﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2011v1.5">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2013-05-15T14:28:03-05:00</Timestamp>
    <TaxPeriodEndDate>2012-06-30</TaxPeriodEndDate>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>382113393</EIN>
      <Name>
        <BusinessNameLine1>TRINITY HEALTH - MICHIGAN</BusinessNameLine1>
      </Name>
      <NameControl>TRIN</NameControl>
      <Phone>7343431000</Phone>
      <USAddress>
        <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
        <City>LIVONIA</City>
        <State>MI</State>
        <ZIPCode>481527018</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>JAMES BOSSCHER</Name>
      <Title>ASSISTANT TREASURER</Title>
      <Phone>7343431000</Phone>
      <DateSigned>2013-05-15</DateSigned>
    </Officer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="13">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <AddressChange>X</AddressChange>
      <DoingBusinessAs>
        <BusinessNameLine1>SEE SCHEDULE O FOR LIST</BusinessNameLine1>
      </DoingBusinessAs>
      <NameOfPrincipalOfficerPerson>LARRY WARREN</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
        <City>LIVONIA</City>
        <State>MI</State>
        <ZIPCode>481527018</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>2436646973</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.TRINITY-HEALTH.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1976</YearFormation>
      <StateLegalDomicile>MI</StateLegalDomicile>
      <ActivityOrMissionDescription>HEALTH CARE SERVICES</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>5</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>4</NbrIndependentVotingMembers>
      <TotalNbrEmployees>19747</TotalNbrEmployees>
      <TotalNbrVolunteers>2491</TotalNbrVolunteers>
      <TotalGrossUBI>53586109</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>-1256823</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>13916640</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>20715254</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>2179300366</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>2295921306</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>36945629</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>21215855</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>65802982</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>76992243</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>2295965617</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>2414844658</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>1186204</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>1478755</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>999995692</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>1032442355</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>37761</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>165614</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>4580794</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>1172644231</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>1253065422</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>2173863888</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>2287152146</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>122101729</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>127692512</RevenuesLessExpensesCY>
      <TotalAssetsBOY>3246651180</TotalAssetsBOY>
      <TotalAssetsEOY>3446109503</TotalAssetsEOY>
      <TotalLiabilitiesBOY>1030033000</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>1213866974</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>2216618180</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>2232242529</NetAssetsOrFundBalancesEOY>
      <MissionDescription>HEALTH CARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>2105311246</Expense>
      <Grants>1478755</Grants>
      <Revenue>2278676393</Revenue>
      <Description>TRINITY HEALTH - MICHIGAN OPERATED HOSPITALS IN 7 AREAS OF MICHIGAN THAT PROVIDED 503,029 DAYS OF HEALTHCARE SERVICES TO THEIR COMMUNITIES.THE MISSION STATEMENT OF TRINITY HEALTH - MICHIGAN IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTHIN THE SPIRIT OF THE GOSPELTO HEAL BODY, MIND, AND SPIRITTO IMPROVE THE HEALTH OF OUR COMMUNITIESAND TO STEWARD THE RESOURCES ENTRUSTED TO US.</Description>
      <TotalProgramServiceExpense>2105311246</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="RetDoc1039700001">0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="RetDoc1039700001">1</LobbyingActivities>
      <SubjectToProxyTax referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">1</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising referenceDocumentId="RetDoc1041200001">1</ProfessionalFundraising>
      <FundraisingActivities referenceDocumentId="RetDoc1041200001">1</FundraisingActivities>
      <Gaming referenceDocumentId="RetDoc1041200001">1</Gaming>
      <Hospital referenceDocumentId="RetDoc1041500001">1</Hospital>
      <FinancialStmtAttached referenceDocumentId="RetDoc2436500002">1</FinancialStmtAttached>
      <GrantsToOrganizations referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc1041900001">1</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="RetDoc1042800001">0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="RetDoc1042800001">0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="RetDoc1042800001">1</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="RetDoc1042800001">1</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt referenceDocumentId="RetDoc1042900001">1</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">1</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">1</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>3284</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>19747</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>1</UnrelatedBusinessIncome>
      <Form990-TFiled>1</Form990-TFiled>
      <ForeignFinancialAccount>1</ForeignFinancialAccount>
      <NameOfForeignCountry>CJ</NameOfForeignCountry>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>1</QuidProQuoContributions>
      <QuidProQuoDisclosure>1</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>5</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>4</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>1</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>1</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>1</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>0</WrittenPolicyOrProcedure>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>BETH GDOWIK</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>7343431000</TelephoneNumber>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>481527018</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <Form990PartVIISectionA>
        <NamePerson>JOSEPH SWEDISH</NamePerson>
        <Title>TRINITY PRES AND CEO</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>5186660</ReportableCompFromRelatedOrgs>
        <OtherCompensation>576202</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARY MOLLISON CSA</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MELANIE DREHER</NamePerson>
        <Title>VICE CHAIR</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>25000</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUZANNE BRENNAN CSC</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT LADENBURGER</NamePerson>
        <Title>TRUSTEE UNTIL 12/11</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>20500</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOSE SANTILLAN</NamePerson>
        <Title>TRUSTEE AS OF 1/12</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>21250</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL NEUMANN</NamePerson>
        <Title>SECRETARY; TRIN SVP &amp; GEN COUNSEL</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>732791</ReportableCompFromRelatedOrgs>
        <OtherCompensation>97794</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>AGNES HAGERTY</NamePerson>
        <Title>ASST SEC; VP GEN CSL TRINITY</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>379449</ReportableCompFromRelatedOrgs>
        <OtherCompensation>51225</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BENJAMIN CARTER</NamePerson>
        <Title>TREASURER; TRINITY SVP &amp; CFO</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>755014</ReportableCompFromRelatedOrgs>
        <OtherCompensation>102689</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JAMES BOSSCHER</NamePerson>
        <Title>ASST TREASURER; TRINITY SVP TREASURY</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>523454</ReportableCompFromRelatedOrgs>
        <OtherCompensation>88842</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KEDRICK ADKINS</NamePerson>
        <Title>TRINITY PRES, INTEGRATED SVCS</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>1405226</ReportableCompFromRelatedOrgs>
        <OtherCompensation>117120</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD O'CONNELL</NamePerson>
        <Title>TRINITY COO-HOSPITAL NETWORKS</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>943237</ReportableCompFromRelatedOrgs>
        <OtherCompensation>118221</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL MURPHY</NamePerson>
        <Title>TRINITY EVP HEALTH NTWKS UNTIL 4/12</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>474370</ReportableCompFromRelatedOrgs>
        <OtherCompensation>75538</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PHILIP MCCORKLE</NamePerson>
        <Title>REG. MARKET EXEC. WEST MI</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>643013</ReportableCompFromRelatedOrgs>
        <OtherCompensation>56663</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GARRY FAJA</NamePerson>
        <Title>REG. MARKET EXEC. EAST MI</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>993119</ReportableCompFromRelatedOrgs>
        <OtherCompensation>147118</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JACK WEINER</NamePerson>
        <Title>SJ MERCY OAKLAND CEO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>669361</ReportableCompFromRelatedOrgs>
        <OtherCompensation>129939</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT CASALOU</NamePerson>
        <Title>SJ MERCY HEALTH SYSTEM CEO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>580342</ReportableCompFromRelatedOrgs>
        <OtherCompensation>76595</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID SPIVEY</NamePerson>
        <Title>ST. MARY MERCY LIVONIA CEO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>504201</ReportableCompFromRelatedOrgs>
        <OtherCompensation>89484</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES HOFFMAN</NamePerson>
        <Title>SJ MERCY HEALTH SYSTEM CFO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>484881</ReportableCompFromRelatedOrgs>
        <OtherCompensation>53128</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BARBARA HERTZLER</NamePerson>
        <Title>SJ MERCY OAKLAND COO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>378591</ReportableCompFromRelatedOrgs>
        <OtherCompensation>62500</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PETER KARADJOFF</NamePerson>
        <Title>SJ MERCY PORT HURON CEO UNTIL 4/12</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>384722</ReportableCompFromRelatedOrgs>
        <OtherCompensation>59802</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATHLEEN GRIFFITHS</NamePerson>
        <Title>CHELSEA HOSP. PRESIDENT UNTIL 12/11</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>362746</ReportableCompFromRelatedOrgs>
        <OtherCompensation>85347</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN MACLEOD</NamePerson>
        <Title>MERCY CADILLAC CEO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>366952</ReportableCompFromRelatedOrgs>
        <OtherCompensation>58410</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RANDALL WAGNER</NamePerson>
        <Title>ST. MARY'S HEALTH CARE COO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>348762</ReportableCompFromRelatedOrgs>
        <OtherCompensation>36817</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEPHEN PIROG</NamePerson>
        <Title>ST. MARY'S HEALTH CARE CFO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>318603</ReportableCompFromRelatedOrgs>
        <OtherCompensation>59172</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEPHANIE RIEMER-MATUZAK</NamePerson>
        <Title>MERCY GRAYLING CEO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>325125</ReportableCompFromRelatedOrgs>
        <OtherCompensation>111606</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL GUSHO</NamePerson>
        <Title>SJ MERCY OAKLAND CFO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>303965</ReportableCompFromRelatedOrgs>
        <OtherCompensation>55813</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBORAH ARMSTRONG</NamePerson>
        <Title>SJ MERCY PH INTERIM CFO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>260000</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17950</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CLAUDE LAUDERBACH</NamePerson>
        <Title>ST. MARY MERCY LIVONIA COO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>261161</ReportableCompFromRelatedOrgs>
        <OtherCompensation>55812</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATHLEEN O'CONNOR</NamePerson>
        <Title>ST. MARY MERCY LIVONIA CFO TIL 12/11</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>239165</ReportableCompFromRelatedOrgs>
        <OtherCompensation>55204</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CREG CARPENTER</NamePerson>
        <Title>ORTHOPEDIC SURGEON</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>856604</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>39660</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TALLAL ZENI</NamePerson>
        <Title>BARIATRIC SURGEON</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>724432</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24866</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK KELLEY</NamePerson>
        <Title>ORTHOPEDIC SURGEON</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>699811</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>50852</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JIHN HAN</NamePerson>
        <Title>CARDIOLOGIST</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>667190</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23234</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK PINTO</NamePerson>
        <Title>ORTHOPEDIC SURGEON</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>665563</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42885</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIANNE CUNNINGHAM</NamePerson>
        <Title>FORMER OFFICER</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>162829</ReportableCompFromRelatedOrgs>
        <OtherCompensation>31606</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANIEL HALE</NamePerson>
        <Title>FORMER OFFICER</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>925954</ReportableCompFromRelatedOrgs>
        <OtherCompensation>106225</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL SLUBOWSKI</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>150838</ReportableCompFromRelatedOrgs>
        <OtherCompensation>1101</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATHLEEN RHINE</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>203031</ReportableCompFromRelatedOrgs>
        <OtherCompensation>12439</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL BROWNE</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>781601</ReportableCompFromRelatedOrgs>
        <OtherCompensation>94628</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DEBRA CANALES</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>890622</ReportableCompFromRelatedOrgs>
        <OtherCompensation>86371</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL CONLON</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>416037</ReportableCompFromRelatedOrgs>
        <OtherCompensation>97783</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LOUIS FIERENS</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>489708</ReportableCompFromRelatedOrgs>
        <OtherCompensation>65100</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PRESTON GEE</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>487615</ReportableCompFromRelatedOrgs>
        <OtherCompensation>76609</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL HOLPER</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>402101</ReportableCompFromRelatedOrgs>
        <OtherCompensation>69885</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TERRENCE O'ROURKE MD</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>863581</ReportableCompFromRelatedOrgs>
        <OtherCompensation>50709</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARIA SZYMANSKI</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>666060</ReportableCompFromRelatedOrgs>
        <OtherCompensation>106893</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROGER SPOELMAN</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>755823</ReportableCompFromRelatedOrgs>
        <OtherCompensation>120663</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GREGORY LOOMIS</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>346289</ReportableCompFromRelatedOrgs>
        <OtherCompensation>49185</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GARY ALLORE</NamePerson>
        <Title>FORMER KEY EMPLOYEE</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>304543</ReportableCompFromRelatedOrgs>
        <OtherCompensation>38122</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EDWARD CHADWICK</NamePerson>
        <Title>FORMER OFFICER</Title>
        <AverageHoursPerWeek>0.00</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>159057</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>3613600</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>25897349</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>3627807</TotalOtherCompensation>
      <NumberIndividualsGT100K>831</NumberIndividualsGT100K>
      <FormersListed>1</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>PINE REST CHRISTIAN HOSPITAL</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>300 68TH ST</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49548</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HEALTH CARE SERVICES</DescriptionOfServices>
        <Compensation>22460443</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GRANGER CONSTRUCTION COMPANY</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>6267 AURELIUS RD</AddressLine1>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48911</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION SERVICES</DescriptionOfServices>
        <Compensation>17643757</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>THE CHRISTMAN COMPANY</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>208 N CAPITOL AVENUE</AddressLine1>
            <City>LANSING</City>
            <State>MI</State>
            <ZIPCode>48933</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION SERVICES</DescriptionOfServices>
        <Compensation>12842498</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MICHIGAN MULTISPECIALTY PHYSICIANS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2350 GREEN RD STE 170</AddressLine1>
            <City>ANN ARBOR</City>
            <State>MI</State>
            <ZIPCode>48105</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HEALTH CARE SERVICES</DescriptionOfServices>
        <Compensation>8773288</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>COMMUNITY ORTHOPEDIC SURGERY PC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>5315 ELLIOTT DR STE 202</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HEALTH CARE SERVICES</DescriptionOfServices>
        <Compensation>5873987</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>245</NumberOfContractorsGT100K>
      <FederatedCampaigns>77726</FederatedCampaigns>
      <FundraisingEvents>2034657</FundraisingEvents>
      <RelatedOrganizations>1686491</RelatedOrganizations>
      <GovernmentGrants>3959196</GovernmentGrants>
      <AllOtherContributions>12957184</AllOtherContributions>
      <NoncashContributions>194988</NoncashContributions>
      <TotalContributions>20715254</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SVC REV</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2210123299</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2210123299</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PHARMACY REVENUE</Description>
        <BusinessCode>446110</BusinessCode>
        <TotalRevenueColumn>62929171</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>30270354</UnrelatedBusinessRevenue>
        <ExclusionAmount>32658817</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>LABORATORY REVENUE</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>22868836</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>22868836</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>2295921306</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>14324571</TotalRevenueColumn>
        <ExclusionAmount>14324571</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>12817046</Real>
        <Personal>7734</Personal>
      </GrossRents>
      <LessRentalExpenses>
        <Real>16957084</Real>
        <Personal>0</Personal>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>-4140038</Real>
        <Personal>7734</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>-4132304</TotalRevenueColumn>
        <ExclusionAmount>-4132304</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>6994845</Securities>
        <Other>1509253</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>0</Securities>
        <Other>1612814</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>6994845</Securities>
        <Other>-103561</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>6891284</TotalRevenueColumn>
        <ExclusionAmount>6891284</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>840156</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>2034657</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>1285899</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-445743</TotalRevenueColumn>
        <ExclusionAmount>-445743</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <GrossIncomeGaming>52472</GrossIncomeGaming>
      <GamingDirectExpenses>56072</GamingDirectExpenses>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>-3600</TotalRevenueColumn>
        <ExclusionAmount>-3600</ExclusionAmount>
      </NetIncomeFromGaming>
      <GrossSalesOfInventory>3342904</GrossSalesOfInventory>
      <CostOfGoodsSold>1890446</CostOfGoodsSold>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>1452458</TotalRevenueColumn>
        <ExclusionAmount>1452458</ExclusionAmount>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MEDICARE/MEDICAID HIT</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>13187206</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13187206</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>10861837</TotalRevenueColumn>
        <ExclusionAmount>10861837</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>TELEPHONE &amp; TELEVISION</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>259582</TotalRevenueColumn>
        <ExclusionAmount>259582</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>55812807</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>55365888</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>446919</UnrelatedBusinessRevenue>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>80121432</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>2414844658</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2278676393</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>53586109</UnrelatedBusinessRevenue>
        <ExclusionAmount>61866902</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>1410054</Total>
        <ProgramServices>1410054</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>68701</Total>
        <ProgramServices>68701</ProgramServices>
      </GrantsToDomesticIndividuals>
      <CompCurrentOfficersDirectors>
        <Total>8505251</Total>
        <ManagementAndGeneral>8505251</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>245445</Total>
        <ProgramServices>170131</ProgramServices>
        <ManagementAndGeneral>75314</ManagementAndGeneral>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>819811382</Total>
        <ProgramServices>734674241</ProgramServices>
        <ManagementAndGeneral>83148947</ManagementAndGeneral>
        <Fundraising>1988194</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>50147678</Total>
        <ProgramServices>45128767</ProgramServices>
        <ManagementAndGeneral>5018911</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>94877206</Total>
        <ProgramServices>84454089</ProgramServices>
        <ManagementAndGeneral>10090897</ManagementAndGeneral>
        <Fundraising>332220</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>58855393</Total>
        <ProgramServices>52254301</ProgramServices>
        <ManagementAndGeneral>6458397</ManagementAndGeneral>
        <Fundraising>142695</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>919721</Total>
        <ProgramServices>818552</ProgramServices>
        <ManagementAndGeneral>101169</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>1660278</Total>
        <ManagementAndGeneral>1660278</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>15423</Total>
        <ManagementAndGeneral>15423</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>53333</Total>
        <ManagementAndGeneral>53333</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>165614</Total>
        <Fundraising>165614</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesOther>
        <Total>188251382</Total>
        <ProgramServices>166495353</ProgramServices>
        <ManagementAndGeneral>20578077</ManagementAndGeneral>
        <Fundraising>1177952</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>9149095</Total>
        <ProgramServices>8138342</ProgramServices>
        <ManagementAndGeneral>1005862</ManagementAndGeneral>
        <Fundraising>4891</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>36456299</Total>
