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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARY ELIZABETH O'BRIEN</NamePerson>
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        <NamePerson>MAXINE LINGURAR</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>RANJAN SACHDEV</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SCOTT TAYLOR</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SHARON LIND</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS WILDER</NamePerson>
        <BaseCompensationFilingOrg>202166</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>57000</BonusFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>TRACY TUCKER</NamePerson>
        <BaseCompensationFilingOrg>288831</BaseCompensationFilingOrg>
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      </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 CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING 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>Severance or change-of-control payment</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 POST-TERMINATION 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. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES (A RELATED ORGANIZATION) DURING THE 2011 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: SHARON LIND - $224,402 THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CENTRAL KANSAS MEDICAL CENTER DURING THE 2011 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: LEILANI SCHENKEL - $50,578</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental nonqualified retirement plan</Identifier>
        <ReturnReference>Schedule J, Part I, Line 4b</ReturnReference>
        <Explanation>DURING THE 2011 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. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: SHARON LIND MARY ELIZABETH O'BRIEN SCOTT TAYLOR DURING 2011 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: MARY ELIZABETH O'BRIEN - $54,896 SCOTT TAYLOR - $29,520</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000230" softwareVersion="v2011.1.0">
      <GeneralExplanation>
        <Identifier>Significant changes in program services</Identifier>
        <ReturnReference>Form 990, Part III, Line 3</ReturnReference>
        <Explanation>DURING 2011, CENTRAL KANSAS MEDICAL CENTER TRANSITIONED FROM A HOSPITAL TO AN AMBULATORY &amp; SURGERY CENTER. AS PART OF THE CHANGE, THE FOLLOWING HOSPITAL SERVICES ARE NO LONGER PROVIDED AT THE AMBULATORY &amp; SURGERY CENTER: LABOR, DELIVERY, RECOVERY, AND POSTPARTUM ("LDRP"), IN-PATIENT SURGERY, AND IN-PATIENT REHABILITATION. IN ADDITION, THE AMBULATORY &amp; SURGERY NO LONGER HAS AN INTENSIVE CARE UNIT, EMERGENCY ROOM, OR NEWBORN NURSERY. THE CONTINUING SERVICES ARE ONLY PROVIDED ON AN OUT-PATIENT BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>CENTRAL KANSAS MEDICAL CENTER WAS FOUNDED IN 1902, WHEN THREE DOCTORS ASKED THE DOMINICAN SISTERS TO ESTABLISH A HOSPITAL IN THE GREAT BEND AREA. CENTRAL KANSAS MEDICAL CENTER, WITH ITS INNOVATIVE SIX-STORY CLOVERLEAF DESIGN, WAS DEDICATED ON MARCH 1, 1964. CENTRAL KANSAS MEDICAL CENTER'S STATE-OF-THE-ART TECHNOLOGIES INCLUDE DIGITAL MAMMOGRAPHY, FULLY ACR ACCREDITED IMAGINING SERVICES, INCLUDING A 64-SLICE CT, ACCREDITED SAME-DAY SURGERY, CANCER CARE, PHYSICIAN CLINICS, LABORATORY SERVICES, OUTPATIENT THERAPIES (INCLUDING PHYSICAL, OCCUPATIONAL, SPEECH, AND RESPIRATORY), HOME HEALTH AND HOSPICE, AND AN ACCREDITED SLEEP CENTER. CENTRAL KANSAS MEDICAL CENTER IS COMMITTED TO SERVING THE HEALTH CARE NEEDS OF OUR COMMUNITY. CURRENTLY, CENTRAL KANSAS MEDICAL CENTER EMPLOYS 168 EMPLOYEES WITH 147 FTES. THERE ARE 16 EMPLOYED PHYSICIANS THAT WORK IN FIVE CLINICS. CENTRAL KANSAS MEDICAL CENTER OPERATES SEVERAL CLINICS INCLUDING: THE GREAT BEND INTERNIST, ST. JOSEPH FAMILY PRACTICE, URGENT CARE CLINIC, CENTRAL KANSAS SURGERY CENTER, AND CENTRAL KANSAS ORTHOPEDICS. DURING FISCAL YEAR 2012, 592 SURGERIES WERE PERFORMED AT CENTRAL KANSAS MEDICAL CENTER. THERE WERE ALSO 42,109 NON-EMERGENCY OUTPATIENT VISITS DURING THE FISCAL YEAR INCLUDING, 8,355 CANCER CENTER VISITS, 9,044 IMAGING SERVICES, 10,513 LAB VISITS, 6,382 THERAPY VISITS, 521 SLEEP STUDY VISITS, AND 1,557 INFUSION CLINIC VISITS. ADDITIONALLY, THERE WERE 5,321 URGENT CARE VISITS, 10,114 HOME-BASED VISITS, AND 30,641 PHYSICIAN VISITS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>EXECUTIVE COMMITTEE</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 1A</ReturnReference>
