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        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>486982</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>486982</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00190</PercentOfTotalExpense>
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      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1574330</BadDebtExpenseAmount>
      <AmountAttributableTo>927978</AmountAttributableTo>
      <AmountReimbursedByMedicare>117241879</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>134042083</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-16800204</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>St Mary's of Michigan Medical Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>800 S Washington Ave</AddressLine1>
          <City>Saginaw</City>
          <State>MI</State>
          <ZIPCode>48601</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>St Mary's of Michigan Medical Center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>300.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a costing accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For certain categories in the table, this was a cost accounting system; in other categories, a specific cost-to-charge ration was applied.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7g: The organization has not included costs attributable to a physician clinic as part of subsidized health services</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: The organization is a part of the St. Mary's of Michigan consolidated audit. The provision for bad debts is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year management assesses the adequacy of allowance for uncollectible accounts based upon historical write off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, St. Mary's follows established guidelines for placing certain past-due patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with St. Mary's policies.The organization's share of deduction for bad debts was $4,962,451 at charges.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: St. Mary's follows the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 7: Operations and governanceSt. Mary's of Michigan Medical Center- operates an emergency room that is open to all persons regardless of ability to pay; - has an open medical staff with privileges available to all qualified physicians in the area; - has a governing body in which independent persons representative of the community comprise a majority;- engages in medical or scientific research programs;- engages in the training and education of health care professionals; and- participates in Medicaid, Medicare, CHAMPUS, Tricare, and/or other government-sponsored health care programs.Patient ServicesSt. Mary's of Michigan Medical Center provides the following in-patient and out-patient medical services to the community:Ambulatory care center services Pain ManagementCardiac services Primary Care PhysiciansCancer treatment services Radiology servicesCyberknife Rehabilitation servicesEmergency care center services Robotic Surgical ServicesFlight Care Sleep StudiesLaboratory services Stroke servicesNeuroscience services Trauma servicesOrthopedic services Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. These include Trauma services and Physician Offices.During the fiscal year ending June 30, 2012, our Medical Center treated 11,293 adults and children in the community for a total of 61,625 patient days of service. The Medical Center also provided services to 248,052 outpatients, including 2,709 outpatient surgery patients, 51,348 emergency visits and 81,274 Physician office visits.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: St. Mary's of Michigan Medical Center, along with six other local businesses, is a member of Saginaw County Community Health improvement Planning team. This team, over the course of the year, met at least monthly to implement a community-driven strategic planning process for improving community health. Information was gathered through focus groups, community surveys and area agencies in an attempt to acquire broad community input regarding their health concerns. The Saginaw county Community Health improvement planning team was formed in 2009 with a vision of creating a healthier Saginaw community and a mission of developing a health improvement plan that would support and maintain a healthy community. This collaborative effort provides a unique opportunity to address health related issues and ideas in a broad forum with a diverse group of partners. The planning team identified as the Community Health Improvement (CHI) Key Partners, is made up of representatives from private enterprise, faith and community based organizations, as well as educational and health and humans services organizations. These representatives play a vital role in designing materials and activities aimed at implementing, promoting, and overseeing the success of the plan. Information was gathered through focus groups, community surveys and area agencies in an attempt to acquire broad community input regarding their health concerns.The following five health issues were identified as priorities:Infant MortalityChild ObesityAdult ObesityMental HealthCancerPlans and committees are in place to outline goals, strategies and activities related to the top five health-related indicators along with others. These will be update as necessary in order to ensure successful plan deployment and optimal impact in address the needs of the Saginaw community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: It is the policy of St. Mary's of Michigan Health to ensure a socially just practice for billing for all Patients receiving care at any of our facilities. St. Mary's of Michigan provides assistance to Patients who do not have the financial resources available to pay for necessary medical service rendered. Various individuals may identify potential charity care recipients. Any Patient that may be a candidate should be referred to a financial counselor. Our billing and collection practices reflect our commitment to and reverence for human dignity and the common good; our special concern for and solidarity with poor and vulnerable persons; and our commitment to distributive justice and stewardship.St. Mary's of Michigan ensures that:A. St. Mary's of Michigan staff and agents behave in a manner that reflects the policies and values of a Catholic-sponsored facility, including treating Patients and their families with dignity, respect and compassion.B. Patients receive prompt access to charge information for any item or service.C. Patients