        <ProgramServices>34339771</ProgramServices>
        <ManagementAndGeneral>1807356</ManagementAndGeneral>
        <Fundraising>309172</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>87363654</Total>
        <ProgramServices>77744307</ProgramServices>
        <ManagementAndGeneral>9608847</ManagementAndGeneral>
        <Fundraising>10500</Fundraising>
      </InformationTechnology>
      <Occupancy>
        <Total>38323827</Total>
        <ProgramServices>36385828</ProgramServices>
        <ManagementAndGeneral>1915044</ManagementAndGeneral>
        <Fundraising>22955</Fundraising>
      </Occupancy>
      <Travel>
        <Total>2884116</Total>
        <ProgramServices>2539526</ProgramServices>
        <ManagementAndGeneral>313874</ManagementAndGeneral>
        <Fundraising>30716</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>1962239</Total>
        <ProgramServices>1740028</ProgramServices>
        <ManagementAndGeneral>215060</ManagementAndGeneral>
        <Fundraising>7151</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>32179578</Total>
        <ProgramServices>32129753</ProgramServices>
        <Fundraising>49825</Fundraising>
      </Interest>
      <DepreciationDepletion>
        <Total>137356320</Total>
        <ProgramServices>130485412</ProgramServices>
        <ManagementAndGeneral>6867653</ManagementAndGeneral>
        <Fundraising>3255</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>26369927</Total>
        <ProgramServices>25051431</ProgramServices>
        <ManagementAndGeneral>1318496</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>368844405</Total>
        <ProgramServices>368826529</ProgramServices>
        <Fundraising>17876</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>96660130</Total>
        <ProgramServices>96660130</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>INTERCO. PURCHASED SVCS</Description>
        <Total>87241256</Total>
        <ProgramServices>77585370</ProgramServices>
        <ManagementAndGeneral>9589203</ManagementAndGeneral>
        <Fundraising>66683</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>HOSPITAL PROVIDER TAX</Description>
        <Total>51713102</Total>
        <ProgramServices>51713102</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>85661337</Total>
        <ProgramServices>76497528</ProgramServices>
        <ManagementAndGeneral>8912714</ManagementAndGeneral>
        <Fundraising>251095</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>2287152146</Total>
        <ProgramServices>2105311246</ProgramServices>
        <ManagementAndGeneral>177260106</ManagementAndGeneral>
        <Fundraising>4580794</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>22669423</BOY>
        <EOY>11754754</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2216870</BOY>
        <EOY>2569346</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>11473338</BOY>
        <EOY>11601508</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>262695343</BOY>
        <EOY>279854428</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>12083189</BOY>
        <EOY>7029712</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>34188927</BOY>
        <EOY>34246486</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>8727373</BOY>
        <EOY>9873081</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>2498398625</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1342951029</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1094328812</BOY>
        <EOY>1155447596</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>370601540</BOY>
        <EOY>369836717</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>415294297</BOY>
        <EOY>588998271</EOY>
      </InvestmentsOtherSecurities>
      <IntangibleAssets>
        <BOY>33463700</BOY>
        <EOY>32123701</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>978908368</BOY>
        <EOY>942773903</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>3246651180</BOY>
        <EOY>3446109503</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>211181612</BOY>
        <EOY>209014224</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>836797</BOY>
        <EOY>623801</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>24005520</BOY>
        <EOY>22795354</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>794009071</BOY>
        <EOY>981433595</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1030033000</BOY>
        <EOY>1213866974</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>2194056637</BOY>
        <EOY>2207268592</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>8887738</BOY>
        <EOY>12288809</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>13673805</BOY>
        <EOY>12685128</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>2216618180</BOY>
        <EOY>2232242529</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3246651180</BOY>
        <EOY>3446109503</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>127692512</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-112068163</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>1</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>1</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>212472</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>1</DirectContactLegislators>
      <DirectContactLegislatorsAmount>80580</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>293052</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1:</ReturnReference>
        <Explanation>TRINITY HEALTH - MICHIGAN (TH-MI) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE ORGANIZATIONS HAVE PROVIDED TH-MI WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SIMILARLY, THESE HEALTH CARE ORGANIZATIONS WILL ARRANGE CONFERENCES AND SEMINARS FOR MEMBER ORGANIZATIONS AND THEIR EXECUTIVES WHICH INVOLVE LEGISLATORS OR OTHER POLITICAL FIGURES AS GUEST SPEAKERS. TH-MI ALSO PAID A THIRD PARTY LOBBYING FIRM DURING THE YEAR TO LOBBY FOR OR AGAINST LEGISLATION DETERMINED TO BE OF INTEREST AND CONCERN TO TH-MI. FEDERAL AND STATE ADVOCACY PRIORITIES FOR FY12 INCLUDED: (1) SECURE COVERAGE AND ACCESS FOR ALL (2) ACHIEVE COORDINATED CARE: PROMOTE SAFE, HIGH-QUALITY COORDINATED CARE ACROSS THE HEALTH CARE CONTINUUM (3) ACHIEVE HIGH-VALUE CARE, INCLUDING: - ADVOCATE FOR MEDICARE AND MEDICAID SAVINGS THROUGH PAYMENT AND DELIVERY REDESIGN - REFORM MEDICARE TO INCLUDE SUSTAINABLE SOLUTIONS TO ADDRESS GEOGRAPHIC PAYMENT DISPARITIES - SECURE ADEQUATE FUNDING FOR IMPLEMENTATION OF HEALTH CARE REFORM RULES - ENCOURAGE USE OF SAFETY/QUALITY MEASUREMENTS - PROMOTE IDEAS TO REDUCE HEALTH CARE COSTS LOBBYING ACTIVITY PERFORMED BY TRINITY HEALTH - MICHIGAN INCLUDED: - ENCOURAGEMENT OF ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICIALS - AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATE AN ADVOCACY LIAISON - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. BY TRINITY HEALTH CORPORATION - LEGISLATOR VISITS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION - ADVOCACY ACTION DAYS AT THE STATE LEVEL, ATTENDED BY TRINITY HEALTH - MICHIGAN EXECUTIVES</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>15077828</BeginningOfYearBalance>
        <Contributions>-176284</Contributions>
        <InvestmentEarningsOrLosses>-812393</InvestmentEarningsOrLosses>
        <EndOfYearBalance>14089151</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>14367389</BeginningOfYearBalance>
        <Contributions>223954</Contributions>
        <InvestmentEarningsOrLosses>486485</InvestmentEarningsOrLosses>
        <EndOfYearBalance>15077828</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>13827175</BeginningOfYearBalance>
        <Contributions>203571</Contributions>
        <InvestmentEarningsOrLosses>336643</InvestmentEarningsOrLosses>
        <EndOfYearBalance>14367389</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>13890593</BeginningOfYearBalance>
        <Contributions>378849</Contributions>
        <InvestmentEarningsOrLosses>-442267</InvestmentEarningsOrLosses>
        <EndOfYearBalance>13827175</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <BoardDesignatedEOYBalance>0.08870</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.90040</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.01090</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>68139574</OtherCostOrOtherBasis>
        <BookValue>68139574</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>1476621519</OtherCostOrOtherBasis>
        <Depreciation>716818195</Depreciation>
        <BookValue>759803324</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>810548872</OtherCostOrOtherBasis>
        <Depreciation>615726329</Depreciation>
        <BookValue>194822543</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>143088660</OtherCostOrOtherBasis>
        <Depreciation>10406505</Depreciation>
        <BookValue>132682155</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1155447596</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES</Description>
        <BookValue>332499024</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>EQUITY METHOD INVESTMENTS</Description>
        <BookValue>256499247</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>588998271</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>30338449</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INTERCOMPANY ACCOUNTS RECEIVABLE</Description>
        <BookValue>86488932</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INVESTMENT IN UNCONSOLIDATED AFFILIATES</Description>
        <BookValue>713319331</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INTERCOMPANY OTHER LT ASSETS</Description>
        <BookValue>112074236</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>552955</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>942773903</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>INTERCOMPANY ACCOUNTS PAYABLE AND OTHER LT LIABILITIES</Description>
        <Amount>74319438</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION</Description>
        <Amount>7343465</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATION (FIN 47)</Description>
        <Amount>2415280</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>4017047</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ANNUITIES PAYABLE</Description>
        <Amount>1661402</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTERCOMPANY NOTES PAYABLE</Description>
        <Amount>891676963</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>981433595</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>THE ORGANIZATION'S ENDOWMENT FUNDS ARE TO BE USED FOR THE FOLLOWING PURPOSES: HOSPITAL OPERATIONS SUPPORT, MEDICAL PROGRAM SUPPORT, SCHOLARSHIPS, RESEARCH, COMMUNITY SERVICE, AND VARIOUS OTHER. PART V, LINE 1A, COLUMN (C) CURRENT YEAR CONTRIBUTIONS INCLUDE THE LIFTING OF A RESTRICTION ON $199,739, AND THE SUBSEQUENT RECLASSIFICATION INTO UNRESTRICTED ASSETS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <PhoneSolicitations>X</PhoneSolicitations>
      <AgreementRefFundraising>1</AgreementRefFundraising>
      <FundraiserActivityInformation>
        <NameOfOrganization>
          <BusinessNameLine1>RUFFALOCODY</BusinessNameLine1>
        </NameOfOrganization>
        <AddressUS>
          <AddressLine1>65 KIRKWOOD NORTH RD SW</AddressLine1>
          <City>CEDAR RAPIDS</City>
          <State>IA</State>
          <ZIPCode>52404</ZIPCode>
        </AddressUS>
        <Activity>CONDUCTS AND CONSULTS TELEMKTG</Activity>
        <FundraiserControlOfFunds>0</FundraiserControlOfFunds>
        <GrossReceipts>35582</GrossReceipts>
        <AmountRetainedByContractor>110512</AmountRetainedByContractor>
        <NetToOrganization>-74930</NetToOrganization>
      </FundraiserActivityInformation>
      <TotalGrossReceipts>35582</TotalGrossReceipts>
      <TotalRetainedByContractors>110512</TotalRetainedByContractors>
      <TotalNetToOrganization>-74930</TotalNetToOrganization>
      <LicensedStates>MI</LicensedStates>
      <EventsInformation>
        <NameOfEvent1>HOLIDAY BALL -ANN ARBOR</NameOfEvent1>
        <GrossReceiptsEvent1>1056483</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>868754</CharitableContributionsEvent1>
        <GrossRevenueEvent1>187729</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>41506</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>221115</FoodAndBeverageEvent1>
        <EntertainmentEvent1>12768</EntertainmentEvent1>
        <OtherDirectExpensesEvent1>203445</OtherDirectExpensesEvent1>
        <NameOfEvent2>SPRING AUCTION -CHELSEA</NameOfEvent2>
        <GrossReceiptsEvent2>303152</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>233249</CharitableContributionsEvent2>
        <GrossRevenueEvent2>69903</GrossRevenueEvent2>
        <RentFacilityCostsEvent2>1400</RentFacilityCostsEvent2>
        <FoodAndBeverageEvent2>8753</FoodAndBeverageEvent2>
        <OtherDirectExpensesEvent2>109826</OtherDirectExpensesEvent2>
        <TotalNumberOfOtherEvents>34</TotalNumberOfOtherEvents>
        <GrossReceiptsOtherEvents>1515178</GrossReceiptsOtherEvents>
        <CharitableContribOtherEvents>932654</CharitableContribOtherEvents>
        <GrossRevenueOtherEvents>582524</GrossRevenueOtherEvents>
        <NonCashPrizesOtherEvents>10409</NonCashPrizesOtherEvents>
        <RentFacilityCostsOtherEvents>61288</RentFacilityCostsOtherEvents>
        <FoodAndBeverageOtherEvents>246104</FoodAndBeverageOtherEvents>
        <EntertainmentOtherEvents>26129</EntertainmentOtherEvents>
        <OtherDirectExpensesOtherEvents>343156</OtherDirectExpensesOtherEvents>
        <GrossReceiptsTotal>2874813</GrossReceiptsTotal>
        <CharitableContributionsTotal>2034657</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>840156</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>10409</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>104194</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>475972</FoodAndBeverageTotalEvents>
        <EntertainmentTotalEvents>38897</EntertainmentTotalEvents>
        <OtherDirectExpensesTotalEvents>656427</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>1285899</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-445743</NetIncomeSummary>
      </EventsInformation>
      <GamingInformation>
        <GrossRevenueOtherGaming>52472</GrossRevenueOtherGaming>
        <CashPrizesOtherGaming>4604</CashPrizesOtherGaming>
        <NonCashPrizesOtherGaming>51423</NonCashPrizesOtherGaming>
        <OtherDirectExpensesOtherGaming>45</OtherDirectExpensesOtherGaming>
        <VolunteerLaborOtherGaming>1</VolunteerLaborOtherGaming>
        <VolunteerLaborPrcntOtherGaming>1.00000</VolunteerLaborPrcntOtherGaming>
        <GrossRevenueTotalGaming>52472</GrossRevenueTotalGaming>
        <CashPrizesTotalGaming>4604</CashPrizesTotalGaming>
        <NonCashPrizesTotalGaming>51423</NonCashPrizesTotalGaming>
        <OtherDirectExpensesTotalGaming>45</OtherDirectExpensesTotalGaming>
        <DirectExpenseSummaryGaming>56072</DirectExpenseSummaryGaming>
        <NetGamingIncomeSummary>-3600</NetGamingIncomeSummary>
      </GamingInformation>
      <StatesWhereGamingConducted>MI</StatesWhereGamingConducted>
      <Licensed>1</Licensed>
      <LicenseSuspendedEtc>0</LicenseSuspendedEtc>
      <GamingWithNonmembers>1</GamingWithNonmembers>
      <MemberOfOtherEntity>0</MemberOfOtherEntity>
      <PercentageOfGamingOwnFacility>0.10000</PercentageOfGamingOwnFacility>
      <PercentageOfGamingOthrFacility>0.90000</PercentageOfGamingOthrFacility>
      <NameOfGamingRecKeeperBus>
        <BusinessNameLine1>BRANDY MARINO ST JOSEPH MERCY HEALTH SYSTEM</BusinessNameLine1>
      </NameOfGamingRecKeeperBus>
      <AddressOfGamingRecKeeperUS>
        <AddressLine1>5305 E HURON RIVER DR PO BOX 995</AddressLine1>
        <City>ANN ARBOR</City>
        <State>MI</State>
        <ZIPCode>48106</ZIPCode>
      </AddressOfGamingRecKeeperUS>
      <ContractWith3rdPartyForGamRev>0</ContractWith3rdPartyForGamRev>
      <GamingManagerNamePerson>BRANDY MARINO ST JOSEPH MERCY HEA</GamingManagerNamePerson>
      <GamingManagerCompensation>550</GamingManagerCompensation>
      <GamingManagerServicesProvided>FINANCIAL REPORTING, CASH DEPOSITS.</GamingManagerServicesProvided>
      <GamingManagerIsEmployee>X</GamingManagerIsEmployee>
      <CharitableDistribRequired>0</CharitableDistribRequired>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <PolicyTailoredToIndHospitals>X</PolicyTailoredToIndHospitals>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <NumberOfActivitiesOrPrograms>10</NumberOfActivitiesOrPrograms>
        <PersonsServed>74843</PersonsServed>
        <TotalCommunityBenefitExpense>55739120</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9970894</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>45768226</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02090</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <NumberOfActivitiesOrPrograms>10</NumberOfActivitiesOrPrograms>
        <PersonsServed>281155</PersonsServed>
        <TotalCommunityBenefitExpense>211749090</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>158260200</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>53488890</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02440</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <NumberOfActivitiesOrPrograms>8</NumberOfActivitiesOrPrograms>
        <PersonsServed>68679</PersonsServed>
        <TotalCommunityBenefitExpense>20526993</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>12222720</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8304273</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00380</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <NumberOfActivitiesOrPrograms>28</NumberOfActivitiesOrPrograms>
        <PersonsServed>424677</PersonsServed>
        <TotalCommunityBenefitExpense>288015203</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>180453814</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>107561389</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04910</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>149</NumberOfActivitiesOrPrograms>
        <PersonsServed>265816</PersonsServed>
        <TotalCommunityBenefitExpense>11281240</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2761339</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8519901</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00390</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>24</NumberOfActivitiesOrPrograms>
        <PersonsServed>2432</PersonsServed>
        <TotalCommunityBenefitExpense>69619743</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>36927119</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>32692624</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01490</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>27</NumberOfActivitiesOrPrograms>
        <PersonsServed>129101</PersonsServed>
        <TotalCommunityBenefitExpense>51612015</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>28969212</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>22642803</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01030</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>22</PersonsServed>
        <TotalCommunityBenefitExpense>7742901</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7742901</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00350</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>47</NumberOfActivitiesOrPrograms>
        <PersonsServed>39729</PersonsServed>
        <TotalCommunityBenefitExpense>1384734</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>92474</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1292260</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>249</NumberOfActivitiesOrPrograms>
        <PersonsServed>437100</PersonsServed>
        <TotalCommunityBenefitExpense>141640633</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>68750144</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>72890489</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03320</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>277</NumberOfActivitiesOrPrograms>
        <PersonsServed>861777</PersonsServed>
        <TotalCommunityBenefitExpense>429655836</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>249203958</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>180451878</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08230</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>32947</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>32947</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>637</PersonsServed>
        <TotalCommunityBuildingExpense>19024</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>19024</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>25</PersonsServed>
        <TotalCommunityBuildingExpense>5657</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>5657</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <PersonsServed>1351</PersonsServed>
        <TotalCommunityBuildingExpense>24399</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>24399</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>53</PersonsServed>
        <TotalCommunityBuildingExpense>10517</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>10517</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <WorkforceDevelopment>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>130</PersonsServed>
        <TotalCommunityBuildingExpense>287155</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>287155</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <NumberOfActivitiesOrPrograms>18</NumberOfActivitiesOrPrograms>
        <PersonsServed>2196</PersonsServed>
        <TotalCommunityBuildingExpense>379699</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>379699</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>33327756</BadDebtExpenseAmount>
      <AmountAttributableTo>5026391</AmountAttributableTo>
      <AmountReimbursedByMedicare>630774818</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>586706391</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>44068427</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>1 CENTER FOR DIGESTIVE CARE LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>SURGICAL CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.51000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.49000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>2 FRANCES WARDE MEDICAL LABORATORY</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>LABORATORY SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.66670</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.33330</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>3 WOODLAND IMAGING CENTER LLC DBA AVANT IMAGING</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>IMAGING SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.51000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.49000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>4 HEALTH PARK CENTRAL LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>MEDICAL OFFICE BUILDING</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.10550</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.80800</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>5 SIXTY FOURTH STREET LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>SURGICAL CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.51000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.47350</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>6 MERCY PHYSICIAN COMMUNITY PHO LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>CONTRACTING AND SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.50000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>7 NEWCO AMBULATORY SURGERY CENTER LLP DBA LAKESHORE SURGERY CENTER LLP</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>SURGICAL CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.50000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>8 WEST MICHIGAN REGIONAL DELIVERY NETWORK LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>HEALTH INFORMATION MANAGEMENT</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.21900</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.32850</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>9 WATERFORD SURGICAL CENTER LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>SURGICAL CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.40000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.60000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>10 CRAWFORD MERCY PHO</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>CONTRACTING SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.50000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>11 WEXFORD MERCY PHO</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>CONTRACTING SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.50000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>12 ADVANTAGE HEALTHSAINT MARY'S CARE NETWORK</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>HOSPITAL/PHYSICIAN INTEGRATION</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.50000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>10</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>ST JOSEPH MERCY ANN ARBOR</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>5301 MCAULEY DR</AddressLine1>
          <City>YPSILANTI</City>
          <State>MI</State>
          <ZIPCode>48197</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>SAINT MARY'S HEALTH CARE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>200 JEFFERSON STREET SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>ST JOSEPH MERCY OAKLAND</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>44405 WOODWARD AVE</AddressLine1>
          <City>PONTIAC</City>
          <State>MI</State>
          <ZIPCode>48341</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>4</FacilityNumber>
        <Name>
          <BusinessNameLine1>ST MARY MERCY LIVONIA</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>36475 FIVE MILE RD</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48154</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>5</FacilityNumber>
        <Name>
          <BusinessNameLine1>ST JOSEPH MERCY LIVINGSTON</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>620 BYRON RD</AddressLine1>
          <City>HOWELL</City>
          <State>MI</State>
          <ZIPCode>48843</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>6</FacilityNumber>
