HEALTH TREATMENT SERVICES INCLUDE, BUT ARE NOT LIMITED TO, INDIVIDUAL, MARITAL, FAMILY, AND GROUP THERAPY SESSIONS, AS WELL AS, PHARMACOLOGICAL INTERVENTIONS. DURING FY 2013: 370 ADULTS AND CHILDREN RECEIVED OUTPATIENT MENTAL/BEHAVIORAL HEALTH SERVICES ONE OR MORE TIMES THROUGH THIS PROGRAM. BEHAVIORAL HEALTH INTERVENTION SERVICES (BHIS) ARE AVAILABLE TO CHILDREN AND ADULTS. BHIS ARE INTENDED TO BUILD SKILLS AND HELP REDUCE SYMPTOMS AND BEHAVIORS THAT ARE ASSOCIATED WITH A DIAGNOSED PSYCHOLOGICAL DISORDER. BHIS ARE SPECIFICALLY DESIGNED TO RESTORE MENTAL HEALTH FUNCTIONING THAT THE INDIVIDUAL LOST OR NEVER ACHIEVED BECAUSE OF INTERFERENCE IN THE NORMAL MATURATIONAL AND LEARNING PROCESS DUE TO INDIVIDUAL OR PARENTAL DYSFUNCTION. INDIVIDUALS RECEIVING BHIS BEGIN WITH A BEHAVIORAL HEALTH ASSESSMENT, WHICH WILL DETERMINE A DIAGNOSIS AND RECOMMENDATION FOR SERVICE. A TREATMENT PLAN IS THEN ESTABLISHED, WHERE GOALS AND OBJECTIVES ARE SPECIFICALLY LISTED AND OUTLINED. INDIVIDUAL INTERVENTIONS ARE PROVIDED THROUGH A PREDICTABLE SCHEDULE OF FORMAL SESSIONS THAT ARE DIRECTED AT THE COGNITIVE AND EMOTIONAL DYNAMICS THAT INFLUENCE BEHAVIOR. FAMILY INTERVENTIONS ENHANCE THE FAMILY'S ABILITY TO EFFECTIVELY INTERACT WITH THE CHILD AND SUPPORT THE CHILD'S FUNCTIONING. CRISIS INTERVENTIONS ARE UNSCHEDULED INTENSIVE INTERVENTIONS FOR THE PURPOSE OF RESTORING ADEQUATE CHILD OR FAMILY FUNCTIONING. DURING FY 2013: 91 CHILDREN RECEIVED BHIS ONE OR MORE TIMES THROUGH THIS PROGRAM. DIOCESAN SCHOOLS PROGRAM IS A COLLABORATIVE PARTNERSHIP BETWEEN HOUSE OF MERCY AND THE DIOCESE OF DES MOINES WHERE HOUSE OF MERCY PROVIDES ASSESSMENT AND COUNSELING SERVICES TO THE STUDENTS OF THE DES MOINES AREA DIOCESAN SCHOOLS. HOUSE OF MERCY'S LICENSED THERAPISTS PROVIDE COMPREHENSIVE SUBSTANCE ABUSE AND MENTAL HEALTH EVALUATIONS, DEVELOP RELATED TREATMENT PLANS, AND PROVIDE THERAPY SERVICES WHEN AND WHERE NEEDED. HOUSE OF MERCY PERSONNEL ALSO PROVIDE CASE MANAGEMENT ASSISTANCE AND INITIATE TREATMENT REFERRALS WHEN APPROPRIATE. HOMELESS OUTREACH PROGRAM IS A COLLABORATIVE PARTNERSHIP BETWEEN HOUSE OF MERCY AND PRIMARY HEALTH CARE INC., IN WHICH HOUSE OF MERCY PERSONNEL PROVIDE THE COMMUNITY'S HOMELESS POPULATION WITH A RANGE OF SUBSTANCE ABUSE RELATED SERVICES INCLUDING ASSESSMENT, INFORMATION AND REFERRAL, CRISIS INTERVENTION, BRIEF COUNSELING, INDIVIDUAL AND GROUP COUNSELING, CASE MANAGEMENT, AND FINANCIAL/RESOURCE MANAGEMENT ASSISTANCE. SERVICES ARE PROVIDED AT A VARIETY OF LOCATIONS INCLUDING AREA HOMELESS SHELTERS, HALFWAY HOUSES, AND OUTDOOR SITES WHERE HOMELESS INDIVIDUALS CONGREGATE. ALL HOUSE OF MERCY SERVICES AND INTERVENTIONS ARE INITIATED WITH THE PURPOSE OF ASSISTING CLIENTS IN MOVING TOWARDS SELF-SUFFICIENCY VIA TREATMENT, TRANSITIONAL HOUSING AND/OR PERMANENT HOUSING. DURING FY 2013: 322 MEN AND WOMEN RECEIVED SERVICES/COUNSELING THROUGH THIS PROGRAM. STUDENT INTERNSHIPS AND EDUCATIONAL PROGRAMMING ARE PROVIDED BY HOUSE OF MERCY FOR STUDENTS FROM A VARIETY OF DISCIPLINES AS PART OF ITS MISSION AND PURPOSE. STUDENTS ARE PROVIDED DIVERSE "REAL LIFE" EXPERIENCES AS THEY WORK ON THEIR DEGREES, FROM ASSOCIATE OF ARTS TO GRADUATE LEVEL. A VARIETY OF HUMAN SERVICE AND HEALTH CARE RELATED PROFESSIONALS PARTICIPATE IN PROGRAMMING AT HOUSE OF MERCY IN ORDER TO GAIN VALUABLE EXPERIENCE IN REAL LIFE WORK SITUATIONS. HUMAN SERVICES RELATED LEARNING EXPERIENCES ARE AVAILABLE IN SUCH PROFESSIONAL DEGREE AREAS AS SOCIAL WORK, ADDICTIONS, VOCATIONAL REHABILITATION, HUMAN SERVICES, MARRIAGE/FAMILY COUNSELING, CHILDREN AND FAMILY SERVICES, CHILD DEVELOPMENT, ETC. MEDICAL EDUCATION RELATED OPPORTUNITIES ARE AVAILABLE IN SUCH PROFESSIONAL DEGREE AREAS AS NURSING, PHARMACY, EMERGENCY RESPONDER, AND A VARIETY OF PROVIDER DISCIPLINES. HOUSE OF MERCY PERSONNEL ARE ALSO AVAILABLE TO PROVIDE EDUCATIONAL PROGRAMS ON TOPICS RELATED TO THE VARIOUS PROGRAMS AND SERVICES OFFERED AT HOUSE OF MERCY. STAFF FREQUENTLY GUEST LECTURE AT AREA SCHOOLS, COLLEGES AND UNIVERSITIES AS A PART OF THE FACILITY'S COMMITMENT TO COMMUNITY EDUCATION AND OUTREACH.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Delegate broad authority to a committee</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 1a</ReturnReference>
        <Explanation>THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON/CHAIR ELECT OF THE BOARD, THE SECRETARY AND THE TREASURER, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. ANY VACANCY OF AN APPOINTED EXECUTIVE COMMITTEE MEMBERSHIP MAY BE FILLED FOR THE UNEXPIRED PORTION OF THE TERM IN THE MANNER THAT THE ORIGINAL COMMITTEE MEMBER WAS APPOINTED. EXCEPT AS PROVIDED BY LAW, THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL MEET AT SUCH TIMES AS SHALL BE DETERMINED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE SHALL KEEP REGULAR MINUTES OF ITS PROCEEDINGS AND REPORT THE SAME TO THE BOARD OF DIRECTORS AT EACH REGULAR MEETING OF THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Family/business relationships amongst interested persons</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 2</ReturnReference>
        <Explanation>RICK BALL AND NANCY BALL - FAMILY RELATIONSHIP</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA, CORP. DBA MERCY HOSPITAL MEDICAL CENTER - DES MOINES, (CHI-IOWA CORP), AN IOWA NON-PROFIT CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members or stockholders electing members of governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>PURSUANT TO THE ORGANIZATION'S BYLAWS, ALL MEMBERS OF THE BOARD OF DIRECTORS ARE APPOINTED BY CHI-IOWA CORP, THE SOLE CORPORATE MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>HOUSE OF MERCY'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES-IOWA, CORP. DBA MERCY MEDICAL CENTER-DES MOINES ("CHI-IOWA CORP"). PURSUANT TO ARTICLE IX OF THE ORGANIZATION'S BYLAWS, BOTH CHI-IOWA CORP AND CATHOLIC HEALTH INITIATIVES ("CHI") (CHI-IOWA CORP'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX, THE FOLLOWING RIGHTS ARE HELD BY THE CHI-IOWA CORP'S BOARD: * APPROVE MEMBERS OF THE HOUSE OF MERCY BOARD * APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF HOUSE OF MERCY * ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR HOUSE OF MERCY * SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF HOUSE OF MERCY * AMENDMENT OF THE CORPORATE DOCUMENTS OF HOUSE OF MERCY * APPROVAL OF ISSUANCE OF DEBT BY HOUSE OF MERCY *APPROVAL OF PARTICIPATION OF HOUSE OF MERCY IN A JOINT VENTURE * APPROVAL OF A MERGER INVOLVING HOUSE OF MERCY * APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF HOUSE OF MERCY, TO REQUIRE THE TRANSFER OF ASSETS BY HOUSE OF MERCY TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. * TO THE EXTENT PERMITTED BY LAW, CHI SHALL POSSESS THE SAME RIGHTS AND POWERS AS ARE RESERVED TO CHI-IOWA CORP. PURSUANT TO ARTICLE VII OF HOUSE OF MERCY'S ARTICLES OF INCORPORATION, CHI-IOWA CORP OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND CEO OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Review of form 990 by governing body</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>THE ORGANIZATION'S ACCOUNTING PERSONNEL WORK WITH CHI'S TAX DEPARTMENT PERSONNEL TO PREPARE THE FORM 990. WHEN AVAILABLE, THE CFO REVIEWS THE RETURN AND ANY NECESSARY REVISIONS ARE INCLUDED IN THE FINAL VERSION WHICH IS APPROVED FOR FILING WITH THE IRS. SUBSEQUENT TO REVIEW BY THE CHIEF FINANCIAL OFFICER, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. SUBSEQUENT TO E-FILING, THE FINAL E-FILED FORM 990 IS PRESENTED TO THE BOARD AT A REGULARLY SCHEDULED BOARD MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, ANY BOARD MEMBER WITH A CONFLICT IS REQUIRED TO DECLARE THE CONFLICT BEFORE THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING. THE ENTIRE BOARD OR COMMITTEE DETERMINES WHETHER THE AFFECTED BOARD MEMBER SHOULD BE EXCLUDED FROM THE MEETING DUE TO THE DISCLOSED CONFLICT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS USED TO ESTABLISH COMPENSATION OF OFFICERS/KEY EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15</ReturnReference>
        <Explanation>DURING THE TAX YEAR ENDED 6/30/13, NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS "N/A" BUT HAVE BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing documents, conflict of interest policy and financial statements available to the public</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT, AND ON THE IOWA SECRETARY OF STATE'S WEBSITE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Expenses</Identifier>
        <ReturnReference>Form 990, Part IX, Line 11g</ReturnReference>