and their families are advised of the hospital's applicable policies, including charity care and the availability of need-based financial assistance in easily understood terms.D. Patients who do not qualify for charity care, but are in need of financial assistance, are offered appropriate extended payment terms or other payment options that take into account the Patient's financial status.E. Outstanding balances on Patient accounts are pursued fairly and consistently, in a manner that reflects the values and commitments of a Catholic sponsored facility.F. Financial counselors are available to all Patients.G. Information is posted in Patient access areas including the Emergency Department regarding financial assistance and charity care policies.H. Patients are encouraged to participate in their own care by working with the financial counselor and applying for Medicaid or other public assistance programs to qualify for charity or financial assistance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: St. Mary's of Michigan Medical Center is a 268 licensed bed nonprofit acute care hospital which provides inpatient, outpatient and emergency care services. St. Mary's of Michigan Medical Center serves the residents of northeast Michigan. St. Mary's of Michigan Medical Center seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing health care services to all individuals who require medical attention, St. Mary's of Michigan Medical Center has developed programs to help achieve its mission.St. Mary's of Michigan Medical Center provides a substantial portion of its services to the elderly and poor. During the fiscal year ending June 30, 2012, approximately 53% of the value of services rendered were to elderly patients under the Medicare program, and approximately 17% of the services were provided to patients who were deemed indigent under state, county, or Medical Center Guidelines.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 5: Expanding Awareness, Education, and Health PromotionSt. Mary's of Michigan Medical Center believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. St. Mary's of Michigan has invested significantly in unique, top quality health education and materials to accomplish its goals. In efforts to promote healthy living, St. Mary's has made available the following community education programs: Physical Fitness Activities-Annual Charity Golf Classic Footsteps for FitnessSt. Mary's Run/Walk for Health Children's Charity Bike RunMaking Strides Against Breast Cancer Walk Lunch Connection Programs: Free Stroke Awareness Oncology SymposiumCommunity Health Programs - No-cost Stroke Screening Weight-Loss Surgery Information SessionsAsk the Expert: Skin Cancer Cancer Screening ProgramsCommunity Outreach-Center of HOPE (network of free clinics) Women's ExpoPharmacy Assistance Program Servant Leadership ProgramHearth Home - HIV Prevention &amp; Education Diaper &amp; Formula CollectionsCommunity Health Needs Assessment Support Groups- MS Support Group Support for Living - Cancer Support GroupSpinal Cord Injury Resource Group Bariatric Support GroupCamp Healing Hearts Public Health Access-Healthy Futures operates a network of free clinics to assist the uninsured, underinsured and homeless population of Saginaw County to obtain healthcare and prescription medications. Staff are on hand to help guide family, friends and neighbors to the many services provided in Saginaw County. Many of the uninsured population in Saginaw County cannot access regular health care due to cultural, geographical or financial barriers. The Healthy Futures program allows patients to enter the health care system through free neighborhood clinics which include: the Naseau Clinic at the Hunger Solution Center, the Family Life Community Clinic at New Life Ministries in the Houghton Jones neighborhood, the Rehmann Health Center in Chesaning, the Self Reliance Clinic at St. Paul's Episcopal Church and Rapha's Clinic at the Living Faith Ministries in the Stone School area. In furthering St. Mary's commitment to the surrounding community, contributions to local organizations and causes are made each year. During fiscal year 2010, St. Mary's made significant donations to the following local causes: American Heart Association $7,500Catholic Diocese of Saginaw $10,660East Side Soup Kitchen $5,500Field Neurosciences Institute $8,050Genesys Charity Classic $6,000Hospital Hospitality House 12,350Michigan Cardiovascular Institute $7,500St. Joseph Health $5,200St. Mary's Standish Community Hospital (Development) $5,500 Saginaw Bay Symphony Orchestra $5,000Saginaw Community Foundation $6,000Saginaw County Chamber Commerce $18,300Saginaw County Medical Society $7,500St. Mary's of Michigan Foundation $6,190Temple Theater Foundation $10,000Medical ResearchSt. Mary's of Michigan Medical Center furthers its mission by contributing funds and personnel to support research that has helped advance medical care. Research projects include the following:-Cardiac Research-Oncology Research-Neurology ResearchMedical EducationSt. Mary's of Michigan Medical Center believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing medical education.Resident Education-St. Mary's is affiliated with Synergy Medical Education alliance. Synergy Medical is a non-profit medical education corporation with formal affiliation with Michigan State University College of Human Medicine. Residents receive training as they rotate through Saginaw area member hospitals including St. Mary's. Residency programs include: -Emergency Medicine-Family Medicine-General Surgery-Internal Medicine-Obstetrics &amp; Gynecology</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: St. Mary's of Michigan Medical Center is a member of Ascension Health. Ascension Health is a Catholic, national health system consisting primarily of nonprofit corporations that own and operate local health care facilities, or Health Ministries, located in 20 of the United States and the District of Columbia. Ascension Health is sponsored by the Northeast, Southeast, East Central, and West Central Provinces of the Daughters of Charity of St. Vincent de Paul, the Congregation of St. Joseph, and the Sisters of St. Joseph of Carondelet.Ascension Health is the sole corporate member of St. Mary's, and Field Neurosciences Institute is a corporate member of St. Mary's. Standish Community Hospital is the sole corporate member of St. Mary's Health. St. Mary's Medical Center, located in Saginaw, Michigan, is a nonprofit acute care hospital that provides inpatient, outpatient, and emergency care services for the residents of northeast Michigan. Admitting physicians are primarily practitioners