        <Name>
          <BusinessNameLine1>CHELSEA COMMUNITY HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>775 S MAIN</AddressLine1>
          <City>CHELSEA</City>
          <State>MI</State>
          <ZIPCode>48118</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>7</FacilityNumber>
        <Name>
          <BusinessNameLine1>ST JOSEPH MERCY PORT HURON</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2601 ELECTRIC AVE</AddressLine1>
          <City>PORT HURON</City>
          <State>MI</State>
          <ZIPCode>48060</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>8</FacilityNumber>
        <Name>
          <BusinessNameLine1>MERCY HOSPITAL GRAYLING</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1100 EAST MICHIGAN AVE</AddressLine1>
          <City>GRAYLING</City>
          <State>MI</State>
          <ZIPCode>49738</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>9</FacilityNumber>
        <Name>
          <BusinessNameLine1>MERCY HOSPITAL CADILLAC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>400 HOBART STREET</AddressLine1>
          <City>CADILLAC</City>
          <State>MI</State>
          <ZIPCode>49601</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>10</FacilityNumber>
        <Name>
          <BusinessNameLine1>ST JOSEPH MERCY SALINE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>400 RUSSELL ST</AddressLine1>
          <City>SALINE</City>
          <State>MI</State>
          <ZIPCode>48176</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ST JOSEPH MERCY ANN ARBOR</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SAINT MARY'S HEALTH CARE</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>150.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ST JOSEPH MERCY OAKLAND</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>3</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>150.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <PermitLienOnResidence>X</PermitLienOnResidence>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ST MARY MERCY LIVONIA</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>4</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ST JOSEPH MERCY LIVINGSTON</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>5</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>CHELSEA COMUNITY HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>6</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ST JOSEPH MERCY PORT HURON</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>7</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>150.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>300.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>MERCY HOSPITAL GRAYLING</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>8</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>300.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <UninsuredDiscount>X</UninsuredDiscount>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>MERCY HOSPITAL CADILLAC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>9</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>300.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <UninsuredDiscount>X</UninsuredDiscount>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ST JOSEPH MERCY SALINE</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>10</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>400.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>90</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(ANN ARBOR) MICHIGAN HEART &amp; VASCULAR IN</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5325 ELLIOTT DR</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </Address>
          <FacilityType>CARDIOVASCULAR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) ST JOSEPH MERCY BRIGHTON</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7575 GRAND RIVER RD</AddressLine1>
            <City>BRIGHTON</City>
            <State>MI</State>
            <ZIPCode>48114</ZIPCode>
          </Address>
          <FacilityType>LAB, IMAGING, THERAPY, AMBULATORY SURG., EMPLOYED PHYS, ONCOLOGY, 24 HR EMER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) ST JOSEPH MERCY CANTON HEALTH CTR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1600 CANTON CENTER RD</AddressLine1>
            <City>CANTON</City>
            <State>MI</State>
            <ZIPCode>48188</ZIPCode>
          </Address>
          <FacilityType>LAB, IMAGING, URGENT CARE, THERAPY, ONCOLOGY, AMBULATORY SURG.</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) REICHERT HEALTH CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5333 MCAULEY DR</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </Address>
          <FacilityType>LAB, IMAGING, AMBULATORY SURG., EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) MICHIGAN ORTHOPEDIC CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5315 ELLIOTT DR</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </Address>
          <FacilityType>ORTHOPEDIC CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) ELLEN THOMPSON WOMEN'S CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5320 ELLIOTT DR</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </Address>
          <FacilityType>WOMEN'S HEALTH</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) CHELSEA HEALTH &amp; WELLNESS CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>20800 OLD US 12</AddressLine1>
            <City>CHELSEA</City>
            <State>MI</State>
            <ZIPCode>48118</ZIPCode>
          </Address>
          <FacilityType>REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) MICHIGAN HEART BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>309 PAGE AVE</AddressLine1>
            <City>JACKSON</City>
            <State>MI</State>
            <ZIPCode>49201</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) ST JOSEPH MERCY MAPLE HEALTH BLDG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>501 N MAPLE RD</AddressLine1>
            <City>ANN ARBOR</City>
            <State>MI</State>
            <ZIPCode>48103</ZIPCode>
          </Address>
          <FacilityType>URGENT CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) SLEEP DISORDERS CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5305 ELLIOTT DR</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </Address>
          <FacilityType>SLEEP CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) HURON OAKS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5401 MCAULEY DR</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </Address>
          <FacilityType>BEHAVIORAL MEDICINE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) CHELSEA PROFESSIONAL OFFICE BLDG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>14650 OLD US 12</AddressLine1>
            <City>CHELSEA</City>
            <State>MI</State>
            <ZIPCode>48118</ZIPCode>
          </Address>
          <FacilityType>PHARMACY, ONCOLOGY, EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) SJMHS OUTPATIENT CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2310 E STADIUM BLVD</AddressLine1>
            <City>ANN ARBOR</City>
            <State>MI</State>
            <ZIPCode>48104</ZIPCode>
          </Address>
          <FacilityType>REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) ST JOSEPH MERCY BEHAVIORAL SVCS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2200 CANTON CENTER RD</AddressLine1>
            <City>CANTON</City>
            <State>MI</State>
            <ZIPCode>48188</ZIPCode>
          </Address>
          <FacilityType>BEHAVIORAL MEDICINE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) LIVINGSTON OBGYN ASSOCIATES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>524 BYRON RD</AddressLine1>
            <City>HOWELL</City>
            <State>MI</State>
            <ZIPCode>48843</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) HAAB HEALTH BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>111 N HURON ST</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) WEST SIDE OBGYN</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5800 N LILLEY RD</AddressLine1>
            <City>CANTON</City>
            <State>MI</State>
            <ZIPCode>48187</ZIPCode>
          </Address>
          <FacilityType>OBSTETRICS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) MARIAN PROFESSIONAL BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>14555 LEVAN RD</AddressLine1>
            <City>LIVONIA</City>
            <State>MI</State>
            <ZIPCode>48154</ZIPCode>
          </Address>
          <FacilityType>RADIATION ONCOLOGY, REHAB, MRI, EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) PARKWAY MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2345 S HURON PKWY</AddressLine1>
            <City>ANN ARBOR</City>
            <State>MI</State>
            <ZIPCode>48104</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) ARBOR SCIO PROFESSIONAL BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6360 JACKSON RD</AddressLine1>
            <City>ANN ARBOR</City>
            <State>MI</State>
            <ZIPCode>48103</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) MONUMENT PARK BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>8031 MAIN ST</AddressLine1>
            <City>DEXTER</City>
            <State>MI</State>
            <ZIPCode>48130</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) HURON PROFESSIONAL BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>704 W HURON ST</AddressLine1>
            <City>ANN ARBOR</City>
            <State>MI</State>
            <ZIPCode>48103</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) CENTER FOR DIGESTIVE CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5300 ELLIOTT DR</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </Address>
          <FacilityType>DIGESTIVE CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) SALINE ADULT &amp; PEDIATRIC MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>182 S INDUSTRIAL DR</AddressLine1>
            <City>SALINE</City>
            <State>MI</State>
            <ZIPCode>48176</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) SUMMERWOOD CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>10299 E GRAND RIVER</AddressLine1>
            <City>BRIGHTON</City>
            <State>MI</State>
            <ZIPCode>48116</ZIPCode>
          </Address>
          <FacilityType>BEHAVIORAL MEDICINE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) ST JOSEPH MERCY CHEMICAL DEPENDENT</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2008 HOGBACK RD</AddressLine1>
            <City>ANN ARBOR</City>
            <State>MI</State>
            <ZIPCode>48105</ZIPCode>
          </Address>
          <FacilityType>BEHAVIORAL MEDICINE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) SENIOR HEALTH BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5361 MCAULEY DR</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </Address>
          <FacilityType>NURSING HOME, EMPLOYED PHYS.</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) ST JOSEPH MERCY ARBOR HEALTH CTR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>990 W ANN ARBOR TRAIL</AddressLine1>
            <City>PLYMOUTH</City>
            <State>MI</State>
            <ZIPCode>48170</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) ARBOR PARK CENTRE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4972 CLARK RD</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48197</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) DUNDEE FAMILY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>119 WATERSTRADT COMMERCE DR</AddressLine1>
            <City>DUNDEE</City>
            <State>MI</State>
            <ZIPCode>48131</ZIPCode>
          </Address>
          <FacilityType>PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) MICHIGAN HEART BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1548 W MAUMEE ST</AddressLine1>
            <City>ADRIAN</City>
            <State>MI</State>
            <ZIPCode>49221</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) SAMARITAN CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5555 CONNER</AddressLine1>
            <City>DETROIT</City>
            <State>MI</State>
            <ZIPCode>48213</ZIPCode>
          </Address>
          <FacilityType>INDIGENT CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) FAMILY MEDICINE OF STOCKBRIDGE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4525 S M-52</AddressLine1>
            <City>STOCKBRIDGE</City>
            <State>MI</State>
            <ZIPCode>49285</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) MICHIGAN HEART BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>200 ARNET ST</AddressLine1>
            <City>YPSILANTI</City>
            <State>MI</State>
            <ZIPCode>48198</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) HARTLAND FAMILY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>10850 HIGHLAND RD</AddressLine1>
            <City>HARTLAND</City>
            <State>MI</State>
            <ZIPCode>48353</ZIPCode>
          </Address>
          <FacilityType>PRIMARY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) GENOA MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2305 GENOA BUSINESS PARK DR</AddressLine1>
            <City>BRIGHTON</City>
            <State>MI</State>
            <ZIPCode>48114</ZIPCode>
          </Address>
          <FacilityType>LAB, IMAGING</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(AA) DIAGNOSTIC SERVICES CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>202 E VAN RIPER RD</AddressLine1>
            <City>FOWLERVILLE</City>
            <State>MI</State>
            <ZIPCode>48836</ZIPCode>
          </Address>
          <FacilityType>LAB, IMAGING</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(CADILLAC) CADILLAC SURGICAL CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>927 SOUTH CARMEL STREET</AddressLine1>
            <City>CADILLAC</City>
            <State>MI</State>
            <ZIPCode>49601</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(CAD) MERCY OBGYN PARTNERS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7985 MACKINAW TRAIL</AddressLine1>
            <City>CADILLAC</City>
            <State>MI</State>
            <ZIPCode>49601</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GRAND RAPIDS) GRSPORTS CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1640 E PARIS AVE SE</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49546</ZIPCode>
          </Address>
          <FacilityType>REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) SOUTHEAST ADVANTAGE HEALTH BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2080 44TH ST SE</AddressLine1>
            <City>KENTWOOD</City>
            <State>MI</State>
            <ZIPCode>49508</ZIPCode>
          </Address>
          <FacilityType>REHAB, LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) MICHIGAN ATHLETIC CLUB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2500 BURTON SE</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49546</ZIPCode>
          </Address>
          <FacilityType>REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) SAINT MARY'S SOUTHWEST</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2373 64TH STREET SW</AddressLine1>
            <City>BYRON CENTER</City>
            <State>MI</State>
            <ZIPCode>49315</ZIPCode>
          </Address>
          <FacilityType>AMBULATORY SURGICAL CTR, URGENT CARE CTR, REHAB, LAB, IMAGING, EMPLOYED PHYS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) CHERRY BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>245 CHERRY ST</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>48503</ZIPCode>
          </Address>
          <FacilityType>REHAB, PEDIATRIC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) 310 LAFAYETTE BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>310 LAFAYETTE SE</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49503</ZIPCode>
          </Address>
          <FacilityType>IMMUNOLOGY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) JEFFERSON BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>260 JEFFERSON SE</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49503</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) ADVANTAGE HEALTH BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1471 EAST BELTLINE</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49525</ZIPCode>
          </Address>
          <FacilityType>LAB, IMAGING, REHAB, EMPLOYED PHYS., URGENT CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) RIVERTOWN BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3380 44TH STREET SW</AddressLine1>
            <City>GRANDVILLE</City>
            <State>MI</State>
            <ZIPCode>49418</ZIPCode>
          </Address>
          <FacilityType>LAB, IMAGING, REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) STANDALE BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1175 WILSON AVE NW</AddressLine1>
            <City>WALKER</City>
            <State>MI</State>
            <ZIPCode>49534</ZIPCode>
          </Address>
          <FacilityType>LAB, IMAGING, REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) WEGE BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>300 LAFAYETTE</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49503</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) ADVANTAGE HEALTH BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>10047 CROSS ROADS COURT</AddressLine1>
            <City>CALEDONIA</City>
            <State>MI</State>
            <ZIPCode>49316</ZIPCode>
          </Address>
          <FacilityType>LAB, IMAGING, REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) PINE REST</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>300 68TH STREET SE</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49548</ZIPCode>
          </Address>
          <FacilityType>MENTAL HEALTH</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) BROWNING CLAYTOR HEALTH CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1246 MADISON SE</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49507</ZIPCode>
          </Address>
          <FacilityType>FAMILY PRACTICE CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) SAINT MARY'S LAB NORTHWEST</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>933 THREE MILE NW</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49504</ZIPCode>
          </Address>
          <FacilityType>LAB, REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) CLINICA SANTA MARIA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>730 GRANDVILLE AVE SW</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49503</ZIPCode>
          </Address>
          <FacilityType>INDIGENT PRIMARY CARE CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) HEARTSIDE HEALTH CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>359 S DIVISION</AddressLine1>
            <City>GRAND RAPIDS</City>
            <State>MI</State>
            <ZIPCode>49503</ZIPCode>
          </Address>
          <FacilityType>INDIGENT PRIMARY CARE CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) SPARTA FAMILY HEALTH CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>475 S STATE ST</AddressLine1>
            <City>SPARTA</City>
            <State>MI</State>
            <ZIPCode>49345</ZIPCode>
          </Address>
          <FacilityType>FAMILY PRACTICE CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) GREEN STREET BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1375 W GREEN ST</AddressLine1>
            <City>HASTINGS</City>
            <State>MI</State>
            <ZIPCode>49058</ZIPCode>
          </Address>
          <FacilityType>REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GR) GEORGETOWN BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1915 GEORGETOWN CENTER DR</AddressLine1>
            <City>JENISON</City>
            <State>MI</State>
            <ZIPCode>49428</ZIPCode>
          </Address>
          <FacilityType>REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GRAYLING) MERCY MANOR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1200 EAST MICHIGAN AVE</AddressLine1>
            <City>GRAYLING</City>
            <State>MI</State>
            <ZIPCode>49738</ZIPCode>
          </Address>
          <FacilityType>LONG TERM CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GRAY) MERCY FAMILY CARE GRAYLING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1250 EAST MICHIGAN AVE</AddressLine1>
            <City>GRAYLING</City>
            <State>MI</State>
            <ZIPCode>49738</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GRAY) MERCY FAMILY CARE ROSCOMMON</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>234 LAKE STREET</AddressLine1>
            <City>ROSCOMMON</City>
            <State>MI</State>
            <ZIPCode>48653</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(GRAY) MERCY COMMUNITY HEALTH CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2585 WEST HOUGHTON LAKE DRIVE</AddressLine1>
            <City>PRUDENVILLE</City>
            <State>MI</State>
            <ZIPCode>48651</ZIPCode>
          </Address>
          <FacilityType>REHAB, IMAGING, LAB, EMPLOYED PHYSICIANS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OAKLAND) BALD MOUNTAIN REGIONAL MEDICAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1375 S LAPEER RD</AddressLine1>
            <City>LAKE ORION</City>
            <State>MI</State>
            <ZIPCode>48360</ZIPCode>
          </Address>
          <FacilityType>URGENT CARE, LAB, IMAGING, INTERNAL MED/PEDS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) SLEEP DISORDERS CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3100 CROSS CREEK PKWY</AddressLine1>
            <City>AUBURN HILLS</City>
            <State>MI</State>
            <ZIPCode>48341</ZIPCode>
          </Address>
          <FacilityType>SLEEP CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) BERKLEY MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1695 W 12 MILE RD</AddressLine1>
            <City>BERKLEY</City>
            <State>MI</State>
            <ZIPCode>48072</ZIPCode>
          </Address>
          <FacilityType>INTERNAL MEDICINE, IMAGING, LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) KAROTECH BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2630 UNION LAKE RD</AddressLine1>
            <City>COMMERCE TOWNSHIP</City>
            <State>MI</State>
            <ZIPCode>48382</ZIPCode>
          </Address>
          <FacilityType>PEDS, LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) SHORES III PROFESSIONAL BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2300 HAGGERTY RD</AddressLine1>
            <City>WEST BLOOMFIELD</City>
            <State>MI</State>
            <ZIPCode>48323</ZIPCode>
          </Address>
          <FacilityType>IMAGING</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) WATERFORD URGENT CARE CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5800 HIGHLAND RD</AddressLine1>
            <City>WATERFORD</City>
            <State>MI</State>
            <ZIPCode>48327</ZIPCode>
          </Address>
          <FacilityType>URGENT CARE, LAB, IMAGING</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) MERCY MEDICAL GROUP-ROCHESTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1854 W AUBURN RD</AddressLine1>
            <City>ROCHESTER HILLS</City>
            <State>MI</State>
            <ZIPCode>48309</ZIPCode>
          </Address>
          <FacilityType>INTERNAL MEDICINE/PEDS, OB/GYN</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) WATERFORD SURGICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5220 HIGHLAND RD</AddressLine1>
            <City>WATERFORD</City>
            <State>MI</State>
            <ZIPCode>48327</ZIPCode>
          </Address>
          <FacilityType>SURGICAL CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) MERCY MEDICAL GROUP-OAKLAND PHYSICI</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>5210 HIGHLAND RD</AddressLine1>
            <City>WATERFORD</City>
            <State>MI</State>
            <ZIPCode>48327</ZIPCode>
          </Address>
          <FacilityType>INTERNAL MEDICINE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) WHITE LAKE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>320 TOWN CENTER BLVD</AddressLine1>
            <City>WHITE LAKE TWP</City>
            <State>MI</State>
            <ZIPCode>48386</ZIPCode>
          </Address>
          <FacilityType>URGENT CARE, LAB, IMAGING, REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) CLARKSTON</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>6770 DIXIE HWY</AddressLine1>
            <City>CLARKSTON</City>
            <State>MI</State>
            <ZIPCode>48346</ZIPCode>
          </Address>
          <FacilityType>OB/GYN, FAMILY MED</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) SAINT JOSEPH MERCY OAKLAND BIRMINGH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2110 E MAPLE RD</AddressLine1>
            <City>BIRMINGHAM</City>
            <State>MI</State>
            <ZIPCode>48009</ZIPCode>
          </Address>
          <FacilityType>URGENT CARE, LAB, IMAGING</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) LAKE ORION REHABILITATION CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3800 BALDWIN RD</AddressLine1>
            <City>ORION TOWNSHIP</City>
            <State>MI</State>
            <ZIPCode>48359</ZIPCode>
          </Address>
          <FacilityType>REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) MERCY MEDICAL GROUP-BLOOMFIELD HILL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1750 TELEGRAPH RD</AddressLine1>
            <City>BLOOMFIELD HILLS</City>
            <State>MI</State>
            <ZIPCode>48302</ZIPCode>
          </Address>
          <FacilityType>OB/GYN</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) PONTIAC OBGYN</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>989 UNIVERSITY DR</AddressLine1>
            <City>PONTIAC</City>
            <State>MI</State>
            <ZIPCode>48342</ZIPCode>
          </Address>
          <FacilityType>OB/GYN</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) BLOOMFIELD HILLS IM</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2520 S TELEGRAPH RD</AddressLine1>
            <City>BLOOMFIELD HILLS</City>
            <State>MI</State>
            <ZIPCode>48302</ZIPCode>
          </Address>