        <Explanation>OTHER SALARIES AND WAGES - TOTAL EXPENSE: 3039487, PROGRAM SERVICE EXPENSE: 2948906, MANAGEMENT AND GENERAL EXPENSES: 90581, FUNDRAISING EXPENSES: ; OTHER EMPLOYEE BENEFITS - TOTAL EXPENSE: 612387, PROGRAM SERVICE EXPENSE: 603664, MANAGEMENT AND GENERAL EXPENSES: 8723, FUNDRAISING EXPENSES: ; PAYROLL TAXES - TOTAL EXPENSE: 220019, PROGRAM SERVICE EXPENSE: 213090, MANAGEMENT AND GENERAL EXPENSES: 6929, FUNDRAISING EXPENSES: ; OTHER FEES FOR SERVICES - TOTAL EXPENSE: 329976, PROGRAM SERVICE EXPENSE: 314820, MANAGEMENT AND GENERAL EXPENSES: 15156, FUNDRAISING EXPENSES: ;</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="12000266" softwareVersion="v2012.1.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT CREIGHTON CLINIC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>12809 WEST DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT CREIGHTON HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>12809 WEST DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH - BERGAN MERCY HEALTH SYS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7500 MERCY ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68124</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>631 N 8TH STREET</AddressLine1>
          <City>MISSOURI VALLEY</City>
          <State>IA</State>
          <ZIPCode>51555</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>12809 WEST DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH IMMANUEL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6901 NORTH 72ND STREET</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68122</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>104 W 17TH STREET</AddressLine1>
          <City>SCHUYLER</City>
          <State>NE</State>
          <ZIPCode>68661</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 368</AddressLine1>
          <City>CORNING</City>
          <State>IA</State>
          <ZIPCode>50841</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHBMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ALVERNA APARTMENTS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 SE 8TH AVENUE</AddressLine1>
          <City>LITTLE FALLS</City>
          <State>MN</State>
          <ZIPCode>56345</ZIPCode>
        </AddressUS>
        <PrimaryActivities>LTERM CARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>APPLETREE COURT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 OAK STREET</AddressLine1>
          <City>BRECKENRIDGE</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
        </AddressUS>
        <PrimaryActivities>SENIOR HOMES</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SFH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BISHOP DRUMM RETIREMENT CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <PrimaryActivities>LTERM CARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BORNEMANN HEALTH CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE RD PO BOX 316</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CARRINGTON HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 NORTH 4TH STREET</AddressLine1>
          <City>CARRINGTON</City>
          <State>ND</State>
          <ZIPCode>58421</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6385 CORPORATE DRIVE</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80919</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6385 CORPORATE DRIVE</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80919</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES-COLORADO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>188 INVERNESS DRIVE WEST SUITE 500</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CENTENNIAL MEDICAL GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PHYSICIANS</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CENTRAL KANSAS MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3515 BROADWAY</AddressLine1>
          <City>GREAT BEND</City>
          <State>KS</State>
          <ZIPCode>67530</ZIPCode>
        </AddressUS>
        <PrimaryActivities>SURGERY CNTR</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI HEALTH CONNECT AT HOME - FARGO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4816 AMBER VALLEY PARKWAY SOUTH</AddressLine1>
          <City>FARGO</City>
          <State>ND</State>
          <ZIPCode>58104</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI KENTUCKY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3900 OLYMPIC BLVD SUITE 400</AddressLine1>
          <City>ERLANGER</City>
          <State>KY</State>
          <ZIPCode>41018</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI NATIONAL HOME CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI NATIONAL SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6940 O STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY LIMITED CARE DIALYSIS CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>619 OAK STREET - ACCOUNTING 3 WEST</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45206</ZIPCode>
        </AddressUS>
        <PrimaryActivities>DIALYSIS</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>631 N 8TH STREET</AddressLine1>
          <City>MISSOURI VALLEY</City>
          <State>IA</State>
          <ZIPCode>51555</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHCMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONTINUING CARE HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>150 NORTH EAGLE CREEK DRIVE</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40509</ZIPCode>
        </AddressUS>
        <PrimaryActivities>LTACH</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COVENANT HOME CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOME HEALTH</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ENUMCLAW REGIONAL HOSPITAL ASSOCIATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1450 BATTERSBY AVENUE</AddressLine1>
          <City>ENUMCLAW</City>
          <State>WA</State>
          <ZIPCode>98022</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FLAGET HEALTHCARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4305 NEW SHEPHERDSVILLE ROAD</AddressLine1>
          <City>BARDSTOWN</City>
          <State>KY</State>
          <ZIPCode>40004</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KOH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FLAGET MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4305 NEW SHEPHERDSVILLE ROAD</AddressLine1>
          <City>BARDSTOWN</City>
          <State>KY</State>
          <ZIPCode>40004</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1708 SOUTH YAKIMA AVENUE</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN VILLA OF SOUTH MILWAUKEE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3601 SOUTH CHICAGO AVENUE</AddressLine1>
          <City>SOUTH MILWAUKEE</City>
          <State>WI</State>
          <ZIPCode>53172</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GETTYSBURG MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>606 EAST GARFIELD AVENUE</AddressLine1>
          <City>GETTYSBURG</City>
          <State>SD</State>
          <ZIPCode>57442</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>SD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GLOBAL HEALTH INITIATIVES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>MINISTRIES</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOOD SAMARITAN COLLEGE OF NURSING &amp; HEALTH SCIENCE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>619 OAK STREET - ACCOUNTING 3 WEST</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45206</ZIPCode>
        </AddressUS>
        <PrimaryActivities>EDUCATION</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>2</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOOD SAMARITAN FOUNDATION OF CINCINNATI INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>619 OAK STREET - ACCOUNTING 3 WEST</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45206</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOOD SAMARITAN HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1990</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOOD SAMARITAN HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>111 W 31ST STREET</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68847</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PHY PRACTICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTH SET</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4200 WEST CONEJOS PLACE 436</AddressLine1>
          <City>DENVER</City>
          <State>CO</State>
          <ZIPCode>80204</ZIPCode>
        </AddressUS>
        <PrimaryActivities>LOW INC.CARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HEALTHCARE AND WELLNESS FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2400 ST FRANCIS DRIVE</AddressLine1>
          <City>BRECKENRIDGE</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SFMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HIGHLINE MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>16251 SYLVESTER RD SW</AddressLine1>
          <City>BURIEN</City>
          <State>WA</State>
          <ZIPCode>98166</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOUSE OF MERCY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <PrimaryActivities>SHELTER</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>539 S 4TH STREET</AddressLine1>