in the local area. Standish Community Hospital, located in Standish, Michigan, is a nonprofit critical care access hospital. St. Mary's is related to Ascension Health's other sponsored organizations through common control. Substantially all expenses of St. Mary's are related to providing healthcare services.Ascension Health directs its governance and management activities toward strong, vibrant, Catholic Health Ministries united in service and healing and dedicates its resources to spiritually centered care which sustains and improves the health of the individuals and communities it serves. In accordance with Ascension Health's mission of service to those who are poor and vulnerable, each Health Ministry accepts patients regardless of their ability to pay. Ascension Health uses four categories to identify the resources utilized for the care of persons who are poor and community benefit programs:-Traditional charity care includes the cost of services provided to persons who cannot afford health care because of inadequate resources and/or who are uninsured or underinsured.-Unpaid cost of public programs represents the unpaid cost of services provided to persons covered by public programs for the poor.-Cost of other programs for the poor includes unreimbursed costs of programs intentionally designed to serve the poor and vulnerable of the community, including substance abusers, the homeless, victims of child abuse, and persons with acquired immune deficiency syndrome.-Community benefit consists of the unreimbursed costs of community benefit programs and services for the general community, not solely for the poor, including health promotion and education, health clinics and screenings, and medical research.Discounts are provided to all uninsured patients, including those with the means to pay. Discounts provided to those patients who did not qualify for assistance under charity care guidelines are not included in the cost of providing care of persons who are poor and community benefit programs. The cost of providing care of persons who are poor and community benefit programs is estimated using internal cost data.As a member of Ascension Health, the nation's largest Catholic healthcare system, St. Mary's of Michigan Medical Center continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of St. Mary's of Michigan Medical Center is to perpetuate the healing mission of the church. St. Mary's of Michigan Medical Center furthers this goal through delivery of patient services, care to the elderly and indigent, patient education and health awareness programs for the community, and medical research. Our concern for all human life and dignity of each person leads the organization to provide medical services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>St. Mary's Of Michigan Medical Center has a single corporate member, Ascension Health.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>St. Mary's of Michigan Medical Center has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Mary's of Michigan Medical Center.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>St. Mary's of Michigan Medical Center has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Mary's of Michigan Medical Center.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>All decisions that have a material impact to St. Mary's of Michigan Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Health. Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations &amp; major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic &amp; financial plans; assets; system policies &amp; procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>All decisions that have a material impact to St. Mary's of Michigan Medical Center financial information or corporation as a whole are subject to approval by its sole corporate member, Ascension Health. Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations &amp; major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic &amp; financial plans; assets; system policies &amp; procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all committee members are provided the Form 990 and management team members are available to answer any committee member questions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, all committee members are provided the Form 990 and management team members are available to answer any committee member questions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>In determining the compensation of the organization's CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Ascension Health board reviewed and approved the compensation. In the review of the compensation, the CEO was compared to other organizations in the area that hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. The individual was not present when his or her compensation was decided. The Executive Committee of the Board of Directors in conjunction with the Intermediate Sanctions Compliance Policy of the hospital is responsible for determining the compensation of other officers or key employees of the organization. The process includes a market analysis of comparable healthcare positions from other organizations of comparable size, complexity, and business activity. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The organization will provide any documents open to public inspection upon request.</Explanation>
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      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized losses on investments: -17,451,043. Transfers to Affiliates -7,040,630. Total Pension &amp; Other Post - Retire Costs -19,427,256. Total to Form 990, Part XI, Line 5: -43,918,929.</Explanation>
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        <ShareOfEOYAssets>3490164</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.50891</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Mary's of Michigan Specialists</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
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          <City>Saginaw</City>
          <State>MI</State>
          <ZIPCode>48601</ZIPCode>
        </AddressUS>
        <EIN>205959777</EIN>
        <PrimaryActivity>Physician Practices</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Ascension Health</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>5478426</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Mary's of Michigan Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Mary's of Michigan Field Neurosciences</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Mary's of Michigan Foundation</BusinessNameLine1>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>