          <FacilityType>INTERNAL MEDICINE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) CLINICA SANTA TERESA MERCY PLACE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>55 CLINTON ST</AddressLine1>
            <City>PONTIAC</City>
            <State>MI</State>
            <ZIPCode>48342</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) LEXUS PROFESSIONAL BUILDING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>44200 WOODWARD AVE</AddressLine1>
            <City>PONTIAC</City>
            <State>MI</State>
            <ZIPCode>48341</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) INDEPENDENCE POINTE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7210 ORTONVILLE RD</AddressLine1>
            <City>CLARKSTON</City>
            <State>MI</State>
            <ZIPCode>48346</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OA) BLOOMFIELD LAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>42557 WOODWARD AVE</AddressLine1>
            <City>BLOOMFIELD HILLS</City>
            <State>MI</State>
            <ZIPCode>48304</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(PORT HURON) MERCY HEALTH CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4190 24TH AVE</AddressLine1>
            <City>FORT GRATIOT</City>
            <State>MI</State>
            <ZIPCode>48059</ZIPCode>
          </Address>
          <FacilityType>LAB, IMAGING, URGENT CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(PH) MERCY FITRAC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2615 ELECTRIC AVE</AddressLine1>
            <City>PORT HURON</City>
            <State>MI</State>
            <ZIPCode>48060</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(PH) FITRAC - MARYSVILLE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>782 HURON BLVD</AddressLine1>
            <City>MARYSVILLE</City>
            <State>MI</State>
            <ZIPCode>48040</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(PH) DR MOREY'S MERCY SURGERY CARE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2609 ELECTRIC AVE STE B</AddressLine1>
            <City>PORT HURON</City>
            <State>MI</State>
            <ZIPCode>48060</ZIPCode>
          </Address>
          <FacilityType>EMPLOYED SURGEON</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(PH) PEOPLES' CLINIC FOR BETTER HEALTH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>3110 GOULDEN ST</AddressLine1>
            <City>PORT HURON</City>
            <State>MI</State>
            <ZIPCode>48060</ZIPCode>
          </Address>
          <FacilityType>OUTPATIENT CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(PH) GEORGE CARLEY ASSOCIATES</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1943 HOLLAND</AddressLine1>
            <City>PORT HURON</City>
            <State>MI</State>
            <ZIPCode>48060</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>(OTHER) FRANCES WARDE MEDICAL LABORATORY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>300 W TEXTILE RD</AddressLine1>
            <City>ANN ARBOR</City>
            <State>MI</State>
            <ZIPCode>48104</ZIPCode>
          </Address>
          <FacilityType>LAB</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 6A: TRINITY HEALTH - MICHIGAN REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG. IN ADDITION, THE HOSPITAL DIVISIONS OF TRINITY HEALTH - MICHIGAN INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES TRINITY HEALTH - MICHIGAN'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITALS' COST ACCOUNTING SYSTEMS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, L7 COL(F): THE FOLLOWING NUMBER, $96,660,130, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: COMMUNITY BUILDING ACTIVITIES - ST. JOSEPH MERCY OAKLAND (PONTIAC) CONDUCTS A NUMBER OF PROGRAMS THAT HELP SUPPORT THE COMMUNITY. THE BIOTERRORISM RESPONSE AND PREPAREDNESS ACTIVITIES OF ST. JOSEPH MERCY OAKLAND ARE MANDATED BY THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, IN ORDER TO PROMOTE AND PROTECT THE HEALTH AND WELFARE OF MEMBERS OF OUR COMMUNITY IN THE FACE OF TERRORISM: CHEMICAL, BIOLOGICAL, NUCLEAR, ETC. COMMUNITY BUILDING ACTIVITIES - MERCY HOSPITAL CADILLAC ENGAGES IN SEVERAL DISTINCT COMMUNITY-BUILDING ACTIVITIES THAT ARE VERY SIGNIFICANT IN IMPROVING THE GENERAL HEALTH OF THE COMMUNITY. THROUGH THE COMMUNITY HEALTH IMPROVEMENT ADVOCACY INITIATIVE, STATE AND FEDERAL REPRESENTATIVES ARE CONTACTED TO SUPPORT NEEDED RURAL HEALTH DELIVERY AT THE POINT OF NEED. THE PHYSICIAN RECRUITMENT AND DEVELOPMENT ATTRACTS AND RETAINS PHYSICIANS WHO WILL HAVE A DEGREE OF LONGEVITY IN OUR SERVICE AREA FOR THE GOOD OF THE COMMUNITY. COALITION BUILDING IS ALSO OF GREAT IMPORTANCE IN OUR COMMUNITY. HOSPITAL LEADERS ARE MEMBERS OF THE HUMAN SERVICES LEADERSHIP COLLABORATIVE, THE CADILLAC CHAMBER OF COMMERCE, AND THE CADILLAC COMMUNITY HEALTH COALITION, THE NORTHERN MICHIGAN SUBSTANCE ABUSE COORDINATING AGENCY, THE POVERTY REDUCTION COALITION, THE SUICIDE COALITION AND OTHER COMMUNITY GROUPS.COMMUNITY BUILDING ACTIVITIES - MERCY HOSPITAL GRAYLING CONDUCTS SEVERAL DISTINCT COMMUNITY-BUILDING ACTIVITIES THAT ARE SIGNIFICANT IN IMPROVING THE GENERAL HEALTH OF THE COMMUNITY. MERCY GRAYLING ACTIVELY WORKS TO SECURE NEEDED PHYSICIAN SPECIALTIES FOR THE SERVICE AREA INCLUDING PRIMARY CARE, OBSTETRICS, PEDIATRICS AND SURGERY. MERCY HAS SUCCESSFULLY ADDED A PEDIATRICIAN, THREE MID-LEVEL PROVIDERS, AND AN ANESTHESIA PHYSICIAN TO ITS PHYSICIAN NETWORK. THE ADDITION OF THESE PROVIDERS EXPANDS SERVICES TO THE COMMUNITY IN AREAS OF GREATEST NEED.COMMUNITY HEALTH IMPROVEMENT THROUGH COALITION BUILDING IS ALSO IMPORTANT IN OUR COMMUNITY. HOSPITAL LEADERS ARE MEMBERS OF THE GRAYLING PROMOTIONAL ASSOCIATION, GRAYLING ECONOMIC DEVELOPMENT COMMITTEE, AND CRAWFORD, OSCODA AND ROSCOMMON COUNTIES COLLABORATIVE BODIES WHICH BRING AGENCIES TOGETHER MONTHLY INCLUDING PUBLIC SCHOOL SYSTEMS, PUBLIC HEALTH AND MENTAL HEALTH AND IS ACTIVELY INVOLVED WITH THE CRAWFORD COUNTY COMMISSION ON AGING AND RIVER HOUSE, A LOCAL SHELTER FOR WOMEN AND CHILDREN. MERCY HOSPITAL GRAYLING SUPPORTS VARIOUS TRINITY HEALTH NATIONAL AND STATE EFFORTS TO ADVOCATE FOR THE HEALTH NEEDS OF THE VULNERABLE AND UNDERSERVED.COMMUNITY BUILDING ACTIVITIES - ST. JOSEPH MERCY PORT HURON (SJMPH) LEADERSHIP IS ACTIVELY INVOLVED IN COMMUNITY ACTIVITIES THROUGH REPRESENTATION ON VARIOUS COMMUNITY BOARDS. THIS INCLUDES COLLABORATIVE PARTNERSHIPS WITH COMMUNITY GROUPS/WORKSHOPS TO IMPROVE OVERALL COMMUNITY HEALTH. COMMUNITY BOARD INVOLVEMENT INCLUDES LOCAL ORGANIZATIONS SUCH AS:YMCA BOARD - THIS BOARD GOVERNS THE LOCAL YMCA AND PROVIDES SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME, SENIORS, AND MENTALLY CHALLENGED INDIVIDUALS. VNA BOARD - THIS BOARD GOVERNS THE LOCAL VISITING NURSES ASSOCIATION AND PROVIDES NURSING SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME AND SENIORS. MID-CITY NUTRITION (SOUP KITCHEN) - SJMPH PARTICIPATES IN A REGULAR MONTHLY ROTATION PREPARING AND SERVICE MEALS TO THE HOMELESS AND NEEDY IN PORT HURON. PORT HURON CHAMBER OF COMMERCE BOARD - OUR HOSPITAL SUPPLIES A BOARD MEMBER AND ALSO FINANCIAL SUPPORT TO THE LOCAL CHAMBER. ROSS MEDICAL ACADEMY ADVISORY BOARD - THIS ORGANIZATION EDUCATES AND TRAINS LOCAL INDIVIDUALS FOR MEDICAL ASSISTANT POSITIONS BOTH AT OUR HOSPITAL AND THROUGHOUT THE COMMUNITY.BAKER COLLEGE ADVISORY BOARD - THE BOARD GOVERNS THE COLLEGE AND PROVIDES INPUT INTO INSTRUCTION NEEDED IN THE COMMUNITY, PARTICULARLY IN THE HEALTH CARE FIELDS. PARTNERS AT HEART BOARD OF DIRECTORS - THIS BOARD GOVERNS THE AREA'S PARTNERS AT HEART PROGRAM AND PROVIDES CARDIAC SERVICES TO THE BROADER COMMUNITY, INCLUDING LOW INCOME INDIVIDUALS AND ESPECIALLY SENIORS. PEOPLES' CLINIC PHYSICIAN COMMITTEE - THIS BOARD GOVERNS OUR PEOPLES' CLINIC WHICH PROVIDES NEEDED HEALTH SERVICES AND PRESCRIPTIONS TO THE UNINSURED AND UNDERINSURED. COMMUNITY BUILDING ACTIVITIES - ST. MARY MERCY LIVONIA IS A CORPORATE SPONSOR FOR THE CRISTO REY SCHOOL AND MERCY EDUCATION PROGRAM. CRISTO REY STUDENTS SPEND FOUR DAYS EACH WEEK IN THE CLASSROOM, STRIVING FOR ACADEMIC EXCELLENCE AND ARE INVOLVED IN SERVICE ACTIVITIES IN THEIR COMMUNITY. THE MERCY EDUCATION PROJECT (MEP) PROVIDES A CARING, SUPPORTIVE LEARNING ENVIRONMENT FOR LOW-INCOME WOMEN AND GIRLS WHO HAVE EXPERIENCED EDUCATIONAL FAILURE. OUTREACH TO THE POOR AND HOMELESS IS PART OF OUR MISSION. ST. MARY MERCY HOSPITAL PROVIDES EXECUTIVE OVERSIGHT AND CAPITAL FUNDING FOR MERCY PRIMARY CARE IN DETROIT, MI. MEMBERSHIP ON THE SOUTHEASTERN MICHIGAN AMERICAN RED CROSS AND YMCA BOARDS AND ATTENDANCE AT THE MONTHLY CIRCLE OF CARE COALITION MEETINGS PROVIDED A VENUE FOR NETWORKING WITH COMMUNITY LEADER AND PARTNERS TO IMPROVE THE HEALTH OF OUR COMMUNITIES. ST. MARY MERCY HOSPITAL CONDUCTS A PROGRAM TO ASSIST WITH HAVING LEGAL RIGHTS SET FOR AN INDIVIDUAL. COMMUNITY BUILDING ACTIVITIES - SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) (ANN ARBOR) SERVES ON COMMUNITY TASK FORCES AND COALITIONS TO HELP ADDRESS THE NEEDS OF THE SERVICE AREA. SJMHS PARTICIPATES IN DIVERSITY COUNCILS, MINISTRY ASSOCIATIONS, HEALTH COALITIONS, AND HEALTH IMPROVEMENT COUNCILS. THE HOSPITAL ALSO PROVIDES AN ARENA FOR YOUNG PEOPLE TO JOB SHADOW PROFESSIONALS IN A VARIETY OF HEALTH CAREERS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: TRINITY HEALTH - MICHIGAN IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM THOSE STATEMENTS: "SUBSTANTIALLY ALL OF THE CORPORATION'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO PATIENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE CORPORATION'S ESTIMATE FOR ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS BY PAYOR."COSTING METHODOLOGY FOR LINES 2 AND 3: AMOUNTS ARE CALCULATED ON LINE 2 USING A COST TO CHARGE RATIO METHODOLOGY.ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.IN GENERAL, THE AMOUNT ON LINE 3 WAS CALCULATED BASED ON INFORMATION RECEIVED FROM EXTERNAL COLLECTION AGENCIES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: TRINITY HEALTH - MICHIGAN DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: THE ORGANIZATION'S COLLECTION POLICY CONTAINS THE CRITERIA FOR FINANCIAL ASSISTANCE, AND CONTAINS THE FOLLOWING VERBIAGE FOR ARRANGEMENTS WITH OUTSIDE COLLECTION AGENCIES: THE AGREEMENT MUST DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY OUTSIDE COLLECTION AGENTS ACTING ON BEHALF OF THE ORGANIZATION, ALL OF WHICH MUST BE IN COMPLIANCE WITH THIS POLICY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. JOSEPH MERCY ANN ARBOR</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: BROCHURES ARE DISTRIBUTED TO PATIENTS WITH INFORMATION TO CONTACT FOR ASSISTANCE. CONTACT INFORMATION IS ALSO PROVIDED ON THE WEBSITE AND PATIENT STATEMENTS REGARDING OUR ASSISTANCE PROGRAM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SAINT MARY'S HEALTH CARE</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: DUE TO THE COMPLEXITY OF THE POLICY, COPIES ARE ONLY PROVIDED ON REQUEST. STATEMENTS PROVIDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND THE NUMBER(S) TO CALL ARE PROVIDED TO PATIENTS AT PRE-REGISTRATION, REGISTRATION, ON THE HOSPITAL WEBSITE, POSTINGS IN REGISTRATION AREAS AND ADMISSIONS OFFICES, AND INCLUDED ON ALL BILLING STATEMENTS SENT TO THE PATIENT/GUARANTOR.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. JOSEPH MERCY OAKLAND</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: DUE TO ITS COMPLEXITY, THE FACILITY DOES NOT POST OR DISTRIBUTE THE FULL POLICY. BROCHURES AND POSTERS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE THROUGHOUT THE FACILITY AND ON THE INTERNET.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. MARY MERCY LIVONIA</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: DUE TO ITS COMPLEXITY, THE FACILITY DOES NOT POST OR DISTRIBUTE THE FULL POLICY. BROCHURES AND POSTERS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE THROUGHOUT THE FACILITY AND ON THE INTERNET.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. JOSEPH MERCY LIVINGSTON</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: BROCHURES ARE DISTRIBUTED TO PATIENTS WITH INFORMATION TO CONTACT FOR ASSISTANCE. CONTACT INFORMATION IS ALSO PROVIDED ON THE WEBSITE AND PATIENT STATEMENTS REGARDING OUR ASSISTANCE PROGRAM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CHELSEA COMUNITY HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: BROCHURES ARE DISTRIBUTED TO PATIENTS WITH INFORMATION TO CONTACT FOR ASSISTANCE. CONTACT INFORMATION IS ALSO PROVIDED ON THE WEBSITE AND PATIENT STATEMENTS REGARDING OUR ASSISTANCE PROGRAM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. JOSEPH MERCY PORT HURON</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: DUE TO ITS COMPLEXITY, THE FACILITY DOES NOT POST OR DISTRIBUTE THE FULL POLICY. BROCHURES AND POSTERS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE AVAILABLE THROUGHOUT THE FACILITY AND ON THE INTERNET.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. JOSEPH MERCY SALINE</Identifier>
        <Explanation>PART V, SECTION B, LINE 13G: BROCHURES ARE DISTRIBUTED TO PATIENTS WITH INFORMATION TO CONTACT FOR ASSISTANCE. CONTACT INFORMATION IS ALSO PROVIDED ON THE WEBSITE AND PATIENT STATEMENTS REGARDING OUR ASSISTANCE PROGRAM.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. JOSEPH MERCY ANN ARBOR</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 200% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SAINT MARY'S HEALTH CARE</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: INDIVIDUALS/HOUSEHOLDS 150% AND BELOW THE FPG ARE ELIGIBLE FOR 100% FREE CARE; THOSE BETWEEN 150% AND 200% OF THE FPG ARE SUBJECT TO A NOMINAL CHARGE BASED ON THE TYPE OF SERVICE; THOSE BETWEEN 200% AND 400% OF THE FPG ARE ELIGIBLE FOR A DISCOUNT BASED ON THE AVERAGE DISCOUNT PROVIDED TO COMMERCIAL PAYERS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. JOSEPH MERCY OAKLAND</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 150% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. MARY MERCY LIVONIA</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 100% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. JOSEPH MERCY LIVINGSTON</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 200% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CHELSEA COMUNITY HOSPITAL</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 200% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. JOSEPH MERCY PORT HURON</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 150% BUT NOT EXCEEDING 300% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MERCY HOSPITAL GRAYLING</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 100% BUT NOT EXCEEDING 300% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MERCY HOSPITAL CADILLAC</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 100% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 100% BUT NOT EXCEEDING 300% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ST. JOSEPH MERCY SALINE</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), ADJUSTED FOR FAMILY SIZE, ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME ABOVE 200% BUT NOT EXCEEDING 400% OF THE FPG, ADJUSTED FOR FAMILY SIZE, RECEIVE A PERCENTAGE DISCOUNT ON MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: NEEDS ASSESSMENT - TRINITY HEALTH-MICHIGAN ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. TRINITY HEALTH-MICHIGAN IS COMPRISED OF TEN ENTITIES, EACH OF WHICH COMPLETES ITS OWN ASSESSMENT. A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR TRINITY HEALTH-MICHIGAN'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.THE TRINITY HEALTH-MICHIGAN COMMUNITY NEEDS ASSESSMENTS PROVIDE THE OPPORTUNITY TO:- GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED - IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY- ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS- PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGTHE TRINITY HEALTH-MICHIGAN COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES. THE COMMUNITY NEEDS ASSESSMENTS ARE CURRENT AS OF 2012 FOR GRAND RAPIDS; 2010 FOR PORT HURON, 2011 FOR CADILLAC, AND OAKLAND; AND 2012 FOR ANN ARBOR (INCLUDING LIVINGSTON AND SALINE), LIVONIA, GRAYLING, AND OAKLAND.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - TRINITY HEALTH-MICHIGAN IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AHA RECOMMENDATIONS, TRINITY HEALTH-MICHIGAN HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSTRINITY HEALTH-MICHIGAN COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE. TRINITY HEALTH-MICHIGAN OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL PATIENT ACCOUNTING DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES THAT ARE LOCATED ON FACILITY CAMPUSES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES AND IN ADMISSION PACKAGES DURING INTAKE. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH IN SEVERAL COMMUNITIES, REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS. TRINITY HEALTH-MICHIGAN'S HOSPITALS HAVE ESTABLISHED WRITTEN POLICIES FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. TRINITY HEALTH-MICHIGAN MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. OUR HOSPITALS EDUCATE STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: COMMUNITY INFORMATION - ST. JOSEPH MERCY OAKLAND (PONTIAC):ST. JOSEPH MERCY OAKLAND SERVES ALL OF OAKLAND COUNTY, NORTH OF EIGHT MILE ROAD, MOST COMMUNITY BENEFIT INITIATIVES FOCUS ON PONTIAC. THE 2012 RACIAL BREAKDOWN FOR OAKLAND COUNTY IS: WHITE NOT HISPANIC 75.1%; AFRICAN AMERICAN 13.6%; AMERICAN INDIAN AND ALASKAN NATIVE 0.3%; ASIAN 5.6%; PERSONS REPORTING TWO OR MORE RACES 2.2%; AND HISPANIC OR LATINO 3.5%. ESTIMATES FOR THE CITY OF PONTIAC ARE: WHITE NOT HISPANIC 37.1%; AFRICAN AMERICAN 47.4%; AMERICAN INDIAN AND ALASKA NATIVE 0.8%; ASIAN 2.4%; PERSONS REPORTING TWO OR MORE RACES 2.4%; HISPANIC OR LATINO 3.5%. THERE IS NO PREDICTION FOR ANY SIGNIFICANT CHANGE IN THESE RACE DEMOGRAPHICS. PONTIAC'S UNEMPLOYMENT RATE, DOWN FROM A HIGH OF 31.1% IN OCTOBER 2009, WAS STILL AT A STAGGERING 26.6% IN JUNE OF 2011, 19.1% IN APRIL OF 2012, AND BACK UP TO 21.6% IN MAY 2012. THESE FIGURES CAN BE COMPARED TO THE MICHIGAN UNEMPLOYMENT RATES OF 10.5% AND 8.3%, AND THE OAKLAND COUNTY RATES OF 10.9% IN APRIL AND THE CURRENT 7.4%. WHILE SHOWING IMPROVEMENT, THE RECENT DATA SHOWED, AT ITS WORST, A SIGNIFICANT RISE IN UNEMPLOYMENT COMPARED TO THE PRE-RECESSION YEAR OF 2007-PONTIAC, UP 60.9%; MICHIGAN UP 43.5%; AND OAKLAND COUNTY UP 72.1%. DESPITE THE FACT THAT THE RISE IN UNEMPLOYMENT FOR THE ENTIRE UNITED STATES HAS BEEN MUCH HIGHER, AT 89.6%, IT SHOULD BE REMEMBERED THAT MICHIGAN, AND ESPECIALLY PONTIAC, BEGAN THEIR RECESSIONS BETWEEN 10 AND 30 YEARS AGO, SO RECENT INCREASES ADD INSULT TO GREATER EXISTING INJURY, AND THUS APPEAR LESS SIGNIFICANT.SAINT MARY'S HEALTH CARE (GRAND RAPIDS):KENT COUNTY IS CONSIDERED THE PRIMARY MARKET AREA OF SAINT MARY'S HEALTH CARE. KENT COUNTY IS LOCATED IN WESTERN MICHIGAN AND IS THE FOURTH LARGEST POPULATION CENTER IN THE STATE. THE COUNTY IS COMPOSED OF TWENTY-ONE TOWNSHIPS, FIVE VILLAGES, AND NINE CITIES COVERING 864 SQUARE MILES. GRAND RAPIDS IS THE COUNTY SEAT AND IS 30 MILES FROM LAKE MICHIGAN. THE HEALTH CARE RESOURCES IN KENT COUNTY INCLUDE SAINT MARY'S HEALTH CARE, METROPOLITAN HEALTH, SPECTRUM HEALTH-BUTTERWORTH CAMPUS, SPECTRUM HEALTH-BLODGETT CAMPUS, PINE REST, AND MARY FREE BED REHABILITATION HOSPITAL. IN ADDITION, THE HEALTH DEPARTMENT OPERATES SIX PUBLIC HEALTH CLINICS THROUGHOUT THE COUNTY THAT OFFER PERSONAL HEALTH SERVICES. IN 2010, THERE WERE 608,453 PEOPLE LIVING IN KENT COUNTY MEANING 6.1 PERCENT OF MICHIGAN'S POPULATION LIVES IN KENT COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR KENT COUNTY IS $50,801. TWENTY-SIX PERCENT OF THE POPULATION IS BELOW THE AGE OF 18 AND ELEVEN PERCENT IS 65 YEARS OF AGE AND OLDER. EIGHTY-THREE PERCENT OF THE POPULATION IS WHITE, 10.3 PERCENT BLACK, AND 9.9 PERCENT LATINO. EIGHTY-EIGHT PERCENT ARE HIGH SCHOOL GRADUATES AND 30 PERCENT HAVE A BACHELOR'S DEGREE. THE CURRENT UNEMPLOYMENT RATE IS 8.5 PERCENT.MERCY HOSPITAL CADILLAC:MERCY HOSPITAL CADILLAC SERVES A RURAL REGION IN CENTRAL NORTHERN MICHIGAN COMPRISED OF ALL OF MISSAUKEE AND WEXFORD COUNTIES (WHERE THE HOSPITAL IS LOCATED), ALONG WITH PORTIONS OF OSCEOLA, KALKASKA, MANISTEE AND LAKE COUNTIES. THE SERVICE REGION ENCOMPASSES THE COMMUNITIES OF CADILLAC, LAKE CITY, MANTON, MESICK AND MCBAIN. MERCY HOSPITAL CADILLAC IS THE ONLY IN-PATIENT AND EMERGENCY SERVICE PROVIDER FOR THIS SERVICE REGION. IT IS DESIGNATED A SOLE COMMUNITY PROVIDER. THE U.S. CENSUS DATA FROM 2010 HAVE NOTED THAT AN INCREASING SEGMENT OF THE POPULATION IS ELDERLY. WITH ADVANCED AGE USUALLY COMES AN INCREASED RATE OF CHRONIC DISEASE. MERCY HOSPITAL GRAYLING:MERCY HOSPITAL GRAYLING SERVES A SPARSELY POPULATED, RURAL REGION IN CENTRAL NORTHERN MICHIGAN COMPRISED OF ALL OF CRAWFORD COUNTY (WHERE THE HOSPITAL IS LOCATED) AND MOST OF ROSCOMMON COUNTY, AS WELL AS MUCH OF OSCODA COUNTY AND SMALL PORTIONS OF MONTMORENCY AND OTSEGO COUNTIES. MERCY HOSPITAL GRAYLING IS THE ONLY INPATIENT AND EMERGENCY SERVICE PROVIDER FOR THIS REGION. THERE ARE NEARLY 50,000 PEOPLE LIVING IN MERCY GRAYLING'S THREE COUNTY SERVICE AREAS. FROM 2000-2010, THE POPULATION IN CRAWFORD, OSCODA AND ROSCOMMON COUNTIES HAS DECREASED, WITH THE LARGEST DECREASE OCCURRING IN OSCODA COUNTY. THE PERCENTAGE OF PERSONS BELOW POVERTY CONTINUES TO BE HIGHER IN ALL THREE COUNTIES THAN IN ALL OF MICHIGAN WITH ROSCOMMON HAVING THE HIGHEST RATE AT 22.2% COMPARED TO MICHIGAN'S RATE OF 14.8%.THE CONCERN FOR SINGLE PARENT STATUS SURFACES AS AN ONGOING ISSUE FOR OUR COMMUNITY FAMILIES TODAY. CHILDREN THAT ARE LIVING IN SINGLE PARENT HOUSEHOLDS ARE HIGHER THAN MICHIGAN IN BOTH CRAWFORD (38%) AND ROSCOMMON (45%), WITH OSCODA BEING SLIGHTLY LOWER AT 26%. MICHIGAN'S OVERALL RATE IS 32%.ST. JOSEPH MERCY PORT HURON:ST. JOSEPH MERCY PORT HURON IS LOCATED IN ST. CLAIR COUNTY IN SOUTHEASTERN MICHIGAN. SHARING A BORDER WITH CANADA, THE COUNTY IS HOME TO THE BLUE WATER BRIDGE, ONE OF THE BUSIEST INTERNATIONAL BORDER CROSSINGS IN NORTH AMERICA. DUE TO ITS PROXIMITY TO CANADA AND THE HIGH CONCENTRATION OF MANUFACTURING ON BOTH SIDES OF THE BRIDGE, ST. CLAIR COUNTY HAS BEEN IDENTIFIED BY THE FEDERAL GOVERNMENT AS A HIGH-RISK AREA FOR DISASTER.BASED ON 2000 U.S. CENSUS BUREAU DATA, ST. CLAIR COUNTY HAS 164,235 RESIDENTS, 94.9% OF WHOM ARE CAUCASIAN, 5.1% BLACK OR AFRICAN AMERICAN AND 2.2% HISPANIC OR LATINO. LOCATED AT THE BASE OF LAKE HURON AND THE MOUTH OF THE ST. CLAIR RIVER, THE HOSPITAL'S PRIMARY SERVICE AREA INCLUDES ELEVEN ZIP CODES IN ST. CLAIR COUNTY AND TWO ZIP CODES IN SANILAC COUNTY. NONE OF THESE ZIP CODES RANK AS EXCELLENT COMPARED TO THE U.S. MEAN, AND NONE RANK POOR COMPARED TO THE U.S. MEAN. THE COUNTY IS 734 SQUARE MILES, ENCOMPASSING 33 COMMUNITIES, WITH THE LARGEST INDUSTRIAL SECTOR BEING AGRICULTURE, FORESTRY &amp; FISHING AND STRONG TIES TO THE AUTOMOTIVE INDUSTRY, WITH AN EMPHASIS ON PLASTICS MANUFACTURING. THE COUNTY'S FOUR LARGEST EMPLOYERS INCLUDE TWO UTILITY COMPANIES AND TWO COMMUNITY HEALTHCARE PROVIDERS. ST. JOSEPH MERCY IS THE FOURTH LARGEST EMPLOYER IN THE COUNTY. SAINT MARY MERCY LIVONIA:ST MARY MERCY LIVONIA'S PRIMARY SERVICE AREA INCLUDES CANTON, LIVONIA, NORTHVILLE, NOVI, PLYMOUTH, REDFORD AND WESTLAND. MANY OF THE RESIDENTS HAVE BEEN AFFECTED BY THE ECONOMIC CHALLENGES THAT HAVE AFFECTED OUR NATION AND CITY. HOME FORECLOSURES, DEBT DUE TO MEDICAL BILLS, UNEMPLOYMENT AND INCREASED COST OF LIVING WITH NO WAGE INCREASES HAVE CAUSED MANY PEOPLE TO MAKE DIFFICULT CHOICES ABOUT THEIR HEALTH CARE. BASED UPON THE 2010 CENSUS DATA, MEDIAN INCOME RANGES FROM $46,308 IN WESTLAND TO $81,541 IN NORTHVILLE, WHICH IS CONSIDERABLY LESS THAN THE 2000 CENSUS DATA. THE NUMBER OF PERSONS LIVING IN POVERTY IN WESTLAND, 6.7%, IS ABOUT THE SAME AS IN 2000, WHILE IN NORTHVILLE THE NUMBER IS 2.5%, HIGHER THAN THE 2000 CENSUS. THE 65+ AGE GROUP POPULATION RANGES FROM 17.7% IN LIVONIA TO 8.9% IN CANTON. SAINT JOSEPH MERCY HEALTH SYSTEM (ANN ARBOR):SAINT JOSEPH MERCY HEALTH SYSTEM (SJMHS) IS A SUBURBAN HEALTH CARE NETWORK SERVING WASHTENAW, LIVINGSTON, EASTERN JACKSON, LENAWEE, MONROE, WESTERN WAYNE AND SOUTHWESTERN OAKLAND COUNTIES. SJMHS SPECIALIZES IN CANCER, CARDIOVASCULAR, ORTHOPEDICS, NEUROSCIENCES, AND WOMEN AND CHILDREN'S HEALTH. IT ALSO OFFERS TREATMENT AND CARE IN EMERGENCY SERVICES, SURGERY, ENDOSCOPY, RADIOLOGY, AND HOME CARE/HOSPICE. THE SJMHS HEALTH CARE NETWORK INCLUDES FOUR HOSPITALS: ST. JOSEPH MERCY ANN ARBOR, ST. MARY MERCY HOSPITAL IN LIVONIA, CHELSEA COMMUNITY HOSPITAL, AND SAINT JOSEPH MERCY LIVINGSTON IN HOWELL. COMBINED, THESE HOSPITALS ARE LICENSED FOR 1,090 INPATIENT BEDS. BASED ON 2011 DATA, THE AVERAGE HOUSEHOLD INCOME IN THE SJMHS SERVICES AREA IS $74,533 COMPARED TO THE AVERAGE FOR THE UNITED STATES OF $69,376. THIRTEEN PERCENT OF THE SERVICE AREA'S POPULATION IS BELOW FEDERAL POVERTY GUIDELINES. ABOUT 10% OF THE SERVICE AREA POPULATION RECEIVES MEDICAID OR OTHER ASSISTANCE, WHILE 13% ARE UNINSURED OR UNDERINSURED. THE NON-ENGLISH SPEAKING POPULATION COMPRISES 8.4% OF THE TOTAL.THE LARGEST SEGMENT OF THE SERVICE AREA POPULATION, 29.6% IS BETWEEN 35 AND 54 YEARS OF AGE, COMPARED TO THE NATIONAL AVERAGE OF 27.6%. CHILDREN 0-14 YEARS MAKE UP 18.5% OF THE TOTAL POPULATION, COMPARED TO THE NATIONAL AVERAGE OF 20.2%. THE OVER-55 POPULATION ACCOUNTS FOR 25.2% OF THE TOTAL, COMPARED TO THE NATIONAL AVERAGE OF 25%. ONLY 8.9% OF THE SERVICE AREA POPULATION DOES NOT HAVE A HIGH SCHOOL EDUCATION, COMPARED TO THE NATIONAL AVERAGE OF 15.1%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: OTHER INFORMATION - SAINT MARY'S HEALTH CARE IN GRAND RAPIDS IS A ONE-THIRD PARTNER, WITH THE MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE AND MARY FREE BED REHABILITATION HOSPITAL, IN THE COMMUNITY'S ONLY CERTIFIED ALS (AMYOTROPHIC LATERAL SCLEROSIS) TREATMENT CENTER FOR LOU GEHRIG'S DISEASE. SAINT MARY'S ALSO PARTICIPATES IN NUMEROUS CANCER, NEUROSCIENCE, AND HIV/AIDS RESEARCH BOTH INDEPENDENTLY AND IN COLLABORATION WITH NATIONAL AND LOCAL ORGANIZATIONS. AT MERCY HOSPITAL - CADILLAC, MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA FOR ALL APPROPRIATE DEPARTMENTS. THE ORGANIZATION IS THE SOLE COMMUNITY PROVIDER, AND OFFERS VOLUNTEER OPPORTUNITIES TO MEMBERS OF THE COMMUNITY.AT MERCY HOSPITAL - GRAYLING, MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE SERVICE AREA FOR ALL APPROPRIATE DEPARTMENTS. THE HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY, PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS, AND PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH PROGRAMS. MEDICARE AND MEDICAID ARE THE PRIMARY PAYERS FOR THE