          <City>LOUISVILLE</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>KOH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JEWISH PHYSICIAN GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>539 S 4TH STREET</AddressLine1>
          <City>LOUISVILLE</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>JHSMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 ABRAHAM FLEXNER WAY</AddressLine1>
          <City>LOUISVILLE</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LAKEWOOD HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>600 MAIN AVENUE SOUTH</AddressLine1>
          <City>BAUDETTE</City>
          <State>MN</State>
          <ZIPCode>56623</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LINUS OAKES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <PrimaryActivities>SENIOR LIVING</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LISBON AREA HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>905 MAIN STREET</AddressLine1>
          <City>LISBON</City>
          <State>ND</State>
          <ZIPCode>58054</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEMORIAL HEALTH CARE SYSTEM FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2525 DE SALES AVENUE</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37404</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEMORIAL HEALTH CARE SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2525 DE SALES AVENUE</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37404</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEMORIAL HEALTH PARTNERS FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5600 BRAINERD ROAD SUITE 500</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37411</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY AUXILIARY OF CENTRAL IOWA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <PrimaryActivities>AUXILIARY</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY CLINICS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PHYSICIAN</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY COLLEGE OF HEALTH SCIENCES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <PrimaryActivities>EDUCATION</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>2</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY FOUNDATION OF DES MOINES IA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HEALTH CARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 368</AddressLine1>
          <City>CORNING</City>
          <State>IA</State>
          <ZIPCode>50841</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>570 CHAUTAUQUA BOULEVARD</AddressLine1>
          <City>VALLEY CITY</City>
          <State>ND</State>
          <ZIPCode>58072</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type III - FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHVC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITAL FOUNDATION COUNCIL BLUFFS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 MERCY DRIVE</AddressLine1>
          <City>COUNCIL BLUFFS</City>
          <State>IA</State>
          <ZIPCode>51503</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHBMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITAL OF DEVILS LAKE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1031 SEVENTH STREET NE</AddressLine1>
          <City>DEVILS LAKE</City>
          <State>ND</State>
          <ZIPCode>58301</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITAL OF DEVILS LAKE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1031 SEVENTH STREET NE</AddressLine1>
          <City>DEVILS LAKE</City>
          <State>ND</State>
          <ZIPCode>58301</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITAL OF VALLEY CITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>570 CHAUTAUQUA BOULEVARD</AddressLine1>
          <City>VALLEY CITY</City>
          <State>ND</State>
          <ZIPCode>58072</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 15TH AVENUE WEST</AddressLine1>
          <City>WILLISTON</City>
          <State>ND</State>
          <ZIPCode>58801</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY MEDICAL CENTER - CENTERVILLE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE ST JOSEPHS DRIVE</AddressLine1>
          <City>CENTERVILLE</City>
          <State>IA</State>
          <ZIPCode>52544</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 15TH AVENUE WEST</AddressLine1>
          <City>WILLISTON</City>
          <State>ND</State>
          <ZIPCode>58801</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY PROFESSIONAL PRACTICE ASSOCIATES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PHYSICIAN</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MLIFECARES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PROPERTY MGMT</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MNMCH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MT ST JOSEPH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>NURSING CARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NEBRASKA HEART HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7500 SOUTH 91ST STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68526</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OAKES COMMUNITY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>314 SOUTH 8TH STREET</AddressLine1>
          <City>OAKES</City>
          <State>ND</State>
          <ZIPCode>58474</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OAKES COMMUNITY HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1200 N 7TH STREET</AddressLine1>
          <City>OAKES</City>
          <State>ND</State>
          <ZIPCode>58474</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>OCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PUEBLO STEPUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1925 EAST ORMAN AVE SUITE G52</AddressLine1>
          <City>PUEBLO</City>
          <State>CO</State>
          <ZIPCode>81004</ZIPCode>
        </AddressUS>
        <PrimaryActivities>COMMUNITY</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SET OF COLORADO SPRINGS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2864 S CIRCLE DRIVE SUITE 450</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80906</ZIPCode>
        </AddressUS>
        <PrimaryActivities>LTERM CARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT CLARE'S COMMUNITY CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>25 POCONO ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT CLARE'S FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>25 POCONO ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT CLARE'S HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>25 POCONO ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <PrimaryActivities>MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT CLARE'S HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>25 POCONO ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ELIZABETH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 SOUTH 70TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SERMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ELIZABETH HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 SOUTH 70TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SERMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ELIZABETH REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>555 SOUTH 70TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT FRANCIS MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2620 WEST FAIDLEY</AddressLine1>
          <City>GRAND ISLAND</City>
          <State>NE</State>
          <ZIPCode>68803</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT FRANCIS MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 9804</AddressLine1>
          <City>GRAND ISLAND</City>
          <State>NE</State>
          <ZIPCode>68802</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SFMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>305 ESTILL STREET</AddressLine1>
          <City>BEREA</City>
          <State>KY</State>
          <ZIPCode>40403</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>424 LEWIS HARGETT CIRCLE 160</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH LONDON FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1001 SAINT JOSEPH LANE</AddressLine1>
          <City>LONDON</City>
          <State>KY</State>
          <ZIPCode>40741</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH MEDICAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 ABRAHAM FLEXNER WAY</AddressLine1>
          <City>LOUISVILLE</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PHY PRACTICES</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH MOUNT STERLING FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>225 FALCON DRIVE</AddressLine1>
          <City>MOUNT STERLING</City>
          <State>KY</State>