        <Explanation>PURSUANT TO SECTION 8.6 OF THE BYLAWS OF CENTRAL KANSAS MEDICAL CENTER, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR, THE PRESIDENT AND CEO, 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 YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL CONSIST OF ONLY DIRECTORS OF THE CORPORATION. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS PROVIDED THAT THEIR ACTIONS ARE CONSISTENT WITH ANY ACTIONS OR POLICIES OF THE BOARD OR THE CORPORATE MEMBER. ALL ACTIONS TAKEN ARE CONTEMPORANEOUSLY DOCUMENTED AND REPORTED TO THE BOARD AT THE EARLIEST MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Classes of members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE ORGANIZATION IS CATHOLIC HEALTH INITIATIVES, A COLORADO NONPROFIT 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>ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER OR OTHER DESIGNEE. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Decisions requiring approval by members or stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES ("CHI"). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE SPECIFIC RIGHTS SET FORTH IN THE GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: *SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF CENTRAL KANSAS MEDICAL CENTER *AMENDMENT OF THE CORPORATE DOCUMENTS OF CENTRAL KANSAS MEDICAL CENTER *APPROVE MEMBERS OF CENTRAL KANSAS MEDICAL CENTER BOARD *REMOVAL OF A MEMBER OF THE GOVERNING BODY OF CENTRAL KANSAS MEDICAL CENTER *APPROVAL OF ISSUANCE OF DEBT BY CENTRAL KANSAS MEDICAL CENTER *APPROVAL OF PARTICIPATION OF CENTRAL KANSAS MEDICAL CENTER IN A JOINT VENTURE *APPROVAL OF FORMATION OF A NEW CORPORATION BY CENTRAL KANSAS MEDICAL CENTER *APPROVAL OF A MERGER INVOLVING CENTRAL KANSAS MEDICAL CENTER *APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF CENTRAL KANSAS MEDICAL CENTER *TO REQUIRE THE TRANSFER OF ASSETS BY CENTRAL KANSAS MEDICAL CENTER TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. *ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR CENTRAL KANSAS MEDICAL CENTER PURSUANT TO SECTION 5.5 OF THE ORGANIZATION'S BYLAWS, CHI MAY, IN EXERCISE OF ITS APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND THE PRESIDENT AND CHIEF EXECUTIVE OFFICER 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>ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER THEN PRESENTS THE RETURN TO THE BOARD AT A BOARD MEETING. SUBSEQUENT TO PRESENTATION TO THE BOARD, THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Conflict of interest policy</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>EACH DIRECTOR MUST PROMPTLY AND FULLY REPORT TO THE BOARD CHAIR SITUATIONS THAT MAY CREATE A CONFLICT OF INTEREST WHEN HE OR SHE BECOMES AWARE OF SUCH SITUATIONS. IN THE CASE OF AN OFFICER, DISCLOSURE MUST BE MADE TO THE CORPORATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER WHO REPORTS SUCH DISCLOSURE TO THE BOARD CHAIR. IN ANY SITUATION WHERE A DIRECTOR OR OFFICER IS IN DOUBT, FULL DISCLOSURE SHOULD BE MADE SO AS TO PERMIT AN IMPARTIAL AND OBJECTIVE DETERMINATION. A WRITTEN RECORD OF THE DISCLOSURE WILL BE MADE. ANNUAL DISCLOSURE STATEMENT IN ADDITION TO THE ONGOING DISCLOSURE OBLIGATION, THE CORPORATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER ANNUALLY SEND TO ALL DIRECTORS AND OFFICERS A COPY OF THIS POLICY STATEMENT AND THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DIRECTORS AND OFFICERS MUST PROMPTLY COMPLETE, SIGN, AND RETURN THE STATEMENT TO THE CORPORATION'S PRESIDENT AND CHIEF EXECUTIVE OFFICER. THE COMPLETED STATEMENTS ARE REVIEWED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND THE BOARD CHAIR. REVIEW, EVALUATION AND INITIAL DETERMINATION THE BOARD CHAIR OR DESIGNEE MAKES SUCH FURTHER INVESTIGATION OF THE CONFLICTS OF INTEREST DISCLOSURES AS HE OR SHE MAY DEEM APPROPRIATE. IF THE CONFLICT INVOLVES THE BOARD CHAIR, THE VICE CHAIR ASSUMES THE CHAIR'S ROLE OUTLINED IN THE CONFLICT OF INTEREST POLICY. BASED ON REVIEW AND EVALUATION OF THE RELEVANT FACTS AND CIRCUMSTANCES, THE BOARD CHAIR MAKES AN INITIAL DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER, PURSUANT TO THE POLICY STATEMENT, REVIEW AND APPROVAL OR OTHER ACTION BY THE BOARD OF STEWARDSHIP DIRECTORS IS REQUIRED. A WRITTEN RECORD OF THE BOARD CHAIR'S DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, IS MADE. THE BOARD CHAIR THEN MAKES AN APPROPRIATE REPORT TO THE EXECUTIVE COMMITTEE OF THE BOARD CONCERNING SUCH REVIEW, EVALUATION AND DETERMINATION. IF THERE IS A DIFFERENCE OF OPINION BETWEEN THE BOARD CHAIR AND ANOTHER DIRECTOR OR OFFICER AS TO WHETHER THE FACTS AND CIRCUMSTANCES OF A GIVEN SITUATION CONSTITUTE A CONFLICT OF INTEREST OR WHETHER BOARD OF DIRECTORS REVIEWS AND APPROVALS OR OTHER ACTION IS REQUIRED WITHIN THE POLICY STATEMENT, THE MATTER IS SUBMITTED TO THE BOARD'S EXECUTIVE COMMITTEE, WHICH MAKES A FINAL DETERMINATION AS TO THE MATTER PRESENTED. SUCH DETERMINATION, INCLUDING RELEVANT FACTS AND CIRCUMSTANCES, IS REFLECTED IN THE COMMITTEE MINUTES AND IS REPORTED TO THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING CEOS COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 2012. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION OF OTHER OFFICERS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15B</ReturnReference>