HOSPITAL AND THE OUTPATIENT CLINICS. THE ORGANIZATION IS THE SOLE COMMUNITY PROVIDER OF HEALTHCARE SERVICES FOR MUCH OF THE REGION. MERCY HOSPITAL GRAYLING IS AN ACTIVE PARTICIPANT IN AND SUPPORTER OF THE AUSABLE FREE CLINIC WHICH PROVIDES MEDICAL SERVICES TO THOSE WHO ARE UNINSURED OR UNDERINSURED. IN ADDITION TO COALITION BUILDING, MERCY HOSPITAL GRAYLING OFFERS NUMEROUS PROGRAMS TO ASSIST PATIENTS IN THE MANAGEMENT OF CHRONIC DISEASE, SUCH AS DIABETES PROGRAMS THAT ARE OFTEN FREE OF CHARGE AND AN ON-STAFF CERTIFIED DIABETES EDUCATOR. A WELLNESS COACH IS ALSO EMPLOYED TO PROVIDE SERVICES TO PATIENTS WITH HIGH BLOOD PRESSURE, HIGH CHOLESTEROL AND OTHER CHRONIC CONDITIONS. IN ADDITION, FREE EDUCATIONAL CLASSES AND SEMINARS ARE OFFERED WITHIN THE COMMUNITY BY STAFF AND PROVIDERS.SINCE 1990, ST. JOSEPH MERCY PORT HURON HAS SPONSORED THE PEOPLES' CLINIC FOR BETTER HEALTH. THIS FREE CLINIC HAS BEEN THE CORNERSTONE OF ST. JOSEPH MERCY'S COMMUNITY INITIATIVES FOR THE POOR AND UNDERSERVED. IN ADDITION, APPROXIMATELY $1.3 MILLION IN PRESCRIPTION MEDICATIONS IS DISTRIBUTED ANNUALLY THROUGH THE CLINIC AT NO CHARGE TO PATIENTS. FOR THE PAST SEVERAL YEARS, ST. JOSEPH MERCY HAS OPERATED THE PEOPLES' CLINIC FOR A FOURTH DAY EACH WEEK. THIS HAS INCREASED THE SERVICE TO THE UNINSURED AND UNDERINSURED OF OUR COUNTY BY 33%. A SIGNIFICANT PROGRAM AT THE CLINIC IS THE SWEET TOUCH PROGRAM; THIS IS DESIGNED TO MONITOR AND MANAGE THE CHRONIC DISEASE OF DIABETES TO THE POOR AND UNINSURED POPULATION. THROUGH VARIOUS FUNDRAISING EVENTS AND ACTIVITIES, ST. JOSEPH MERCY OFFERS REDUCED-COST MAMMOGRAPHY AND OTHER BREAST CANCER DIAGNOSTIC SERVICES TO PATIENTS THROUGHOUT THE COMMUNITY WITH NO INSURANCE OR RESOURCES TO PAY FOR THEIR CARE. RESPONDING TO THE COMMUNITY NEED FOR MORE INPATIENT BEHAVIORAL MEDICINE SERVICES, ST. MARY MERCY HOSPITAL IN LIVONIA RENOVATED THE BEHAVIORAL MEDICINE UNIT (PSYCH AND CHEMICAL DEPENDENCY), INCREASED CAPACITY AND IMPROVED THE ADMISSION PROCESS TO PROVIDE AN EXCELLENT PATIENT EXPERIENCE. OTHER COMMUNITY HEALTH SERVICES INCLUDE CLINICAL RESEARCH IN THE OUR LADY OF HOPE CANCER CENTER AND GRADUATE MEDICAL EDUCATION PROGRAM; HEALTH EDUCATION AND SCREENING; SUPPORT GROUPS AND SUPPORTING THE JOY SOUTHFIELD AND WAYNE HOPE CLINICS BY PROVIDING LAB SERVICES, RADIOLOGY TESTING AND A DIABETES EDUCATION AND MANAGEMENT PROGRAM. THE MISSION, HERITAGE AND VALUES OF SAINT JOSEPH MERCY HEALTH SYSTEM IN ANN ARBOR CALL FOR US TO LEAD AND COLLABORATE WITH OTHERS IN COMMUNITY HEALTH INITIATIVES. COMMUNITY COLLABORATION IS ESSENTIAL TO ACHIEVE IMPROVEMENTS IN HEALTH AND ACCESS TO HEALTHCARE. THE WASHTENAW HEALTH PLAN (WHP) REPRESENTS A PARTNERSHIP BETWEEN WASHTENAW COUNTY, THE UNIVERSITY OF MICHIGAN AND SJMHS TO PROVIDE PRIMARY MEDICAL CARE SERVICES FOR THE MOST VULNERABLE AND DISENFRANCHISED IN THE COMMUNITY. THE HOSPITALS ALSO PROVIDE THIS POPULATION WITH FREE OR REDUCED-FEE CLINICAL SERVICES.ST. JOSEPH MERCY ANN ARBOR WAS THE LEAD AGENCY IN THE ORIGINATION OF THE WASHTENAW HOUSING ALLIANCE (WHA), A COALITION OF NINE SOCIAL SERVICE AGENCIES DEALING WITH HOUSING OF VARIOUS TYPES, WHOSE MISSION IS TO END HOMELESSNESS IN WASHTENAW COUNTY. IN ADDITION, SJMHS AND ITS BOARD MEMBERS WERE KEY IN BUILDING THE DELONIS CENTER IN DOWNTOWN ANN ARBOR. THIS CENTER PROVIDES NEEDED ACCOMMODATIONS FOR THE HOMELESS, AS WELL AS SOCIAL AND HEALTH SUPPORT SERVICES. SJMHS OPERATES TWO CLINICS THAT SUPPLY FREE OR REDUCED-FEE HEALTH CARE SERVICES TO AT-RISK POPULATIONS. THE NEIGHBORHOOD HEALTH CLINIC IS LOCATED IN DOWNTOWN YPSILANTI, WHILE THE ACADEMIC OB/GYN CLINIC IS LOCATED ON THE ANN ARBOR HOSPITAL CAMPUS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: TRINITY HEALTH-MICHIGAN IS A MEMBER ORGANIZATION OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE SYSTEMS IN THE COUNTRY. BASED IN LIVONIA, MICHIGAN, TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEVELOP, AND ARE HELD ACCOUNTABLE FOR ACHIEVING, COMMUNITY BENEFIT GOALS THAT INCLUDE DEVELOPING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE THE POOR AND UNINSURED, MANAGE CHRONIC CONDITIONS LIKE DIABETES, HEALTH EDUCATION AND PROMOTION INITIATIVES, AND OUTREACH FOR THE ELDERLY. IN FISCAL YEAR 2012, THIS INCLUDED OVER $615 MILLION IN SUCH COMMUNITY BENEFITS. THEREFORE, TRINITY HEALTH TAKES A SYSTEM APPROACH IN ITS COMMUNITY BENEFIT PLANNING AND IMPLEMENTATION, AND IS CONSEQUENTLY ABLE TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ARE HELPING PROMOTE AND ADDRESS THE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>VILLAGE OF DUNDEE-DUNDEE YOUTH SERVICES ORGANIZATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>350 W MONROE ST</AddressLine1>
          <City>DUNDEE</City>
          <State>MI</State>
          <ZIPCode>48131</ZIPCode>
        </AddressUS>
        <EINOfRecipient>271522252</EINOfRecipient>
        <IRCSection>VILLAGE GOVERNMENT</IRCSection>
        <AmountOfCashGrant>5500</AmountOfCashGrant>
        <PurposeOfGrant>ABSTINENCE BASED HEALTH AND ATOD PROGRAM</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MILAN AREA SCHOOLS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>100 BIG RED DRIVE</AddressLine1>
          <City>MILAN</City>
          <State>MI</State>
          <ZIPCode>48160</ZIPCode>
        </AddressUS>
        <EINOfRecipient>386022728</EINOfRecipient>
        <IRCSection>PUBLIC SCHOOL</IRCSection>
        <AmountOfCashGrant>11470</AmountOfCashGrant>
        <PurposeOfGrant>REACHING HIGHER TEEN COURSE PROGRAM</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ILITCH CHARITIES INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2211 WOODWARD AVE</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48201</ZIPCode>
        </AddressUS>
        <EINOfRecipient>383548144</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>HOLE SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CANTON CHAMBER OF COMMERCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>45525 HANFORD</AddressLine1>
          <City>CANTON</City>
          <State>MI</State>
          <ZIPCode>48187</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382087835</EINOfRecipient>
        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>2012 SPONSORSHIPS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN HEART ASSOCIATION INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>7272 GREENVILLE AVE</AddressLine1>
          <City>DALLAS</City>
          <State>TX</State>
          <ZIPCode>75231</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>DETROIT REGIONAL CHAMBER FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 33840</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48232</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382352462</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>10500</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNITED WAY OF WASHTENAW COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2305 PLATT ROAD</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381951024</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>12392</AmountOfCashGrant>
        <PurposeOfGrant>UNITED WAY SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FOOD GATHERERS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 131037</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48113</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382853858</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GLEANERS COMMUNITY FOOD BANK OF SOUTHEASTERN MICHIGAN</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2131 BEAUFAIT</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48207</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382156255</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MAKE A WISH FOUNDATION OF MICHIGAN</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2300 GENOA BUSINESS PARK DR ROOM</AddressLine1>
          <AddressLine2>290</AddressLine2>
          <City>BRIGHTON</City>
          <State>MI</State>
          <ZIPCode>48114</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382505812</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ANN ARBOR AREA COMMUNITY FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>301 N MAIN ST SUITE 300</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48104</ZIPCode>
        </AddressUS>
        <EINOfRecipient>386087967</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>200000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN RED CROSS WASHTENAW</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4624 PACKARD RD</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48108</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381359188</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CATHOLIC SOCIAL SERVICES OF WASHTENAW COUNTY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4925 PACKARD RD</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48108</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381654500</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>STEHOUWER FREE CLINIC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>201 N MITCHELL STE L-1</AddressLine1>
          <City>CADILLAC</City>
          <State>MI</State>
          <ZIPCode>49601</ZIPCode>
        </AddressUS>
        <EINOfRecipient>611401888</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>76089</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT OF FREE CLINIC</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NEW HOPE SHELTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>814 LYNN STREET</AddressLine1>
          <City>CADILLAC</City>
          <State>MI</State>
          <ZIPCode>49601</ZIPCode>
        </AddressUS>
        <EINOfRecipient>320019736</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfNonCashAssistance>18000</AmountOfNonCashAssistance>
        <MethodOfValuation>FAIR MARKET VALUE</MethodOfValuation>
        <DescriptionOfNonCashAssistance>DONATED GOODS</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>PROVIDE HOUSING FOR UNFORTUNATE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNITED WAY OF WEXFORD-MISSAUKEE COUNTIES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 177</AddressLine1>
          <City>CADILLAC</City>
          <State>MI</State>
          <ZIPCode>49601</ZIPCode>
        </AddressUS>
        <EINOfRecipient>237112549</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WESTERN WASHTENAW AREA VALUE EXPRESS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 272</AddressLine1>
          <City>CHELSEA</City>
          <State>MI</State>
          <ZIPCode>48118</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382122970</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>THE ST LOUIS CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>16195 OLD US 12</AddressLine1>
          <City>CHELSEA</City>
          <State>MI</State>
          <ZIPCode>48118</ZIPCode>
        </AddressUS>
        <EINOfRecipient>386038121</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WORLD MEDICAL RELIEF INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>11745 ROSA PARKS BLVD</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48206</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381575570</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfNonCashAssistance>35978</AmountOfNonCashAssistance>
        <MethodOfValuation>FAIR MARKET VALUE</MethodOfValuation>
        <DescriptionOfNonCashAssistance>MEDICAL SUPPLIES</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>SUPPORT OF OPERATIONS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHILD ABUSE &amp; NEGLECT COUNCIL DBA CARE HOUSE OF OAKLAND COUNTY INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>44765 WOODWARD AVENUE</AddressLine1>
          <City>PONTIAC</City>
          <State>MI</State>
          <ZIPCode>48341</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382305297</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>5211</AmountOfNonCashAssistance>
        <MethodOfValuation>FAIR MARKET VALUE</MethodOfValuation>
        <DescriptionOfNonCashAssistance>SUPPLIES</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>SUPPORT OF OPERATIONS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>OAKLAND UNIVERSITY SCHOOL OF NURSING</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2200 NORTH SQUIRREL ROAD</AddressLine1>
          <City>ROCHESTER</City>
          <State>MI</State>
          <ZIPCode>48309</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381714400</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>18000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN CANCER SOCIETY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>250 WILLIAMS STREET NW</AddressLine1>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>30303</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131788491</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>DETROIT ECONOMIC CLUB</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>211 WEST FORT STREET</AddressLine1>
          <City>DETROIT</City>
          <State>MI</State>
          <ZIPCode>48226</ZIPCode>
        </AddressUS>
        <EINOfRecipient>380508823</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>VISIONALIST ENTERTAINMENT PRODUCTIONS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>28345 BECK RD STE 404</AddressLine1>
          <City>WIXOM</City>
          <State>MI</State>
          <ZIPCode>48393</ZIPCode>
        </AddressUS>
        <EINOfRecipient>383612588</EINOfRecipient>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NORTHERN OAKLAND BRANCH NAACP FOUNDATION INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>28 N SAGINAW ST STE 910</AddressLine1>
          <City>PONTIAC</City>
          <State>MI</State>
          <ZIPCode>48342</ZIPCode>
        </AddressUS>
        <EINOfRecipient>371459566</EINOfRecipient>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>JEWISH HOSPICE &amp; CHAPLAINCY NETWORK</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>6555 WEST MAPLE</AddressLine1>
          <City>WEST BLOOMFIELD</City>
          <State>MI</State>
          <ZIPCode>48322</ZIPCode>
        </AddressUS>
        <EINOfRecipient>383429268</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>INFANT MORTALITY PROGRAM</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>45 CHANDLER STREET</AddressLine1>
          <City>HIGHLAND PARK</City>
          <State>MI</State>
          <ZIPCode>48203</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382262856</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>65000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LIVONIA PUBLIC SCHOOLS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>15125 FARMINGTON ROAD</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48154</ZIPCode>
        </AddressUS>
        <EINOfRecipient>386004173</EINOfRecipient>
        <IRCSection>PUBLIC SCHOOL</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>COMPETITIVE EDGE PROGRAM</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CITY OF WESTLAND</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>36601 FORD ROAD</AddressLine1>
          <City>WESTLAND</City>
          <State>MI</State>
          <ZIPCode>48185</ZIPCode>
        </AddressUS>
        <EINOfRecipient>381810301</EINOfRecipient>
        <IRCSection>CITY GOVERNMENT</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>PASSPORT TO A HEALTHY CITY PROGRAM</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ASSOCIATES OF KERALA MEDICAL GRADUATES HUMANITARIAN SVCS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>41 WOODSHIRE DR</AddressLine1>
          <City>OTTUMWA</City>
          <State>IA</State>
          <ZIPCode>52501</ZIPCode>
        </AddressUS>
        <EINOfRecipient>320051235</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>DETROIT CONVENTION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MICHIGAN ASSOC OF PHYSICIANS OF INDIAN ORIGIN</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>28230 ORCHARD LAKE ROAD</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>48334</ZIPCode>
        </AddressUS>
        <EINOfRecipient>382137329</EINOfRecipient>
        <IRCSection>501(C)(6)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>27</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>4</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>SCHOLARSHIPS</TypeOfGrant>
        <NumberOfRecipients>24</NumberOfRecipients>
        <AmountOfCashGrant>43914</AmountOfCashGrant>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>PRESCRIPTION MEDICATIONS</TypeOfGrant>
        <NumberOfRecipients>217</NumberOfRecipients>
        <AmountOfNonCashAssistance>24787</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>PRESCRIPTION MEDICATIONS</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY TRINITY HEALTH - MICHIGAN TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePayment>1</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JOSEPH SWEDISH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>1279458</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>677642</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>3229560</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>548602</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>27600</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>5762862</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>2698342</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAUL NEUMANN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>464258</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>161126</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>107407</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>69874</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>27920</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>830585</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>AGNES HAGERTY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>345590</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>33859</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>37512</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>13713</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>430674</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BENJAMIN CARTER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>509505</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>174420</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>71089</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>73824</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>28865</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>857703</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES BOSSCHER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>318984</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>118226</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>86244</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>73915</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>14927</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>612296</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>36335</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KEDRICK ADKINS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>743978</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>316652</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>344596</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>103857</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>13263</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1522346</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>143708</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICHARD O'CONNELL</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>571942</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>230946</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>140349</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>85919</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>32302</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1061458</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL MURPHY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>402598</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>71772</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>48365</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>27173</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>549908</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PHILIP MCCORKLE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>420218</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>143473</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>79322</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>24758</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>31905</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>699676</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GARRY FAJA</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>538161</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>171267</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>283691</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>126314</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>20804</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1140237</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>189913</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JACK WEINER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>403087</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>134728</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>131546</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>92467</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>37472</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>799300</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>63361</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT CASALOU</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>401427</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>123058</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>55857</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>51578</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>25017</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>656937</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID SPIVEY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>329430</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>95267</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>79504</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>73833</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>15651</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>593685</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>32738</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES HOFFMAN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>394855</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>86166</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>3860</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>33388</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19740</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>538009</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BARBARA HERTZLER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>303518</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>70559</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>4514</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>42769</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19731</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>441091</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PETER KARADJOFF</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>256763</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>79014</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>48945</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>40403</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19399</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>444524</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>11022</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATHLEEN GRIFFITHS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>239167</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>77555</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>46024</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>61260</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>24087</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>448093</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>36769</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN MACLEOD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>223871</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>85605</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>57476</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>38062</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>20348</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>425362</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>18380</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RANDALL WAGNER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>278775</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>65900</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>4087</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>20251</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>16566</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>385579</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEPHEN PIROG</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>260832</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>55284</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2487</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>42933</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>16239</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>377775</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEPHANIE RIEMER-MATUZAK</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>213036</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>70317</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>41772</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>88857</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>22749</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>436731</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>6753</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL GUSHO</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>246766</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>55952</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1247</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>37524</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>18289</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>359778</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DEBORAH ARMSTRONG</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>260000</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>17950</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>277950</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CLAUDE LAUDERBACH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>219792</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>39326</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2043</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>40981</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>14831</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>316973</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATHLEEN O'CONNOR</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>204748</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>32636</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>1781</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>39977</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>15227</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>294369</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CREG CARPENTER</NamePerson>