          <ZIPCode>40353</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH'S HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAMARITAN BEHAVIORAL HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2222 PHILADELPHIA DRIVE</AddressLine1>
          <City>DAYTON</City>
          <State>OH</State>
          <ZIPCode>45406</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAMARITAN HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2222 PHILADELPHIA DRIVE</AddressLine1>
          <City>DAYTON</City>
          <State>OH</State>
          <ZIPCode>45406</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAMARITAN HEALTH PARTNERS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>110 NORTH MAIN STREET</AddressLine1>
          <City>DAYTON</City>
          <State>OH</State>
          <ZIPCode>45402</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SCHUYLER MEMORIAL HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>104 W 17TH STREET</AddressLine1>
          <City>SCHUYLER</City>
          <State>NE</State>
          <ZIPCode>68661</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SJMGROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PHYS PRACTICE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SJRMC JOPLIN MISSOURI</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SL AUGUSTA CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 20269</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77225</ZIPCode>
        </AddressUS>
        <PrimaryActivities>TITLE HOLDING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL PROPERTIES</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH HEALTH MINISTRIES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1929 LINCOLN HWY E STE 150</AddressLine1>
          <City>LANCASTER</City>
          <State>PA</State>
          <ZIPCode>17602</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S MEDICAL TOWER CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PROPERTY MGMT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL PROPERTIES</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANTHONY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1601 SE COURT AVENUE</AddressLine1>
          <City>PENDLETON</City>
          <State>OR</State>
          <ZIPCode>97801</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANTHONY HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1601 SE COURT AVENUE</AddressLine1>
          <City>PENDLETON</City>
          <State>OR</State>
          <ZIPCode>97801</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SA HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANTHONY'S HOSPITAL ASSOCIATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>FOUR HOSPITAL DRIVE</AddressLine1>
          <City>MORRILTON</City>
          <State>AR</State>
          <ZIPCode>72110</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST CATHERINE HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 EAST SPRUCE STREET</AddressLine1>
          <City>GARDEN CITY</City>
          <State>KS</State>
          <ZIPCode>67846</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST CATHERINE HOSPITAL DEVELOPMENT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 EAST SPRUCE STREET</AddressLine1>
          <City>GARDEN CITY</City>
          <State>KS</State>
          <ZIPCode>67846</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST DOMINIC OF ONTARIO OREGON</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>351 SW 9TH STREET</AddressLine1>
          <City>ONTARIO</City>
          <State>OR</State>
          <ZIPCode>97914</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(4)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST FRANCIS HOME</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2400 ST FRANCIS DRIVE</AddressLine1>
          <City>BRECKENRIDGE</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
        </AddressUS>
        <PrimaryActivities>LTERM CARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST FRANCIS LIFE CARE CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>19 POCONO ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST FRANCIS MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2400 ST FRANCIS DRIVE</AddressLine1>
          <City>BRECKENRIDGE</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST FRANCIS OF BAKER CITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOHN'S MERCY REGIONAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH COMMUNITY HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 CENTRAL AVENUE SW</AddressLine1>
          <City>ALBUQUERQUE</City>
          <State>NM</State>
          <ZIPCode>87102</ZIPCode>
        </AddressUS>
        <PrimaryActivities>COMMUNITY</PrimaryActivities>
        <LegalDomicileState>NM</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>ONE SAITN JOSEPH DRIVE</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE ROAD PO BOX 316</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRHN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE ROAD PO BOX 316</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH PHYSICIAN ENTERPRISE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PHYSICIANS</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH REGIONAL HEALTH NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE ROAD PO BOX 316</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH'S AREA HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>600 PLEASANT AVENUE</AddressLine1>
          <City>PARK RAPIDS</City>
          <State>MN</State>
          <ZIPCode>56470</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH'S HOSPITAL AND HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>30 WEST 7TH STREET</AddressLine1>
          <City>DICKINSON</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE WOODLANDS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL CDC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND DBA ST LUKE'S SUGA</BusinessNameLine1>
          <BusinessNameLine2>R LAND HOSPITAL</BusinessNameLine2>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S HEALTH SYSTEM CORPORATION DBA CHI ST LUKE'S HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION - THE VINTAGE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL CDC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S COMMUNITY DEVELOPMENT CORPORATION -PMC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL CDC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S COMMUNITY HEALTH SERVICES DBA ST LUKE'S THE WOODLANDS HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S HEALTH SYSTEM FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>INVESTMENT MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S PROPERTIES CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PROPERTY MGMT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1213 HERMANN DRIVE SUITE 855</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77004</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S COMMUNITY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1314 3RD AVENUE</AddressLine1>
          <City>NEBRASKA CITY</City>
          <State>NE</State>
          <ZIPCode>68410</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S HEALTHCARE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 EAST SIOUX AVENUE</AddressLine1>
          <City>PIERRE</City>
          <State>SD</State>
          <ZIPCode>57501</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>SD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1314 3RD AVENUE</AddressLine1>
          <City>NEBRASKA CITY</City>
          <State>NE</State>
          <ZIPCode>68410</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST VINCENT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>TWO ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST VINCENT INFIRMARY MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>TWO ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST VINCENT MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>TWO ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST LUKE'S SUGAR LAND PROPERTIES CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PROPERTY MGMT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL CDC - SL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE GOOD SAMARITAN HOSPITAL OF CINCINNATI OH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>619 OAK STREET ACCOUNTING-3 W</AddressLine1>
          <City>CINCINNATI</City>
          <State>OH</State>
          <ZIPCode>45206</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2000 Q STREET SUITE 500</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68503</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PHYS PRACTICE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TOTAL HEALTHCARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>188 INVERNESS DRIVE WEST SUITE 500</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>UNITY FAMILY HEALTHCARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>815 SE 2ND STREET</AddressLine1>