        <Explanation>THE COMPENSATION OF THE OTHER OFFICERS IS DETERMINED BY THE CEO. THE CEO USES COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THE COMPENSATION PROCESS AND DETERMINATIONS ARE DOCUMENTED IN EACH EMPLOYEE'S FILE IN THE HUMAN RESOURCES DEPARTMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>JOINT VENTURE POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 16B</ReturnReference>
        <Explanation>CENTRAL KANSAS MEDICAL CENTER HAS NOT FORMALLY ADOPTED A WRITTEN POLICY OR WRITTEN PROCEDURE REGARDING JOINT VENTURES. HOWEVER CHI'S SYSTEM-WIDE JOINT VENTURE MODEL OPERATING AGREEMENT INCORPORATES CONTROLS OVER THE VENTURE SUFFICIENT TO ENSURE THAT (1) THE EXEMPT ORGANIZATION AT ALL TIMES RETAINS CONTROL OVER THE VENTURE SUFFICIENT TO ENSURE THAT THE PARTNERSHIP FURTHERS THE EXEMPT PURPOSE OF THE ORGANIZATION; (2) IN ANY PARTNERSHIP IN WHICH THE EXEMPT ORGANIZATION IS A PARTNER, ACHIEVEMENT OF EXEMPT PURPOSES IS PRIORITIZED OVER MAXIMIZATION OF PROFITS FOR THE PARTNERS; (3) THE PARTNERSHIP DOES NOT ENGAGE IN ANY ACTIVITIES THAT WOULD JEOPARDIZE THE EXEMPT ORGANIZATION'S EXEMPTION; (4) RETURNS OF CAPITAL, ALLOCATIONS, AND DISTRIBUTIONS MUST BE MADE IN PROPORTION TO THE PARTNERS' RESPECTIVE OWNERSHIP INTERESTS; AND (5) ALL CONTRACTS ENTERED INTO BY THE PARTNERSHIP WITH THE EXEMPT ORGANIZATION MUST BE AT ARM'S-LENGTH, WITH PRICES SET AT FAIR MARKET VALUE. ANY JOINT VENTURE AGREEMENTS THAT DO NOT CONFORM TO THE MODEL AGREEMENT ARE GENERALLY REVIEWED BY COUNSEL.</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>CENTRAL KANSAS MEDICAL CENTER'S FINANCIAL STATEMENTS ARE INCLUDED IN THE CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT HTTP://WWW.DACBOND.COM. THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY AND BYLAWS ARE NOT PUBLICLY AVAILABLE. HOWEVER, THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE ON THE SECRETARY OF STATE'S WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED TO RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)</ReturnReference>
        <Explanation>COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in net assets or fund balances</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -10713; CHI CONNECT DEPRECIATION - 169041;</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="11000230" softwareVersion="v2011.1.0">
      <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>
        <EIN>470484764</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</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>
        <EIN>420782518</EIN>
        <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>
        <EIN>411351177</EIN>
        <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>
        <EIN>411850500</EIN>
        <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>
        <EIN>420725196</EIN>
        <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 HEALTHCARE CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 BERNVILLE RD PO BOX 316</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <EIN>232187242</EIN>
        <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>
        <EIN>450227311</EIN>
        <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>
        <EIN>470617373</EIN>
        <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>
        <EIN>840902211</EIN>
        <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>
        <EIN>271050565</EIN>
        <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>
        <EIN>270930004</EIN>
        <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</AddressLine1>
          <City>ENGLEWOOD</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>840405257</EIN>
        <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>CENTENNIAL MEDICAL GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2700 STEWART PARKWAY</AddressLine1>
          <City>ROSEBURG</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <EIN>263946191</EIN>
        <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>
        <EIN>480543724</EIN>
        <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</AddressLine1>
          <City>FARGO</City>
          <State>ND</State>
          <ZIPCode>58104</ZIPCode>
        </AddressUS>
        <EIN>271966847</EIN>
        <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>CHI KENTUCKY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3900 OLYMPIC BLVD SUITE 400</AddressLine1>
          <City>ERLANGER</City>
          <State>KY</State>
          <ZIPCode>41018</ZIPCode>
        </AddressUS>
        <EIN>202741651</EIN>
        <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>