        <BaseCompensationFilingOrg>339060</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>386376</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>131168</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19304</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20356</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>896264</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>130194</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TALLAL ZENI</NamePerson>
        <BaseCompensationFilingOrg>414043</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>309903</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>486</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7350</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17516</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>749298</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARK KELLEY</NamePerson>
        <BaseCompensationFilingOrg>634581</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>62050</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>3180</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>23275</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>27577</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>750663</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JIHN HAN</NamePerson>
        <BaseCompensationFilingOrg>369753</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>295727</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1710</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>14087</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9147</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>690424</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARK PINTO</NamePerson>
        <BaseCompensationFilingOrg>309224</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>252657</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>103682</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>21839</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21046</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>708448</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>103081</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARIANNE CUNNINGHAM</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>162045</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>784</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>13313</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>18293</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>194435</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DANIEL HALE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>479340</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>186340</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>260274</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>87640</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>18585</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1032179</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>155414</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL SLUBOWSKI</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>13394</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>137444</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>500</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>601</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>151939</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>136445</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATHLEEN RHINE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>203031</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>1744</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10695</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>215470</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>203819</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAUL BROWNE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>460713</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>212876</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>108012</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>73237</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>21391</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>876229</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>48148</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DEBRA CANALES</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>498701</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>190895</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>201026</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>73012</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>13359</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>976993</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>86184</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAUL CONLON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>259447</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>93548</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>63042</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>73512</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>24271</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>513820</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>19811</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LOUIS FIERENS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>321453</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>110855</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>57400</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>49874</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>15226</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>554808</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>12188</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PRESTON GEE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>300426</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>110215</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>76974</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>49086</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>27523</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>564224</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL HOLPER</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>262967</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>92035</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>47099</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>47570</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>22315</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>471986</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>7371</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TERRENCE O'ROURKE MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>500415</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>209835</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>153331</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>22851</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>27858</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>914290</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARIA SZYMANSKI</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>371031</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>163299</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>131730</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>91752</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>15141</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>772953</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>83518</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROGER SPOELMAN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>458609</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>153850</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>143364</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>99098</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>21565</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>876486</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>78178</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GREGORY LOOMIS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>286064</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>57500</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>2725</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>34056</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>15129</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>395474</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GARY ALLORE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>249306</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>54409</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>828</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>18956</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>19166</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>342665</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>EDWARD CHADWICK</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>159057</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>159057</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 3</ReturnReference>
        <Explanation>TRINITY HEALTH - MICHIGAN IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH - MICHIGAN'S HOSPITAL CEOS ARE PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF TRINITY HEALTH - MICHIGAN'S CEOS: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINES 4A-B</ReturnReference>
        <Explanation>PART I, LINES 4A-B: PART I, LINE 4A: THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2011. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): KATHLEEN RHINE - $203,819 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2011). THE FOLLOWING ACCRUALS FOR 2011 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $91,607 JAMES BOSSCHER - $42,578 PAUL BROWNE - $53,119 DEBRA CANALES - $54,412 BENJAMIN CARTER - $54,011 ROBERT CASALOU - $39,328 PAUL CONLON - $31,100 GARRY FAJA - $79,098 LOUIS FIERENS - $29,740 PRESTON GEE - $28,495 DANIEL HALE - $42,034 MICHAEL HOLPER - $22,591 PETER KARADJOFF - $20,515 JOHN MACLEOD - $17,909 MICHAEL MURPHY - $27,513 PAUL NEUMANN - $49,293 STEPHANIE RIEMER-MATUZAK - $21,907 RICHARD O'CONNELL - $66,279 DAVID SPIVEY - $40,519 ROGER SPOELMAN - $65,907 JOSEPH SWEDISH - $255,902 MARIA SZYMANSKI - $55,256 JACK WEINER - $56,689 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN A CHELSEA COMMUNITY HOSPITAL NON-QUALIFIED ELECTIVE DEFERRED COMPENSATION PLAN. THE FOLLOWING VESTED AMOUNTS FOR 2011 FOR THIS PLAN ARE INCLUDED IN SCHEDULE J, PART II: CREG CARPENTER - $130,194 MARK PINTO - $103,081 KATHLEEN GRIFFITHS - $36,769 PART I, LINE 4B: THE FOLLOWING IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUAL FOR 2011 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: JOSEPH SWEDISH - $265,000 PART II: THE FOLLOWING INDIVIDUALS BECAME VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) DURING CALENDAR 2011. AS A RESULT, THE VESTED AMOUNTS WERE INCLUDED IN THEIR 2011 TAXABLE INCOMES. THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KEDRICK ADKINS - $220,648 JOSEPH SWEDISH - $2,740,000 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARY CONLON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF PAUL CONLON, FORMER KEY EMPLOYEE</Relationship>
        <AmountOfTransaction>47062</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT ARRANGEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>NORTHERN MICHIGAN SUPPLY ALLIANCE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>LOUIS FIERENS, FORMER KEY EMPLOYEE, IS A BOARD MEMBER OF NMSA</Relationship>
        <AmountOfTransaction>1147715</AmountOfTransaction>
        <DescriptionOfTransaction>TRINITY HEALTH - MICHIGAN PURCHASED SERVICES FROM NMSA</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>NORTHERN MICHIGAN SUPPLY ALLIANCE (NMSA)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>LOUIS FIERENS, FORMER KEY EMPLOYEE, IS A BOARD MEMBER OF NMSA</Relationship>
        <AmountOfTransaction>4505268</AmountOfTransaction>
        <DescriptionOfTransaction>TRINITY HEALTH - MICHIGAN PURCHASED SUPPLIES FROM NMSA</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>KATHRYN TUNE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF BARBARA HERTZLER, KEY EMPLOYEE</Relationship>
        <AmountOfTransaction>84061</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT ARRANGEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DAVID RHINE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF KATHLEEN RHINE, FORMER KEY EMPLOYEE</Relationship>
        <AmountOfTransaction>19281</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT ARRANGEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>METROPOLITAN DETROIT AREA HOSPITAL SERVICES INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>CHARLES HOFFMAN, KEY EMPLOYEE, IS A BOARD MEMBER OF METRO DETROIT HOSP SVCS</Relationship>
        <AmountOfTransaction>3314153</AmountOfTransaction>
        <DescriptionOfTransaction>TRINITY HEALTH - MICHIGAN PURCHASED LAUNDRY SERVICES FROM METRO DETROIT AREA HOSPITAL SERVICES, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JASON CARTER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF BENJAMIN CARTER, OFFICER</Relationship>
        <AmountOfTransaction>19727</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT ARRANGEMENT</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <WorksOfArt>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>28</NumberOfContributions>
        <NoncashContribsRptdF990>11970</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <BooksAndPublications>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>523</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </BooksAndPublications>
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>13276</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <Collectibles>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>46</NumberOfContributions>
        <NoncashContribsRptdF990>26639</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </Collectibles>
      <FoodInventory>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>8</NumberOfContributions>
        <NoncashContribsRptdF990>805</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </FoodInventory>
      <DrugsAndMedicalSupplies>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>1500</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </DrugsAndMedicalSupplies>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>TOYS</Description>
        <NumberOfContributions>104</NumberOfContributions>
        <NoncashContribsRptdF990>832</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>TRAUMA DOLLS</Description>
        <NumberOfContributions>50</NumberOfContributions>
        <NoncashContribsRptdF990>250</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>HOLIDAY DECORATIONS</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>60</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>EVENT TICKETS</Description>
        <NumberOfContributions>61</NumberOfContributions>
        <NoncashContribsRptdF990>4146</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>GIFT CARDS &amp; CERTIFICATES</Description>
        <NumberOfContributions>391</NumberOfContributions>
        <NoncashContribsRptdF990>103445</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>HOTEL PACKAGES</Description>
        <NumberOfContributions>31</NumberOfContributions>
        <NoncashContribsRptdF990>6255</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MEMBERSHIPS</Description>
        <NumberOfContributions>3</NumberOfContributions>
        <NoncashContribsRptdF990>355</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MUSEUM TICKETS</Description>
        <NumberOfContributions>17</NumberOfContributions>
        <NoncashContribsRptdF990>650</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>THEATER TICKETS</Description>
        <NumberOfContributions>21</NumberOfContributions>
        <NoncashContribsRptdF990>2087</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MISCELLANEOUS</Description>
        <NumberOfContributions>22</NumberOfContributions>
        <NoncashContribsRptdF990>22195</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET VALUE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>1</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>THIRD PARTY USE:</Identifier>
        <ReturnReference>PART I, LINE 32B:</ReturnReference>
        <Explanation>SPECIAL EVENT COMMITTEE VOLUNTEERS SOLICIT NON-CASH CONTRIBUTIONS FROM LOCAL BUSINESSES. THEY SOLICIT ITEMS TO BE USED DURING THE SPECIAL EVENT, SUCH AS FOOD, PLUS ITEMS TO BE SOLD AT THE EVENT AUCTION.</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF TRINITY HEALTH - MICHIGAN IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF TRINITY HEALTH - MICHIGAN. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>PRIOR TO FILING, THE FORM 990 FOR TRINITY HEALTH - MICHIGAN IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE BOARD OF TRUSTEES. THE BOARD RECEIVES A COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>TRINITY HEALTH - MICHIGAN HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF TRINITY HEALTH - MICHIGAN, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH TRINITY HEALTH - MICHIGAN'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO TRINITY HEALTH - MICHIGAN OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO TRINITY HEALTH - MICHIGAN. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF TRINITY HEALTH - MICHIGAN ON AN ANNUAL BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF TRINITY HEALTH - MICHIGAN ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>TRINITY HEALTH - MICHIGAN IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, THE HOSPITAL DIVISIONS OF TRINITY HEALTH - MICHIGAN INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES TRINITY HEALTH - MICHIGAN'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>TRUSTEES:</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, LINE 1:</ReturnReference>
        <Explanation>SR. SUZANNE BRENNAN, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. SUZANNE BRENNAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH - MICHIGAN. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. SUZANNE BRENNAN'S SERVICES AS A TRUSTEE FOR TRINITY HEALTH CORPORATION, TRINITY HEALTH - MICHIGAN AND MERCY HEALTH SERVICES - IOWA, CORP. SR. MARY MOLLISON, CSA, IS A MEMBER OF THE CONGREGATION OF SAINT AGNES. HAVING TAKEN A VOW OF POVERTY, SR. MARY MOLLISON DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO TRINITY HEALTH - MICHIGAN. INSTEAD, A TOTAL OF $50,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF SAINT AGNES FOR SR. MARY MOLLISON'S SERVICES AS BOARD CHAIR FOR TRINITY HEALTH CORPORATION, TRINITY HEALTH - MICHIGAN AND MERCY HEALTH SERVICES - IOWA, CORP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, LINE 1, COLUMN B:</ReturnReference>
        <Explanation>THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEDRICK ADKINS - 50 HOURS GARY ALLORE - 50 HOURS JAMES BOSSCHER - 48 HOURS PAUL BROWNE - 45 HOURS DEBRA CANALES - 45 HOURS BENJAMIN CARTER - 45 HOURS PAUL CONLON - 45 HOURS MARIANNE CUNNINGHAM - 43 HOURS LOUIS FIERENS - 45 HOURS PRESTON GEE - 45 HOURS AGNES HAGERTY - 45 HOURS DANIEL HALE - 45 HOURS MICHAEL HOLPER - 45 HOURS GREGORY LOOMIS - 50 HOURS MICHAEL MURPHY - 50 HOURS PAUL NEUMANN - 45 HOURS RICHARD O'CONNELL - 50 HOURS TERRENCE O'ROURKE - 45 HOURS ROGER SPOELMAN - 50 HOURS JOSEPH SWEDISH - 50 HOURS MARIA SZYMANSKI - 45 HOURS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -33,978,637. EQUITY TRANSFERS TO AFFILIATES: -33,647,885. CHANGE IN DEFERRED RETIREMENT COST: 424,305. LOSS ON DISPOSAL OF DISCONTINUED OPERATIONS: -28,534,173. PARTNERSHIP EQUITY ACTIVITY: 110,000. EQUITY EARNINGS IN AFFILIATES: 22,341,271. OTHER TRANSACTIONS: -38,579,102. INDIGENT CARE AGREEMENT REVENUE: 9,358,611. INDIGENT CARE AGREEMENT CONTRIBUTIONS: -9,562,553. TOTAL TO FORM 990, PART XI, LINE 5: -112,068,163.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2:</ReturnReference>
        <Explanation>TRINITY HEALTH - MICHIGAN'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY12 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PAGE 1, DOING BUSINESS AS NAMES:</ReturnReference>
        <Explanation>MERCY HEALTH SERVICES, SJMHS SPECIALTY PHYSICIANS, MERCY SURGICAL CARE, SAINT MARY'S HEALTH CARE PROFESSIONAL FINANCIAL SERVICES, MERCY HEALTH, SJMHS ORTHOPEDIC SERVICES, SAINT MARY'S FAMILY PHARMACY-SOUTHWEST, SAINT MARY'S FAMILY PHARMACY-WEGE CENTER, SAINT MARY'S FAMILY PHARMACY-CATHEDRAL SQUARE, MERCY OUTPATIENT PHARMACY, MERCY HOSPITAL OUTPATIENT PHARMACY, SPORTX, CHELSEA ORTHOPEDIC SPECIALISTS, CHELSEACARE, SRSLY, CHELSEA COMMUNITY HOSPITAL CHILDREN'S CENTER, CHELSEA COMMUNITY HOSPITAL, DEXTER INTERNAL MEDICINE AND PEDIATRICS, WHITE OAK INN, WOMEN'S HEALTH CENTER, FAMILY MEDICINE OF STOCKBRIDGE, CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES, CHELSEACARE PHARMACY, CHELSEACARE HOME HEALTH, CARE (CONFIDENTIAL ASSISTANCE AND REFERRAL FOR EMPLOYEES), CHELSEA COMMUNITY HOSPITAL- A MEMBER OF THE SAINT JOSEPH MERCY HEALTHSYSTEM, ST. JOSEPH MERCY PORT HURON, SAINT MARY'S LTC PHARMACY, SAINT MARY'S CATHEDRAL SQUARE PHARMACY, MERCY PROFESSIONAL SERVICES, HEALTHFIRST MEDICAL CENTER, BALD MOUNTAIN DIAGNOSTIC IMAGING, WEXFORD ORTHOPEDICS, MERCY OB/GYN PARTNERS, CADILLAC OCCUPATIONAL MEDICINE, SAINT JOSEPH MERCY CENTER FOR ADVANCED MEDICINE AND SURGERY, CANTON CENTER FOR ADVANCED MEDICINE AND SURGERY, SAINT JOSEPH MERCY CANTON HEALTH CENTER, CANTON HEALTH CENTER, SAINT JOSEPH MERCY PHARMACY- SALINE, SAINT JOSEPH MERCY PHARMACY- REICHERT, SAINT JOSEPH MERCY PHARMACY- TOWERS, SAINT JOSEPH MERCY PHARMACY- HOWELL, ST. JOSEPH MERCY OAKLAND, ST. JOSEPH MERCY HOSPITAL- PONTIAC, MERCY HOSPITAL- PORT HURON, MERCY HOSPITAL- MUSKEGON, MERCY HOSPITAL- GRAYLING, MERCY HOSPITAL- CADILLAC, MERCY HOSPITAL, LIVINGSTON COMMUNITY HOSPICE, LEILA Y. POST MONTGOMERY HOSPITAL- BATTLE CREEK, SAMARITAN HEALTH CENTER- DETROIT, SALINE COMMUNITY HOSPITAL, ST. MARY'S HOSPITAL- GRAND RAPIDS, SAINT MARY'S HEALTH SERVICES- GRAND RAPIDS, MERCY GENERAL HEALTH PARTNERS, SAINT JOSEPH MERCY LIVINGSTON HOSPITAL, ST. JOSEPH MERCY HOSPITAL- ANN ARBOR, SAINT JOSEPH MERCY SALINE HOSPITAL, SAINT JOSEPH MERCY LIVINGSTON HOME CARE, MICHIGAN STROKE NETWORK REGISTRY, MICHIGAN STROKE NETWORK, OAKLAND HILLS OBSTETRICS &amp; GYNECOLOGY, TRINITY INFORMATION SERVICES, ST. MARY MERCY HOSPITAL, MERCY ADVANTAGE, MICHIGAN CANCER INSTITUTE, SAINT MARY'S FAMILY PHARMACY- ECS, ST. MARY MERCY WOUND CARE CENTER, MERCY MEDICAL CENTER- NOVI, MERCY PRIMARY CARE CENTER- DETROIT PHARMACY, SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVIOR &amp; MEDICINE, SAINT MARY'S MERCY WOUND CARE CENTER, WESTSIDE OBSTETRICS AND GYNECOLOGY, MERCY PRIMARY CARE CENTER- DETROIT, MERCY NORTH OUTPATIENT PHARMACY, SAINT MARY'S MERCY MEDICAL CENTER, SAINT MARY'S MERCY HOSPITAL, SAINT MARY'S MERCY WEGE CENTER, HEALTH EXPLORATION STATION, MUSKEGON GENERAL HOSPITAL, SAINT MARY'S FAMILY PHARMACY WEGE CENTER FOR HEALTH AND LEARNING, SAINT JOSEPH MERCY HEALTH NETWORK, SAINT JOSEPH MERCY HEALTH SYSTEM, CLINICA SANTA MARIA, SISTERS OF MERCY HEALTH CORPORATION, WEST MICHIGAN REGIONAL HEART AND VASCULAR INSTITUTE, MERCY MEDICAL GROUP, WESTSHORE FAMILY MEDICINE, SAINT MARY'S FAMILY PHARMACY- LTC, MERCY HEALTH SERVICES NORTH, MERCY FAMILY CARE, EVANGELICAL DEACONESS HOSPITAL, ST. JOSEPH MERCY HOSPITAL- PONTIAC, SAINT MARY'S HEALTH CARE, PARTNERS AT HEART, MICHIGAN BARIATRIC INSTITUTE (MBI), ADVANCED LAPAROSCOPIC SURGICAL ASSOCIATES (ASLA), MICHIGAN HEART, ANN ARBOR HOME INFUSION PHARMACY, ST. JOSEPH MERCY OAKLAND URGENT CARE-BIRMINGHAM, MERCY SURGERY CARE NETWORK, MERCY PATHOLOGY, ST. JOSEPH MERCY-BRIGHTON, SJMHS LIVINGSTON ORTHOPEDIC SURGICAL GROUP, SOPHIE'S HOUSE, SPARTA FAMILY HEALTH CENTER, SAINT JOSEPH MERCY HEALTH SYSTEM CENTER FOR BEHAVORIAL MEDICINE, ST. MARY MERCY ONCOLOGY PRACTICE, ST. MARY MERCY OUTPATIENT PSYCHIATRIC SERVICES, SAINT MARY'S ADVANCED SPECIALTY CARE, HEARTSIDE HEALTH CLINIC, SJMO ROCHESTER HILLS OB/GYN, BROWNING CLAYTOR HEALTH CENTER</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CLR INVESTMENTS LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>120 W HARRIS ST</AddressLine1>
          <City>CADILLAC</City>
          <State>MI</State>
          <ZIPCode>49601</ZIPCode>
        </AddressUS>
        <EIN>320008631</EIN>
        <PrimaryActivities>REAL ESTATE RENTAL &amp; DEVELOPMENT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <TotalIncome>10711</TotalIncome>
        <EOYAssets>170301</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT MARY'S PHARMACY LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 JEFFERSON AVE SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <EIN>383404443</EIN>
        <PrimaryActivities>PHARMACY</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>0</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY HEALTH-WARDE LAB LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>272681908</EIN>