          <City>LITTLE FALLS</City>
          <State>MN</State>
          <ZIPCode>56345</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VILLA NAZARETH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 PAGE DRIVE</AddressLine1>
          <City>FARGO</City>
          <State>ND</State>
          <ZIPCode>58103</ZIPCode>
        </AddressUS>
        <PrimaryActivities>LT CARE</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VISITING NURSE ASSOCIATION OF ST CLARE'S</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>191 WOODPORT ROAD</AddressLine1>
          <City>SPARTA</City>
          <State>NJ</State>
          <ZIPCode>07871</ZIPCode>
        </AddressUS>
        <PrimaryActivities>HOME HEALTH</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WOMEN'S AUXILIARY OF HIGHLINE COMMUNITY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>16251 SYLVESTER RD SW</AddressLine1>
          <City>BURIEN</City>
          <State>WA</State>
          <ZIPCode>98166</ZIPCode>
        </AddressUS>
        <PrimaryActivities>AUXILIARY</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WOODLANDS DOCTOR GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>17200 ST LUKES WAY SUITE 170</AddressLine1>
          <City>THE WOODLANDS</City>
          <State>TX</State>
          <ZIPCode>77384</ZIPCode>
        </AddressUS>
        <PrimaryActivities>PHY PRACTICES</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AUDUBON LAND COMPANY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5390 N ACADEMY BLVD SUITE 300</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80918</ZIPCode>
        </AddressUS>
        <EIN>841513085</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>34991</ShareOfTotalIncome>
        <ShareOfEOYAssets>8665388</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.501</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AVANTAS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11128 JOHN GALT BLVD SUITE 400</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68137</ZIPCode>
        </AddressUS>
        <EIN>392045003</EIN>
        <PrimaryActivity>STAFFING OF NURSES</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHBMHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-210405</ShareOfTotalIncome>
        <ShareOfEOYAssets>4806071</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>-439536</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.95</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BERYWOOD OFFICE PROPERTIES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>400 BERYWOOD TRAIL</AddressLine1>
          <City>CLEVELAND</City>
          <State>TN</State>
          <ZIPCode>37312</ZIPCode>
        </AddressUS>
        <EIN>621875199</EIN>
        <PrimaryActivity>PHYS OFFICE</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>57545</ShareOfTotalIncome>
        <ShareOfEOYAssets>1013237</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.63</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BLUEGRASS REGIONAL IMAGING CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1218 SOUTH BROADWAY SUITE 310</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EIN>611386736</EIN>
        <PrimaryActivity>DIAGNOSTIC</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>308428</ShareOfTotalIncome>
        <ShareOfEOYAssets>3317191</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.65</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTRAL NEBRASKA HOME CARE SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1146-4510 SECOND AVENUE</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470692112</EIN>
        <PrimaryActivity>HEALTHCARE SRVC</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>228435</ShareOfTotalIncome>
        <ShareOfEOYAssets>675251</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTRAL NEBRASKA REHAB SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3004 W FAIDLEY AVE</AddressLine1>
          <City>GRAND ISLAND</City>
          <State>NE</State>
          <ZIPCode>68802</ZIPCode>
        </AddressUS>
        <EIN>810653461</EIN>
        <PrimaryActivity>PHYSICAL THERAPY</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SFMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1710199</ShareOfTotalIncome>
        <ShareOfEOYAssets>2712656</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHI OPERATING INVESTMENT PROGRAM LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>470727942</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>UNRELATED</PredominantIncomeType>
        <ShareOfTotalIncome>344962532</ShareOfTotalIncome>
        <ShareOfEOYAssets>4617413792</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.7992</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTHCARE SUPPORT SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 9804</AddressLine1>
          <City>GRAND ISLAND</City>
          <State>NE</State>
          <ZIPCode>68802</ZIPCode>
        </AddressUS>
        <EIN>721546196</EIN>
        <PrimaryActivity>LAUNDRY</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>98583</ShareOfTotalIncome>
        <ShareOfEOYAssets>3190677</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MRI AT ST JOESPH MEDICAL CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>7253 AMBASSADOR ROAD</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21244</ZIPCode>
        </AddressUS>
        <EIN>521958002</EIN>
        <PrimaryActivity>MEDICAL IMAGING</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>423167</ShareOfTotalIncome>
        <ShareOfEOYAssets>2174155</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTH RIVER SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2209 WILDWOOD AVENUE</AddressLine1>
          <City>SHERWOOD</City>
          <State>AR</State>
          <ZIPCode>72120</ZIPCode>
        </AddressUS>
        <EIN>710799771</EIN>
        <PrimaryActivity>AMBUL SURG CTR</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>81071</ShareOfTotalIncome>
        <ShareOfEOYAssets>1077536</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.5745</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>O'DEA MEDICAL ARTS LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>521682964</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TMI</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>9490</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.6658</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ORTHOCOLORADO LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11650 WEST 2ND PLACE</AddressLine1>
          <City>LAKEWOOD</City>
          <State>CO</State>
          <ZIPCode>80255</ZIPCode>
        </AddressUS>
        <EIN>371577105</EIN>
        <PrimaryActivity>ORTHO HOSPITAL</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>THC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1846153</ShareOfTotalIncome>
        <ShareOfEOYAssets>8411844</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.6</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PENINSULA RADIATION ONCOLOGY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>315 MARTIN LUTHER KING JR WAY 111</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>870808610</EIN>
        <PrimaryActivity>HEALTHCARE SRVC</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>256567</ShareOfTotalIncome>
        <ShareOfEOYAssets>3262002</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.6</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PENRAD IMAGING</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1390 KELLY JOHNSON BLVD</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80920</ZIPCode>
        </AddressUS>
        <EIN>841072619</EIN>
        <PrimaryActivity>MEDICAL IMAGING</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>715094</ShareOfTotalIncome>
        <ShareOfEOYAssets>3489436</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.7</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>RUXTON SURGICENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8322 BELLONA AVENUE SUITE 201</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>522095835</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-69345</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT JOSEPH - SCA HOLDINGS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1451 HARRDOSBURG ROAD</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EIN>453801157</EIN>
        <PrimaryActivity>OP SURGERY</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SCA PREMIER SURGERY CENTER OF LOUISVILLE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 ABRAHAM FLEXNER WAY</AddressLine1>
          <City>LOUISVILLE</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <EIN>721386840</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>JH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>3388</ShareOfTotalIncome>