        <EIN>451261716</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 - Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI NS</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>
        <EIN>452532084</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI NEBRASKA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6940 O STREET SUITE 200</AddressLine1>
          <City>LINCOLN</City>
          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
        </AddressUS>
        <EIN>363233121</EIN>
        <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>CONTINUING CARE HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>150 NORTH EAGLE CREEK DRIVE</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40509</ZIPCode>
        </AddressUS>
        <EIN>611400619</EIN>
        <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>1223 POTTSVILLE PIKE</AddressLine1>
          <City>SHOEMAKERSVILLE</City>
          <State>PA</State>
          <ZIPCode>19555</ZIPCode>
        </AddressUS>
        <EIN>232018429</EIN>
        <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>
        <EIN>910715805</EIN>
        <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 DBA FLAGET MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4305 NEW SHEPHERDSVILLE ROAD</AddressLine1>
          <City>BARDSTOWN</City>
          <State>KY</State>
          <ZIPCode>40004</ZIPCode>
        </AddressUS>
        <EIN>611345363</EIN>
        <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 INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4305 NEW SHEPHERDSVILLE ROAD</AddressLine1>
          <City>BARDSTOWN</City>
          <State>KY</State>
          <ZIPCode>40004</ZIPCode>
        </AddressUS>
        <EIN>562351341</EIN>
        <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>
        <EIN>911145592</EIN>
        <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 FKA FRANCISCAN HEALTH SYSTEM WEST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1717 SOUTH J STREET</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>910564491</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
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        <PublicCharityStatus>3</PublicCharityStatus>
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          <AddressLine1>570 CHAUTAUQUA BOULEVARD</AddressLine1>
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          <State>OR</State>
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          <BusinessNameLine1>MERCY MEDICAL FOUNDATION</BusinessNameLine1>
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          <AddressLine1>1111 6TH AVENUE</AddressLine1>
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          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
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          <BusinessNameLine1>MLIFECARES</BusinessNameLine1>
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          <BusinessNameLine1>PENINSULA RADIATION ONCOLOGY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>315 MARTIN LUTHER KING JR WAY 111</AddressLine1>
          <City>TACOMA</City>
          <State>WA</State>
          <ZIPCode>98405</ZIPCode>
        </AddressUS>
        <EIN>710799771</EIN>
        <PrimaryActivity>HEALTHCARE SRVC</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>135014</ShareOfTotalIncome>
        <ShareOfEOYAssets>85985</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <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>2397488</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <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>2802932</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT JOSEPH - SCA HOLDINGS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>424 LEWIS HARGETT CIRCLE STE 160</AddressLine1>
          <City>LEXINGTON</City>
          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
        </AddressUS>
        <EIN>453801157</EIN>
        <PrimaryActivity>OP SURGERY</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <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>68676</ShareOfTotalIncome>
        <ShareOfEOYAssets>446063</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST FRANCIS LAND COMPANY</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>408090</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <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>110986</ShareOfTotalIncome>
        <ShareOfEOYAssets>1672098</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.5421</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>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <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>-254775</ShareOfTotalIncome>
        <ShareOfEOYAssets>796941</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</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>393519</ShareOfTotalIncome>