        <PrimaryActivities>REAL ESTATE RENTAL</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <TotalIncome>1030908</TotalIncome>
        <EOYAssets>9075974</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>245 STATE ST SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <EIN>272491974</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AMICARE HOSPICE SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>382949053</EIN>
        <PrimaryActivities>PROVIDE HOSPICE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AUXILIARY OF HOLY ROSARY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>351 SW 9TH STREET</AddressLine1>
          <City>ONTARIO</City>
          <State>OR</State>
          <ZIPCode>97914</ZIPCode>
        </AddressUS>
        <EIN>943059469</EIN>
        <PrimaryActivities>SUPPORTS SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER-ONTARIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BAUM HARMON MERCY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>255 NORTH WELCH AVENUE</AddressLine1>
          <City>PRIMGHAR</City>
          <State>IA</State>
          <ZIPCode>51245</ZIPCode>
        </AddressUS>
        <EIN>421500277</EIN>
        <PrimaryActivities>ACUTE/AMBULATORY HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BAUM HARMON MERCY HOSPITAL &amp; CLINICS FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>255 NORTH WELCH AVENUE</AddressLine1>
          <City>PRIMGHAR</City>
          <State>IA</State>
          <ZIPCode>51245</ZIPCode>
        </AddressUS>
        <EIN>262973307</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BAUM HARMON MERCY HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CATHERINE MCAULEY HEALTH SERVICES CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 995</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>382507173</EIN>
        <PrimaryActivities>FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS OF SOUTH BEND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 3998</AddressLine1>
          <City>SOUTH BEND</City>
          <State>IN</State>
          <ZIPCode>46619</ZIPCode>
        </AddressUS>
        <EIN>263051440</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CRANBROOK HOSPICE CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>281 ENTERPRISE COURT</AddressLine1>
          <City>BLOOMFIELD HILLS</City>
          <State>MI</State>
          <ZIPCode>48302</ZIPCode>
        </AddressUS>
        <EIN>383320699</EIN>
        <PrimaryActivities>PROVIDE HOSPICE HEALTH SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DILEY RIDGE MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>342032340</EIN>
        <PrimaryActivities>HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DUBUQUE MERCY HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>250 MERCY DRIVE</AddressLine1>
          <City>DUBUQUE</City>
          <State>IA</State>
          <ZIPCode>52001</ZIPCode>
        </AddressUS>
        <EIN>262227941</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DYERSVILLE HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1111 3RD STREET SW</AddressLine1>
          <City>DYERSVILLE</City>
          <State>IA</State>
          <ZIPCode>52040</ZIPCode>
        </AddressUS>
        <EIN>205383271</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>701 W NORTH AVE</AddressLine1>
          <City>MELROSE PARK</City>
          <State>IL</State>
          <ZIPCode>60160</ZIPCode>
        </AddressUS>
        <EIN>363332852</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>GOTTLIEB MEMORIAL HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOTTLIEB MEMORIAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>701 W NORTH AVE</AddressLine1>
          <City>MELROSE PARK</City>
          <State>IL</State>
          <ZIPCode>60160</ZIPCode>
        </AddressUS>
        <EIN>743260011</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE III-FI</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>GOTTLIEB MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>701 W NORTH AVE</AddressLine1>
          <City>MELROSE PARK</City>
          <State>IL</State>
          <ZIPCode>60160</ZIPCode>
        </AddressUS>
        <EIN>362379649</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LOYOLA UNIVERSITY HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HACKLEY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 CLINTON ST PO BOX 3302</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>494433302</ZIPCode>
        </AddressUS>
        <EIN>381358196</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 3302</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>494433302</ZIPCode>
        </AddressUS>
        <EIN>382299878</EIN>
        <PrimaryActivities>SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HACKLEY LIFE COUNSELING</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1352 TERRACE ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>494423545</ZIPCode>
        </AddressUS>
        <EIN>381386362</EIN>
        <PrimaryActivities>COUNSELING, EDUCATION, AND SUPPORT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HACKLEY VISITING NURSE SERVICES AND HOSPICE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>888 TERRACE ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49440</ZIPCode>
        </AddressUS>
        <EIN>381359598</EIN>
        <PrimaryActivities>PROVIDE HOME HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOLY CROSS CARENET INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 9184</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>48333</ZIPCode>
        </AddressUS>
        <EIN>521945054</EIN>
        <PrimaryActivities>LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY CONTINUING CARE SERVICES</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOLY CROSS HOSPITAL FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>11801 TECH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20904</ZIPCode>
        </AddressUS>
        <EIN>208428450</EIN>
        <PrimaryActivities>CHARITABLE FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HOLY CROSS HOSPITAL OF SILVER SPRING</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOLY CROSS HOSPITAL OF SILVER SPRING INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1500 FOREST GLEN RD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>209101484</ZIPCode>
        </AddressUS>
        <EIN>520738041</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MD</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOLY CROSS MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>951985442</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES (FORMERLY)</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPICE OF NORTH IOWA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>232 SECOND STREET SE</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>504016208</ZIPCode>
        </AddressUS>
        <EIN>421173708</EIN>
        <PrimaryActivities>HOSPICE HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOSPICE OF WASHTENAW II</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>806 AIRPORT BLVD</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48108</ZIPCode>
        </AddressUS>
        <EIN>383320707</EIN>
        <PrimaryActivities>HOSPICE HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HPCN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1675 LEAHY STREET</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>300207909</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>IHA HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>24 FRANK LLOYD WRIGHT DR LOBBY J</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>383316559</EIN>
        <PrimaryActivities>PROVIDES OFFICE-BASED MEDICAL CARE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LAKESHORE COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>72 S STATE STREET</AddressLine1>
          <City>SHELBY</City>
          <State>MI</State>
          <ZIPCode>494551228</ZIPCode>
        </AddressUS>
        <EIN>382549295</EIN>
        <PrimaryActivities>ACUTE HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LOYOLA UNIVERSITY HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2160 SOUTH FIRST AVENUE</AddressLine1>
          <City>MAYWOOD</City>
          <State>IL</State>
          <ZIPCode>60153</ZIPCode>
        </AddressUS>
        <EIN>363342448</EIN>
        <PrimaryActivities>HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LOYOLA UNIVERSITY MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2160 SOUTH FIRST AVENUE</AddressLine1>
          <City>MAYWOOD</City>
          <State>IL</State>
          <ZIPCode>60153</ZIPCode>
        </AddressUS>
        <EIN>364015560</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>LOYOLA UNIVERSITY HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MARIAN HOME HEALTHCARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 5TH STREET</AddressLine1>
          <City>SIOUX CITY</City>
          <State>IA</State>
          <ZIPCode>51101</ZIPCode>
        </AddressUS>
        <EIN>383320705</EIN>
        <PrimaryActivities>PROVIDE HOME HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MCAULEY CLINIC CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 992</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>382561013</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES (FORMERLY)</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CATHERINE MCAULEY HEALTH SERVICES CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY AMICARE HOME HEALTHCARE OAKLAND</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>281 ENTERPRISE COURT</AddressLine1>
          <City>BLOOMFIELD HILLS</City>
          <State>MI</State>
          <ZIPCode>483020312</ZIPCode>
        </AddressUS>
        <EIN>383320698</EIN>
        <PrimaryActivities>PROVIDE HOME HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY AMICARE HOME HEALTHCARE PORT HURON</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>505 HURON AVENUE</AddressLine1>
          <City>PORT HURON</City>
          <State>MI</State>
          <ZIPCode>48060</ZIPCode>
        </AddressUS>
        <EIN>383320701</EIN>
        <PrimaryActivities>PROVIDE HOME HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2525 SOUTH MICHIGAN AVENUE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60616</ZIPCode>
        </AddressUS>
        <EIN>363227350</EIN>
        <PrimaryActivities>SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SYSTEM OF CHICAGO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>684 HARVEY STREET</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383321856</EIN>
        <PrimaryActivities>PROVIDE HOME HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1415 LEAHY STREET</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382589966</EIN>
        <PrimaryActivities>HEALTHCARE SYSTEM SUPPORT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HEALTH SERVICES - IOWA CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>311373080</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HEALTH SYSTEM OF CHICAGO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2525 SOUTH MICHIGAN AVENUE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60616</ZIPCode>
        </AddressUS>
        <EIN>363163327</EIN>
        <PrimaryActivities>HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>BK OF AMERICA 231 S LASALLE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60697</ZIPCode>
        </AddressUS>
        <EIN>912092113</EIN>
        <PrimaryActivities>SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITY</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SYSTEM OF CHICAGO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1410 N 4TH ST</AddressLine1>
          <City>CLINTON</City>
          <State>IA</State>
          <ZIPCode>52732</ZIPCode>
        </AddressUS>
        <EIN>421316126</EIN>
        <PrimaryActivities>FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY MEDICAL CENTER-CLINTON</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITAL AND MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2525 SOUTH MICHIGAN AVENUE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60616</ZIPCode>
        </AddressUS>
        <EIN>362170152</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SYSTEM OF CHICAGO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITAL CADILLAC FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>400 HOBART</AddressLine1>
          <City>CADILLAC</City>
          <State>MI</State>
          <ZIPCode>496012331</ZIPCode>
        </AddressUS>
        <EIN>203357131</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY HOSPITAL GIFT SHOP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2601 ELECTRIC AVE</AddressLine1>
          <City>PORT HURON</City>
          <State>MI</State>
          <ZIPCode>48060</ZIPCode>
        </AddressUS>
        <EIN>381630480</EIN>
        <PrimaryActivities>VOLUNTEER SERVICE AUXILIARY</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY MEDICAL CENTER - CLINTON INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1410 NORTH 4TH ST</AddressLine1>
          <City>CLINTON</City>
          <State>IA</State>
          <ZIPCode>527322940</ZIPCode>
        </AddressUS>
        <EIN>421336618</EIN>
        <PrimaryActivities>TO PROVIDE QUALITY HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 5TH STREET</AddressLine1>
          <City>SIOUX CITY</City>
          <State>IA</State>
          <ZIPCode>51102</ZIPCode>
        </AddressUS>
        <EIN>141880022</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>504012800</ZIPCode>
        </AddressUS>
        <EIN>421229151</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE III-FI</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY NORTH HOMECARE AND HOSPICE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7985 MACKINAW TRAIL</AddressLine1>
          <City>CADILLAC</City>
          <State>MI</State>
          <ZIPCode>49601</ZIPCode>
        </AddressUS>
        <EIN>383313897</EIN>
        <PrimaryActivities>HOME HEALTH AND HOSPICE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY PHYSICIAN GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1512 12TH AVENUE ROAD</AddressLine1>
          <City>NAMPA</City>
          <State>ID</State>
          <ZIPCode>83686</ZIPCode>
        </AddressUS>
        <EIN>208192593</EIN>
        <PrimaryActivities>TO PROVIDE QUALITY HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>ID</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER-NAMPA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 9184</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>483339184</ZIPCode>
        </AddressUS>
        <EIN>382719605</EIN>
        <PrimaryActivities>PROVIDES LONG-TERM CARE FOR THE ELDERLY</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY CONTINUING CARE SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MIDWEST MEDFLIGHT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1300 VICTORS WAY</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48108</ZIPCode>
        </AddressUS>
        <EIN>382684671</EIN>
        <PrimaryActivities>AEROMEDICAL TRANSPORT</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOUNT CARMEL CARE CONTINUUM SERVICES CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>793 WEST STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311126211</EIN>
        <PrimaryActivities>COOPERATIVE HOSPITAL SERVICE ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOUNT CARMEL COLLEGE OF NURSING</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311308555</EIN>
        <PrimaryActivities>COLLEGE OF NURSING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>2</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT CARMEL HEALTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOUNT CARMEL HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>314379602</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOUNT CARMEL HEALTH INSURANCE COMPANY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>251912781</EIN>
        <PrimaryActivities>HEALTH INSURANCE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(4)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOUNT CARMEL HEALTH PLAN INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311471229</EIN>
        <PrimaryActivities>MEDICARE HMO FOR SENIORS</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(4)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311439334</EIN>
        <PrimaryActivities>HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311113966</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOUNT CARMEL HOME CARE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1144 DUBLIN ROAD SUITE B</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43215</ZIPCode>
        </AddressUS>
        <EIN>262729300</EIN>
        <PrimaryActivities>PROVIDE HOME HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7333 SMITHS MILL RD</AddressLine1>
          <City>NEW ALBANY</City>
          <State>OH</State>
          <ZIPCode>43054</ZIPCode>
        </AddressUS>
        <EIN>870790288</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MRI MOBILE SERVICES OF WEST MICHIGAN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1820 - 44TH STREET</AddressLine1>
          <City>KENTWOOD</City>
          <State>MI</State>
          <ZIPCode>49508</ZIPCode>
        </AddressUS>
        <EIN>383073745</EIN>
        <PrimaryActivities>OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY)</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MUSKEGON COMMUNITY HEALTH PROJECT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>565 W WESTERN AVENUE</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49440</ZIPCode>
        </AddressUS>
        <EIN>911932918</EIN>
        <PrimaryActivities>FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OAKLAND MERCY HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 EAST 2ND STREET</AddressLine1>
          <City>OAKLAND</City>
          <State>NE</State>
          <ZIPCode>68045</ZIPCode>
        </AddressUS>
        <EIN>208072234</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OAKLAND MERCY HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 E 2ND STREET</AddressLine1>
          <City>OAKLAND</City>
          <State>NE</State>
          <ZIPCode>68045</ZIPCode>
        </AddressUS>
        <EIN>311678345</EIN>
        <PrimaryActivities>SUPPORTS SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>OAKLAND MERCY HOSPITAL</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PORT HURON MERCY FAMILY CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2601 ELECTRIC AVE</AddressLine1>
          <City>PORT HURON</City>
          <State>MI</State>
          <ZIPCode>48060</ZIPCode>
        </AddressUS>
        <EIN>201855647</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROFESSIONAL MED TEAM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>965 FORK STREET</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>494423257</ZIPCode>
        </AddressUS>
        <EIN>382638284</EIN>
        <PrimaryActivities>MEDICAL CARE, TRANSPORTATION AND EDUCATION</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROFESSIONAL OFFICE CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1303 EAST HERNDON AVE</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93720</ZIPCode>
        </AddressUS>
        <EIN>942839324</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT AGNES MEDICAL CENTER</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT AGNES MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1303 EAST HERNDON AVE</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93720</ZIPCode>
        </AddressUS>
        <EIN>941437713</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ALPHONSUS BUILDING COMPANY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1055 NORTH CURTIS RD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
        </AddressUS>
        <EIN>820401011</EIN>
        <PrimaryActivities>SUPPORTS SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>ID</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ALPHONSUS DIVERSIFIED CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1055 NORTH CURTIS RD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
        </AddressUS>
        <EIN>943028978</EIN>
        <PrimaryActivities>SUPPORTS SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>ID</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ALPHONSUS FOUNDATION-BAKER CITY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3325 POCAHONTAS ROAD</AddressLine1>
          <City>BAKER CITY</City>
          <State>OR</State>
          <ZIPCode>97814</ZIPCode>
        </AddressUS>
        <EIN>943164869</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ALPHONSUS FOUNDATION-ONTARIO INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>351 SW 9TH STREET</AddressLine1>
          <City>ONTARIO</City>
          <State>OR</State>
          <ZIPCode>97914</ZIPCode>
        </AddressUS>
        <EIN>202683560</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER-ONTARIO</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ALPHONSUS HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1055 N CURTIS ROAD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
        </AddressUS>
        <EIN>271929502</EIN>
        <PrimaryActivities>HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT</PrimaryActivities>
        <LegalDomicileState>ID</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3325 POCAHONTAS ROAD</AddressLine1>
          <City>BAKER CITY</City>
          <State>OR</State>
          <ZIPCode>97814</ZIPCode>
        </AddressUS>
        <EIN>271790052</EIN>
        <PrimaryActivities>TO PROVIDE QUALITY HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER-NAMPA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1512 12TH AVENUE ROAD</AddressLine1>
          <City>NAMPA</City>
          <State>ID</State>
          <ZIPCode>83686</ZIPCode>
        </AddressUS>
        <EIN>820200896</EIN>
        <PrimaryActivities>TO PROVIDE QUALITY HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>ID</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1512 12TH AVENUE ROAD</AddressLine1>
          <City>NAMPA</City>
          <State>ID</State>
          <ZIPCode>83686</ZIPCode>
        </AddressUS>
        <EIN>261737256</EIN>
        <PrimaryActivities>SUPPORT THE SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>ID</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER-NAMPA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER-ONTARIO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>351 SW 9TH STREET</AddressLine1>
          <City>ONTARIO</City>
          <State>OR</State>
          <ZIPCode>97914</ZIPCode>
        </AddressUS>
        <EIN>271789847</EIN>
        <PrimaryActivities>TO PROVIDE QUALITY HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT ALPHONSUS REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1055 NORTH CURTIS RD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
        </AddressUS>
        <EIN>820200895</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>ID</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT ALPHONSUS HEALTH SYSTEM INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1915 LAKE AVENUE PO BOX 670</AddressLine1>
          <City>PLYMOUTH</City>
          <State>IN</State>
          <ZIPCode>46563</ZIPCode>
        </AddressUS>
        <EIN>351142669</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1935</AddressLine1>
          <City>SOUTH BEND</City>
          <State>IN</State>
          <ZIPCode>466341935</ZIPCode>
        </AddressUS>
        <EIN>350868157</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5215 HOLY CROSS PARKWAY</AddressLine1>
          <City>MISHAWAKA</City>
          <State>IN</State>
          <ZIPCode>46545</ZIPCode>
        </AddressUS>
        <EIN>356033285</EIN>
        <PrimaryActivities>HOSPITAL SERVICE AUXILIARY</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(4)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1915 LAKE AVENUE</AddressLine1>
          <City>PLYMOUTH</City>
          <State>IN</State>
          <ZIPCode>46563</ZIPCode>
        </AddressUS>
        <EIN>356043563</EIN>
        <PrimaryActivities>HOSPITAL SERVICE AUXILIARY</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>801 EAST LASALLE AVE</AddressLine1>
          <City>SOUTH BEND</City>
          <State>IN</State>
          <ZIPCode>46617</ZIPCode>
        </AddressUS>
        <EIN>351568821</EIN>
        <PrimaryActivities>HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT JOSEPH'S TOWER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 9184</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>483339184</ZIPCode>
        </AddressUS>
        <EIN>311040468</EIN>
        <PrimaryActivities>PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY CONTINUING CARE SERVICES-INDIANA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT MARY'S AMICARE HOME HEALTHCARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1430 MONROE NW</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49505</ZIPCode>
        </AddressUS>
        <EIN>383320700</EIN>
        <PrimaryActivities>PROVIDE HOME HEALTH CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT MARY'S FOUNDATION (FKA SAINT MARY'S DORAN FOUNDATION)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 JEFFERSON ST SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49503</ZIPCode>
        </AddressUS>
        <EIN>381779602</EIN>
        <PrimaryActivities>SUPPORTS SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MERCY OAKLAND FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>44405 WOODWARD AVE</AddressLine1>
          <City>PONTIAC</City>
          <State>MI</State>
          <ZIPCode>48341</ZIPCode>
        </AddressUS>
        <EIN>352356789</EIN>
        <PrimaryActivities>SUPPORTS SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANN'S HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 SOUTH CLEVELAND AVE</AddressLine1>
          <City>WESTERVILLE</City>
          <State>OH</State>
          <ZIPCode>43081</ZIPCode>
        </AddressUS>
        <EIN>314412701</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4215 EDISON LAKES PARKWAY</AddressLine1>
          <City>MISHAWAKA</City>
          <State>IN</State>
          <ZIPCode>46545</ZIPCode>
        </AddressUS>
        <EIN>351654543</EIN>