        <ShareOfEOYAssets>666017</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST FRANCIS LAND COMPANY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5390 N ACADEMY BLVD SUITE 300</AddressLine1>
          <City>COLORADO SPRINGS</City>
          <State>CO</State>
          <ZIPCode>80918</ZIPCode>
        </AddressUS>
        <EIN>263134100</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-130967</ShareOfTotalIncome>
        <ShareOfEOYAssets>13823763</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST FRANCIS MEDICAL CENTER ASSOCIATES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>911352698</EIN>
        <PrimaryActivity>MED. OFFICE</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>238717</ShareOfTotalIncome>
        <ShareOfEOYAssets>1907063</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.5846</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH-PAML LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>424 LEWIS HARGETT CIRCLE STE 160</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
        </AddressUS>
        <EIN>452116736</EIN>
        <PrimaryActivity>MGMT SVCS</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>30446</ShareOfTotalIncome>
        <ShareOfEOYAssets>1149003</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.625</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SUPERIOR MEDICAL IMAGING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5000 NORTH 26TH STREET</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68521</ZIPCode>
        </AddressUS>
        <EIN>262884555</EIN>
        <PrimaryActivity>OP DIAGNOSTICS</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SERMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-200323</ShareOfTotalIncome>
        <ShareOfEOYAssets>821112</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SURGERY CENTER OF LEXINGTON LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>424 LEWIS HARGETT CIRCLE STE 160</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
        </AddressUS>
        <EIN>621179539</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-200318</ShareOfTotalIncome>
        <ShareOfEOYAssets>4079584</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SURGERY CENTER OF LOUISVILLE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 ABRAHAM FLEXNER WAY</AddressLine1>
          <City>LOUISVILLE</City>
          <State>KY</State>
          <ZIPCode>40202</ZIPCode>
        </AddressUS>
        <EIN>621179537</EIN>
        <PrimaryActivity>SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>JH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-15452</ShareOfTotalIncome>
        <ShareOfEOYAssets>396101</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ALEGENT HEALTH NORTHWEST IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3606 N 156TH STREET</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68116</ZIPCode>
        </AddressUS>
        <EIN>061786985</EIN>
        <PrimaryActivity>OP DIAGNOSTICS</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>116752</ShareOfTotalIncome>
        <ShareOfEOYAssets>776649</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BERGAN MERCY SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>7710 MERCY ROAD STE 100</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68124</ZIPCode>
        </AddressUS>
        <EIN>208671994</EIN>
        <PrimaryActivity>AMBUL SURG CTR</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>142085</ShareOfTotalIncome>
        <ShareOfEOYAssets>3294472</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.6394</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LAKESIDE AMBULATORY SURGICAL CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>17031 LAKESIDE HILLS DR</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68130</ZIPCode>
        </AddressUS>
        <EIN>204267902</EIN>
        <PrimaryActivity>AMBUL SURG CTR</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>3465880</ShareOfTotalIncome>
        <ShareOfEOYAssets>1951221</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.516</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LAKESIDE ENDOSCOPY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>17001 LAKESIDE HILLS PLZ STE 201</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68130</ZIPCode>
        </AddressUS>
        <EIN>205544496</EIN>
        <PrimaryActivity>ENDOSCOPY SRVC</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1455294</ShareOfTotalIncome>
        <ShareOfEOYAssets>1013126</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.5228</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NEBRASKA SPINE HOSPITAL LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6901 N 72ND STREET</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68122</ZIPCode>
        </AddressUS>
        <EIN>270263191</EIN>
        <PrimaryActivity>SPINE HOSPITAL</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>10501730</ShareOfTotalIncome>
        <ShareOfEOYAssets>17301869</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PRAIRIE HEALTH VENTURES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>421 S 9TH ST 102</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68508</ZIPCode>
        </AddressUS>
        <EIN>204962103</EIN>
        <PrimaryActivity>TECH SERVICES</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>AH-IMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1011804</ShareOfTotalIncome>
        <ShareOfEOYAssets>5564586</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>68565</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.627</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT JOSEPH-ANC HOME CARE SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 EDISON DRIVE SUITE 300</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>263330545</EIN>
        <PrimaryActivity>HOME HEALTH</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>JH</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>3208139</ShareOfTotalIncome>
        <ShareOfEOYAssets>9684824</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.969</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LINCOLN CK LEASING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8770 BRYN MAWR SUITE 1370</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60631</ZIPCode>
        </AddressUS>
        <EIN>262496856</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SERMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>397452</ShareOfTotalIncome>
        <ShareOfEOYAssets>439334</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.5376</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HIGHLINE IMAGING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>275 SW 160TH ST</AddressLine1>
          <City>BURIEN</City>
          <State>WA</State>
          <ZIPCode>98166</ZIPCode>
        </AddressUS>
        <EIN>200460005</EIN>
        <PrimaryActivity>DIAGNOSTIC</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>840222</ShareOfTotalIncome>
        <ShareOfEOYAssets>1784058</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.8</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HC SL VINTAGE I LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>18000 WEST SARAH LANE SUITE 250</AddressLine1>
          <City>BROOKFIELD</City>
          <State>WI</State>
          <ZIPCode>53045</ZIPCode>
        </AddressUS>
        <EIN>270453767</EIN>
        <PrimaryActivity>PROPERTY HOLD</PrimaryActivity>
        <LegalDomicileState>WI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL CDC - VINTAGE</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1027057</ShareOfTotalIncome>
        <ShareOfEOYAssets>105658490</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S HOSPITAL AT THE VINTAGE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>263734516</EIN>
        <PrimaryActivity>HOSPITAL</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL CDC - VINTAGE</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-19253743</ShareOfTotalIncome>
        <ShareOfEOYAssets>69158748</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PMC HOSPITAL LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>273280598</EIN>
        <PrimaryActivity>HOSPITAL</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL CDC - PMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1092540</ShareOfTotalIncome>
        <ShareOfEOYAssets>20751174</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S DIAGNOSTIC CATH LAB LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6620 MAIN ST SUITE 1520</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>710959365</EIN>
        <PrimaryActivity>DIAGNOSTIC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS HOLDINGS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>273448</ShareOfTotalIncome>
        <ShareOfEOYAssets>868814</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.573</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S LAKESIDE HOSPITAL LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 2505</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>300427437</EIN>