        <ShareOfEOYAssets>2214599</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <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>-3676</ShareOfTotalIncome>
        <ShareOfEOYAssets>395845</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</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>3267441</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </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>4648726</ShareOfTotalIncome>
        <ShareOfEOYAssets>44654199</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </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>662062</ShareOfTotalIncome>
        <ShareOfEOYAssets>11666874</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </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>
      </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>
      </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>
      </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>TRUST</TypeOfEntity>
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        <ShareOfEOYAssets>2809707</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CGH REALTY COMPANY INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>215 N 12TH ST</AddressLine1>
          <City>READING</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <EIN>232326801</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
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          <BusinessNameLine1>SJHM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMCARE SERVICES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4231 W 16TH AVENUE</AddressLine1>
          <City>DENVER</City>
          <State>CO</State>
          <ZIPCode>80204</ZIPCode>
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        <EIN>840904813</EIN>
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        <LegalDomicileState>CO</LegalDomicileState>
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          <BusinessNameLine1>CHIC</BusinessNameLine1>
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        <TypeOfEntity>C CORPORATION</TypeOfEntity>
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        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CONSOLIDATED HEALTH SERVICES</BusinessNameLine1>
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        <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>
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        <ShareOfEOYAssets>65844862</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DAVID DEYLE CHARITABLE REMAINDER UNITRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1810</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>476192395</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
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          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
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      </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>
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        <EIN>420837382</EIN>
        <PrimaryActivity>REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
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          <BusinessNameLine1>CHI-IA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORPORATION</TypeOfEntity>
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        <ShareOfEOYAssets>1221667</ShareOfEOYAssets>
        <PercentageOwnership>0.9298</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FIRST INITIATIVES INSURANCE LTD</BusinessNameLine1>
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          <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>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FRANCISCAN SERVICES INC</BusinessNameLine1>
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        <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>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GOOD SAMARITAN OUTREACH SERVICES</BusinessNameLine1>
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        <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>
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        <ShareOfEOYAssets>355110</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
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          <AddressLine1>PO BOX 1810</AddressLine1>
          <City>KEARNEY</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>476192393</EIN>
        <PrimaryActivity>INVESTMENTS</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>TRUST</TypeOfEntity>
        <PercentageOwnership>1</PercentageOwnership>
      </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>
        <ShareOfEOYAssets>266960</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>