        <PrimaryActivities>SUPPORTS SERVICES OF RELATED HOSPITAL</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRI-HOSPITAL MRI CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4190 24TH AVENUE</AddressLine1>
          <City>FORT GRATIOT</City>
          <State>MI</State>
          <ZIPCode>48054</ZIPCode>
        </AddressUS>
        <EIN>382884297</EIN>
        <PrimaryActivities>MRI SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY CONTINUING CARE SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 9184</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>483339184</ZIPCode>
        </AddressUS>
        <EIN>382559656</EIN>
        <PrimaryActivities>MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY CONTINUING CARE SERVICES - INDIANA INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 9184</AddressLine1>
          <City>FARMINGTON HILLS</City>
          <State>MI</State>
          <ZIPCode>483339184</ZIPCode>
        </AddressUS>
        <EIN>930907047</EIN>
        <PrimaryActivities>PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY CONTINUING CARE SERVICES</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY HEALTH - MICHIGAN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>382113393</EIN>
        <PrimaryActivities>HEALTHCARE SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>351443425</EIN>
        <PrimaryActivities>HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT</PrimaryActivities>
        <LegalDomicileState>IN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY HEALTH INTERNATIONAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>421253527</EIN>
        <PrimaryActivities>HEALTHCARE TRAINING AND SUPPORT SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY HEALTH WELFARE BENEFIT TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>208151733</EIN>
        <PrimaryActivities>RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(9)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>17410 COLLEGE PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>382621935</EIN>
        <PrimaryActivities>HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES</PrimaryActivities>
        <LegalDomicileState>MI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ADVENT REHABILITATION LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>607 DEWEY AVENUE SUITE 300</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49504</ZIPCode>
        </AddressUS>
        <EIN>383306673</EIN>
        <PrimaryActivity>REHABILITATION THERAPY SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>363351</ShareOfTotalIncome>
        <ShareOfEOYAssets>647400</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311608125</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTER FOR DIGESTIVE CARE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5300 ELLIOTT DRIVE</AddressLine1>
          <City>YPSILANTI</City>
          <State>MI</State>
          <ZIPCode>48197</ZIPCode>
        </AddressUS>
        <EIN>030447062</EIN>
        <PrimaryActivity>PROVIDE GASTROINTESTINAL SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>1302926</ShareOfTotalIncome>
        <ShareOfEOYAssets>638997</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CENTRAL OHIO SLEEP MEDICINE LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311701029</EIN>
        <PrimaryActivity>SLEEP MEDICINE SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CLINTON IMAGING SERVICES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>615 VALLEY VIEW DR STE 202</AddressLine1>
          <City>MOLINE</City>
          <State>IL</State>
          <ZIPCode>61265</ZIPCode>
        </AddressUS>
        <EIN>412044739</EIN>
        <PrimaryActivity>MRI DIAGNOSTIC SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FOREST PARK IMAGING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>134365966</EIN>
        <PrimaryActivity>X-RAY AND MAMMOGRAPHY SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FRANCES WARDE MEDICAL LABORATORY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>300 WEST TEXTILE ROAD</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48104</ZIPCode>
        </AddressUS>
        <EIN>382648446</EIN>
        <PrimaryActivity>LABORATORY</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>UNRELATED</PredominantIncomeType>
        <ShareOfTotalIncome>23992</ShareOfTotalIncome>
        <ShareOfEOYAssets>680976</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.66670</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FRESNO IMAGING CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1303 E HERNDON AVE</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93720</ZIPCode>
        </AddressUS>
        <EIN>770363563</EIN>
        <PrimaryActivity>DIAGNOSTIC IMAGING</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HAWARDEN REGIONAL HEALTH CLINICS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1122 AVENUE L</AddressLine1>
          <City>HAWARDEN</City>
          <State>IA</State>
          <ZIPCode>51023</ZIPCode>
        </AddressUS>
        <EIN>201444339</EIN>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>IDAHO GYNONCOLOGY SERVICES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1055 N CURTIS RD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
        </AddressUS>
        <EIN>202975807</EIN>
        <PrimaryActivity>PROVIDE GYN ONCOLOGY SERVICES</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>INTERMOUNTAIN MEDICAL IMAGING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>877 WEST MAIN ST STE 603</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83702</ZIPCode>
        </AddressUS>
        <EIN>820514422</EIN>
        <PrimaryActivity>PROVIDE IMAGING SERVICES</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LOYOLA AMBULATORY SURGERY CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1S224 SUMMIT AVE STE 201</AddressLine1>
          <City>OAKBROOK TERRACE</City>
          <State>IL</State>
          <ZIPCode>60181</ZIPCode>
        </AddressUS>
        <EIN>364119522</EIN>
        <PrimaryActivity>SURGICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MAGNETIC RESONANCE SERVICES PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1416 SIXTH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>421328388</EIN>
        <PrimaryActivity>MRI SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MASON CITY AMBULATORY SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>990 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>201960348</EIN>
        <PrimaryActivity>SURGERY-SAME DAY</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MCE MOB IV LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>421544707</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MCMC POB III LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311392994</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDILUCENT MOB I</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>204911370</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY ADVANCED MRI LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2525 SOUTH MICHIGAN AVE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60616</ZIPCode>
        </AddressUS>
        <EIN>262116721</EIN>
        <PrimaryActivity>SUBLEASE MRI EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY HEART &amp; VASCULAR LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2525 SOUTH MICHIGAN AVE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60616</ZIPCode>
        </AddressUS>
        <EIN>205272726</EIN>
        <PrimaryActivity>SUBLEASE CT EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY HEART CTR OP SERVICES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>134237594</EIN>
        <PrimaryActivity>CARDIOVASCULAR SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY OUTPATIENT SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1512 12TH AVENUE ROAD</AddressLine1>
          <City>NAMPA</City>
          <State>ID</State>
          <ZIPCode>83686</ZIPCode>
        </AddressUS>
        <EIN>841380439</EIN>
        <PrimaryActivity>OUTPATIENT SURGERY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MICHIANA HEALTH INFORMATION NETWORK LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>215 WEST MADISON STREET</AddressLine1>
          <City>SOUTH BEND</City>
          <State>IN</State>
          <ZIPCode>46601</ZIPCode>
        </AddressUS>
        <EIN>352050128</EIN>
        <PrimaryActivity>COMMUNITY BASED CLINICAL INFO SYS &amp; DATA DEPOSITORY</PrimaryActivity>
        <LegalDomicileState>IN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311369473</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NEWCO AMBULATORY SURGERY CTR LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4190 24TH AVENUE</AddressLine1>
          <City>FORT GRATIOT</City>
          <State>MI</State>
          <ZIPCode>48059</ZIPCode>
        </AddressUS>
        <EIN>300136708</EIN>
        <PrimaryActivity>OUTPATIENT SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>225882</ShareOfTotalIncome>
        <ShareOfEOYAssets>853174</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311531135</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SARMED OUTPATIENT PHARMACY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>999 N CURTIS RD STE 102</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
        </AddressUS>
        <EIN>510483218</EIN>
        <PrimaryActivity>PHARMACY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SIXTY FOURTH STREET LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2373 64TH ST STE 2200</AddressLine1>
          <City>BYRON CENTER</City>
          <State>MI</State>
          <ZIPCode>49315</ZIPCode>
        </AddressUS>
        <EIN>202443646</EIN>
        <PrimaryActivity>PROVIDE OUTPATIENT SURGICAL CARE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>767732</ShareOfTotalIncome>
        <ShareOfEOYAssets>1552355</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ALPHONSUS CALDWELL CANCER CTR LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3123 MEDICAL DR</AddressLine1>
          <City>CALDWELL</City>
          <State>ID</State>
          <ZIPCode>83605</ZIPCode>
        </AddressUS>
        <EIN>820526861</EIN>
        <PrimaryActivity>RADIATION ONCOLOGY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311603660</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TAMARACK MEDICAL CLINIC LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>610 VILLAGE DRIVE</AddressLine1>
          <City>DONNELLY</City>
          <State>ID</State>
          <ZIPCode>83615</ZIPCode>
        </AddressUS>
        <EIN>201637921</EIN>
        <PrimaryActivity>OUTPATIENT MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311784409</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WOODLAND IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5301 E HURON RIVER DR</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>760820959</EIN>
        <PrimaryActivity>RADIOLOGY/IMAGING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>882777</ShareOfTotalIncome>
        <ShareOfEOYAssets>1906772</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMMUNITY HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>565 W WESTERN AVE</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49440</ZIPCode>
        </AddressUS>
        <EIN>383522260</EIN>
        <PrimaryActivity>SOFTWARE MARKETING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GOTTLIEB MANAGEMENT SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>701 W NORTH AVE</AddressLine1>
          <City>MELROSE PARK</City>
          <State>IL</State>
          <ZIPCode>60160</ZIPCode>
        </AddressUS>
        <EIN>363330529</EIN>
        <PrimaryActivity>MANAGEMENT SERVICES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTH MANAGEMENT CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382961814</EIN>
        <PrimaryActivity>WEIGHT MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382589959</EIN>
        <PrimaryActivity>OTHER MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTHCARE EQUIPMENT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382578569</EIN>
        <PrimaryActivity>HOME MEDICAL EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY PROFESSIONAL CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383024797</EIN>
        <PrimaryActivity>REAL ESTATE RENTAL</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY PROFESSIONAL PHARMACY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382447870</EIN>
        <PrimaryActivity>PHARMACY</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEF INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383086401</EIN>
        <PrimaryActivity>OFFICE STAFFING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOLY CROSS PRIVATE HOME SERVICES CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11801 TECH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20904</ZIPCode>
        </AddressUS>
        <EIN>521986562</EIN>
        <PrimaryActivity>HOME CARE SERVICES</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HPC CO-OWNERS ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 CLINTON</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>270734448</EIN>
        <PrimaryActivity>CONDOMINIUM ASSOCIATION</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HURON ARBOR CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5301 EAST HURON RIVER DR PO BOX 992</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>382475644</EIN>
        <PrimaryActivity>PROVIDES OFFICE RENTAL SPACE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>2822450</ShareOfTotalIncome>
        <ShareOfEOYAssets>27414186</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>IHA AFFILIATION CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 FRANK LLOYD WRIGHT DR LOBBY J</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>383188895</EIN>
        <PrimaryActivity>MEDICAL MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LOYOLA UNIVERSITY OF CHICAGO INSURANCE CO LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>23 LIME TREE BAY AVENUE</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
        </AddressForeign>
        <PrimaryActivity>PROVISION OF INSURANCE COVERAGE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MARYLAND CARE GROUP INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11801 TECH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20904</ZIPCode>
        </AddressUS>
        <EIN>521815313</EIN>
        <PrimaryActivity>HEALTHCARE HOLDING</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDNOW INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1512 12TH AVENUE ROAD</AddressLine1>
          <City>NAMPA</City>
          <State>ID</State>
          <ZIPCode>83686</ZIPCode>
        </AddressUS>
        <EIN>820389927</EIN>
        <PrimaryActivity>OUTPATIENT PHARMACY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY MEDICAL SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>801 5TH STREET</AddressLine1>
          <City>SIOUX CITY</City>
          <State>IA</State>
          <ZIPCode>51101</ZIPCode>
        </AddressUS>
        <EIN>421283849</EIN>
        <PrimaryActivity>PRIMARY CARE PHYSICIANS</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY SERVICES CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2525 SOUTH MICHIGAN AVENUE</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>60616</ZIPCode>
        </AddressUS>
        <EIN>363227348</EIN>
        <PrimaryActivity>DORMANT</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MICHIGAN ATHLETIC CLUB</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2500 BURTON</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49546</ZIPCode>
        </AddressUS>
        <EIN>382647304</EIN>
        <PrimaryActivity>ATHLETIC CLUB</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>HURON ARBOR CORPORATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>-604652</ShareOfTotalIncome>
        <ShareOfEOYAssets>1145533</ShareOfEOYAssets>
        <PercentageOwnership>0.90000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>310971510</EIN>
        <PrimaryActivity>BEHAVIORAL HEALTHCARE SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL HEALTH PROVIDERS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311382442</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTH IOWA MERCY MEDICAL SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 4TH ST SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>421382308</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PRIORITY PLUS OF CALIFORNIA</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 27230</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93729</ZIPCode>
        </AddressUS>
        <EIN>770395267</EIN>
        <PrimaryActivity>FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT ALPHONSUS PHYSICIANS PA</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1055 NORTH CURTIS ROAD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>837061370</ZIPCode>
        </AddressUS>
        <EIN>331078261</EIN>
        <PrimaryActivity>PHYSICIANS</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT MARY'S HEALTH MANAGEMENT COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1640 EAST PARIS SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49546</ZIPCode>
        </AddressUS>
        <EIN>383450733</EIN>
        <PrimaryActivity>ATHLETIC CLUB</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>-724385</ShareOfTotalIncome>
        <ShareOfEOYAssets>5210526</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SURGERY CENTER FINANCING CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311531102</EIN>
        <PrimaryActivity>FINANCE, INSURANCE AND REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>THRE SERVICES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>452603654</EIN>
        <PrimaryActivity>REAL ESTATE BROKERAGE SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TRINITY HEALTH EMPLOYEE BENEFIT TRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>20555 VICTOR PARKWAY</AddressLine1>
          <City>LIVONIA</City>
          <State>MI</State>
          <ZIPCode>48152</ZIPCode>
        </AddressUS>
        <EIN>383410377</EIN>
        <PrimaryActivity>GRANTOR TRUST</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>T</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VENZKE INSURANCE COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 1051 GRAND CAYMAN</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
        </AddressForeign>
        <EIN>980453602</EIN>
        <PrimaryActivity>PROVISION OF INSURANCE COVERAGE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfEOYAssets>378185890</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WESTSHORE HEALTH NETWORK</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1820 44TH STREET</AddressLine1>
          <City>KENTWOOD</City>
          <State>MI</State>
          <ZIPCode>49508</ZIPCode>
        </AddressUS>
        <EIN>383280200</EIN>
        <PrimaryActivity>PHYSICIAN HOSPITAL ORGANIZATION</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>419348</ShareOfTotalIncome>
        <ShareOfEOYAssets>4010954</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WORKPLACE HEALTH OF GRAND HAVEN</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383112035</EIN>
        <PrimaryActivity>OCCUPATIONAL HEALTH</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>179000000</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>38036417</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>111021</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>17608310</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>157673628</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>298714</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>774147</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>2769341</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HEALTH CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>119601430</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WOODLAND IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>555</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WOODLAND IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>571774</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WOODLAND IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1034676</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WOODLAND IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>4627268</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WOODLAND IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>773726</AmountInvolved>
        <MethodOfAmtDetermination>PER TAX RETURN</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HURON ARBOR CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>629</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HURON ARBOR CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>3244153</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HURON ARBOR CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1354876</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HURON ARBOR CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>109990</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ST MARY'S HEALTH MANAGEMENT COMPANY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>600000</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PORT HURON MERCY FAMILY CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>76896</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PORT HURON MERCY FAMILY CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>677076</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY CONTINUING CARE SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>242469</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDWEST MEDFLIGHT</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>2007</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MIDWEST MEDFLIGHT</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>273424</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPICE OF WASHTENAW</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>32117</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPICE OF WASHTENAW</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>59794</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>IHA HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1552376</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>IHA HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>1908326</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>IHA HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>4939708</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>IHA HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>8137695</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>10000000</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>4329339</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>38289620</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>2636565</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>127717</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>71596</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>4311463</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1960164</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERCY HEALTH PARTNERS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>133164</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HACKLEY HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>51894</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HACKLEY HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>119606</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HACKLEY HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>752533</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>112222</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>2152674</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NEWCO AMBULATORY SURGERY CTR LLP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>3171025</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SIXTY FOURTH STREET LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>89512</AmountInvolved>
        <MethodOfAmtDetermination>PER TAX RETURN</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SIXTY FOURTH STREET LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>186300</AmountInvolved>
        <MethodOfAmtDetermination>PER TAX RETURN</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SAINT MARY'S FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>2519000</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SAINT MARY'S FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1329870</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>94724</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LAKESHORE COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>50907</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LAKESHORE COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>56570</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LAKESHORE COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>451798</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LAKESHORE COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>82873</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOLY CROSS HOSPITAL OF SILVER SPRING INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>432052</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CENTER FOR DIGESTIVE CARE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>485910</AmountInvolved>
        <MethodOfAmtDetermination>PER TAX RETURN</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CENTER FOR DIGESTIVE CARE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1149869</AmountInvolved>
        <MethodOfAmtDetermination>PER TAX RETURN</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ADVENT REHABILITATION LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>350000</AmountInvolved>
        <MethodOfAmtDetermination>PER TAX RETURN</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERCY HOSPITAL CADILLAC FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>149620</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERCY HOSPITAL CADILLAC FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>263348</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>FRANCES WARDE MEDICAL LABORATORY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>100958</AmountInvolved>
        <MethodOfAmtDetermination>PER TAX RETURN</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>