        <PrimaryActivity>HOSPITAL</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL CDC - WOODLANDS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1106628</ShareOfTotalIncome>
        <ShareOfEOYAssets>25874619</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S THE WOODLANDS SLEEP CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 800</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>462795726</EIN>
        <PrimaryActivity>DIAGNOSTIC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS HOLDINGS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ALTERNATIVE INSURANCE MANAGEMENT SERVICE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3900 OLYMPIC BOULEVARD SUITE 400</AddressLine1>
          <City>ERLANGER</City>
          <State>KY</State>
          <ZIPCode>41018</ZIPCode>
        </AddressUS>
        <EIN>841112049</EIN>
        <PrimaryActivity>MANAGEMENT SERVICES</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>6272746</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMERICAN NURSING CARE</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311085414</EIN>
        <PrimaryActivity>HOME HEALTH</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>5118606</ShareOfTotalIncome>
        <ShareOfEOYAssets>51920207</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMERIMED INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311158699</EIN>
        <PrimaryActivity>HOME HEALTH</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>2134392</ShareOfTotalIncome>
        <ShareOfEOYAssets>14669219</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BC HOLDING COMPANY INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1850 BLUEGRASS AVE</AddressLine1>
          <City>LOUISVILLE</City>
          <State>KY</State>
          <ZIPCode>40215</ZIPCode>
        </AddressUS>
        <EIN>311542851</EIN>
        <PrimaryActivity>FITNESS CLUB</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>JH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CADUCEUS MEDICAL ASSOCIATES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5600 BRAINERD ROAD SUITE 500</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37411</ZIPCode>
        </AddressUS>
        <EIN>621570736</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>1008</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CAPTIVE MANAGEMENT INITIATIVES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 10073 APO</AddressLine1>
          <City>GEORGETOWN</City>
          <ProvinceOrState>GRAND CAYMAN</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY1-1001</PostalCode>
        </AddressForeign>
        <EIN>980663022</EIN>
        <PrimaryActivity>CAPTIVE MANAGEMENT</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CATHOLIC HEALTH INITIATIVES CENTER FOR TRANSLATIONAL RESEARCH</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>272269511</EIN>
        <PrimaryActivity>RESEARCH</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CIRI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-2286538</ShareOfTotalIncome>
        <ShareOfEOYAssets>1241259</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CGH REALTY COMPANY INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE RD</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <EIN>232326801</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMCARE SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4231 W 16TH AVENUE</AddressLine1>
          <City>DENVER</City>
          <State>CO</State>
          <ZIPCode>80204</ZIPCode>
        </AddressUS>
        <EIN>840904813</EIN>
        <PrimaryActivity>INACTIVE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHIC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CONSOLIDATED HEALTH SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311378212</EIN>
        <PrimaryActivity>HOME HEALTH</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-879467</ShareOfTotalIncome>
        <ShareOfEOYAssets>52379487</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DES MOINES MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>420837382</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>61204</ShareOfTotalIncome>
        <ShareOfEOYAssets>1064032</ShareOfEOYAssets>
        <PercentageOwnership>0.9298</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FIRST INITIATIVES INSURANCE LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 10073 APO</AddressLine1>
          <City>GEORGETOWN</City>
          <ProvinceOrState>GRAND CAYMAN</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY1-1001</PostalCode>
        </AddressForeign>
        <EIN>980203038</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FRANCISCAN SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>232487967</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-7868</ShareOfTotalIncome>
        <ShareOfEOYAssets>718254</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GOOD SAMARITAN OUTREACH SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1990</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470659440</EIN>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-257418</ShareOfTotalIncome>
        <ShareOfEOYAssets>180468</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTH SYSTEMS ENTERPRISES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1990</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470664558</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>87278</ShareOfTotalIncome>
        <ShareOfEOYAssets>1377820</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTHCARE MGMT SERVICES ORG INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1149 MARKET ST</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98402</ZIPCode>
        </AddressUS>
        <EIN>911865474</EIN>
        <PrimaryActivity>HEALTH ORG.</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDQUEST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1301 15TH AVENUE WEST</AddressLine1>
          <City>WILLISTON</City>
          <State>ND</State>
          <ZIPCode>58801</ZIPCode>
        </AddressUS>
        <EIN>450392137</EIN>
        <PrimaryActivity>SALE OF DME</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC WILLISTON</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>153510</ShareOfTotalIncome>
        <ShareOfEOYAssets>1152715</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY PARK APARTMENTS LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1111 6TH AVENUE</AddressLine1>
          <City>DES MOINES</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>421202422</EIN>
        <PrimaryActivity>HOUSING</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>369231</ShareOfTotalIncome>
        <ShareOfEOYAssets>1937218</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY SERVICES CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <EIN>930824308</EIN>
        <PrimaryActivity>RETAIL SALES</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-440596</ShareOfTotalIncome>
        <ShareOfEOYAssets>1423377</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MHSERVICES CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>431457881</EIN>
        <PrimaryActivity>DME</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJRMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNTAIN MANAGEMENT SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5600 BRAINERD ROAD SUITE 500</AddressLine1>
          <City>CHATTANOOGA</City>
          <State>TN</State>
          <ZIPCode>37411</ZIPCode>
        </AddressUS>
        <EIN>621570739</EIN>
        <PrimaryActivity>MGMT SVC ORG</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>96044</ShareOfTotalIncome>
        <ShareOfEOYAssets>6465179</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NAZARETH ASSURANCE COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 10073 APO</AddressLine1>
          <City>GEORGETOWN</City>
          <ProvinceOrState>GRAND CAYMAN</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY1-1001</PostalCode>
        </AddressForeign>
        <EIN>030304831</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PATIENT TRANSPORT SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 EDISON DRIVE</AddressLine1>
          <City>MILFORD</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311100798</EIN>
        <PrimaryActivity>HOME HEALTH</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-164340</ShareOfTotalIncome>
        <ShareOfEOYAssets>5488275</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PHYSICIAN HEALTH SYSTEM NETWORK</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1149 MARKET ST</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98402</ZIPCode>
        </AddressUS>
        <EIN>911746721</EIN>
        <PrimaryActivity>HEALTH ORG.</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT CLARES PRIMARY CARE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>66 FORD ROAD</AddressLine1>
          <City>DENVILLE</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <EIN>222441202</EIN>
        <PrimaryActivity>BILLING SERVICES</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-357263</ShareOfTotalIncome>
        <ShareOfEOYAssets>1361242</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAMARITAN FAMILY CARE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>40 W FOURTH ST 1700</AddressLine1>
          <City>DAYTON</City>
          <State>OH</State>
          <ZIPCode>45402</ZIPCode>
        </AddressUS>
        <EIN>311299450</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SJH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>232307408</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-197039</ShareOfTotalIncome>
        <ShareOfEOYAssets>3331737</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SJL PHYSICIAN MANAGEMENT SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>424 LEWIS HARGETT CR 160</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
        </AddressUS>
        <EIN>270164198</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ANTHONY DEVELOPMENT COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 SOUTHGATE</AddressLine1>
          <City>PENDLETON</City>
          <State>OR</State>
          <ZIPCode>97801</ZIPCode>
        </AddressUS>
        <EIN>931216943</EIN>
        <PrimaryActivity>ATHLETIC CLUB</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>114663</ShareOfTotalIncome>
        <ShareOfEOYAssets>2936102</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST VINCENT COMMUNITY HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>TWO ST VINCENT CIRCLE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <EIN>710710785</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SVIMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>2408638</ShareOfTotalIncome>
        <ShareOfEOYAssets>15225732</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH DEVELOPMENT COMPANY INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>911480569</EIN>
        <PrimaryActivity>RENTAL</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>655478</ShareOfTotalIncome>
        <ShareOfEOYAssets>12357418</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH OFFICE PARK ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1401 HARRODSBURG ROAD BLDG B70</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EIN>611079899</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>882139</ShareOfEOYAssets>
        <PercentageOwnership>0.85</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TOWSON MANAGEMENT INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>7601 OSLER DRIVE</AddressLine1>
          <City>TOWSON</City>
          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
        </AddressUS>
        <EIN>521710750</EIN>
        <PrimaryActivity>MANAGEMENT SERVICES</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>516457</ShareOfTotalIncome>
        <ShareOfEOYAssets>197196</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COLLABHEALTH MANAGED SOLUTIONS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>461222808</EIN>
        <PrimaryActivity>HOLDING CO</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>23806707</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COLLABHEALTH PLAN SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>198 INVERNESS DRIVE WEST</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>461224037</EIN>
        <PrimaryActivity>ADMIN SERVICES</PrimaryActivity>
        <LegalDomicileState>CO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHMS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-1082933</ShareOfTotalIncome>
        <ShareOfEOYAssets>38272608</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HIGHLINE MEDICAL GROUP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>15811 AMBAUM BLVD SW 170</AddressLine1>
          <City>BURIEN</City>
          <State>WA</State>
          <ZIPCode>98166</ZIPCode>
        </AddressUS>
        <EIN>911407026</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-6049147</ShareOfTotalIncome>
        <ShareOfEOYAssets>5689139</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SOUNDPATH HEALTH INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>32129 WEYERHAEUSER WAY S SUITE 201</AddressLine1>
          <City>FEDERAL WAY</City>
          <State>WA</State>
          <ZIPCode>98001</ZIPCode>
        </AddressUS>
        <EIN>421720801</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHPS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-154741</ShareOfTotalIncome>
        <ShareOfEOYAssets>10976973</ShareOfEOYAssets>
        <PercentageOwnership>0.556</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SLEHS HOLDINGS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 800</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>760637138</EIN>
        <PrimaryActivity>HOLDING CO</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>1425313</ShareOfTotalIncome>
        <ShareOfEOYAssets>33114103</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S ANESTHESIOLOGY ASSOCIATES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>461517163</EIN>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SLMT PARKING INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 800</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>760637140</EIN>
        <PrimaryActivity>PARKING</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>1117934</ShareOfTotalIncome>
        <ShareOfEOYAssets>13768221</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S 6620 MAIN CONDOMINIUM ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>300355517</EIN>
        <PrimaryActivity>CONDOMINIUM ASSOC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLPC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S EPISCOPAL HOSPITAL PHYSICIAN HOSPITAL ORGANIZATION INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6720 BERTNER</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>760377932</EIN>
        <PrimaryActivity>PHO</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>6</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0.6</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S MEDICAL ARTS CENTER I CONDOMINIUM ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>300355518</EIN>
        <PrimaryActivity>CONDOMINIUM ASSOC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLPC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LUKE'S MEDICAL TOWER CONDOMINIUM ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>760298751</EIN>
        <PrimaryActivity>CONDOMINIUM ASSOC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLMTC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SUGAR LAND DOCTOR GROUP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1317 LAKE POINTE PARKWAY</AddressLine1>
          <City>SUGAR LAND</City>
          <State>TX</State>
          <ZIPCode>77478</ZIPCode>
        </AddressUS>
        <EIN>454270163</EIN>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SL CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>-1159411</ShareOfTotalIncome>
        <ShareOfEOYAssets>566590</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>THE TEXAS HEART INSTITUTE AT ST LUKE'S EPISCOPAL HOSPITAL DENTON A COOLEY B</BusinessNameLine1>
          <BusinessNameLine2>UILDING CONDOMINIUM ASSOCIATION</BusinessNameLine2>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <EIN>900064009</EIN>
        <PrimaryActivity>CONDOMINIUM ASSOC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ALEGENT HEALTHCREIGHTON ST JOSEPH MANAGED CARE SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>12809 WEST DODGE ROAD</AddressLine1>
          <City>OMAHA</City>
          <State>NE</State>
          <ZIPCode>68154</ZIPCode>
        </AddressUS>
        <EIN>470802396</EIN>
        <PrimaryActivity>MANAGED CARE</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ACH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>5312313</ShareOfTotalIncome>
        <ShareOfEOYAssets>4520865</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ALL SAINTS INSURANCE COMPANY SPC LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 69 GT 720 WEST BAY ROAD</AddressLine1>
          <City>GEORGETOWN</City>
          <ProvinceOrState>GRAND CAYMAN</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY-1102</PostalCode>
        </AddressForeign>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>43866961</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VINTAGE DOCTOR GROUP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6624 FANNIN SUITE 1100</AddressLine1>
          <City>HOUSTON</City>
          <State>TX</State>
          <ZIPCode>77030</ZIPCode>
        </AddressUS>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SLMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>