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      <Buildings />
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        <Depreciation>240078</Depreciation>
        <BookValue>389049</BookValue>
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        <Depreciation>171010</Depreciation>
        <BookValue>108246</BookValue>
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      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 (ASC 740) Footnote</Identifier>
        <ReturnReference>Schedule D, Part X, Q. 2</ReturnReference>
        <Explanation>St. Joseph Medical Group's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2011 reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. As of June 30, 2011, CHI has current net deferred tax assets of $2.1 Million and a noncurrent net deferred tax liability of $5.4 million related to these taxable activities. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements."</Explanation>
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    </IRS990ScheduleD>
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      <Form990ScheduleJPartII>
        <NamePerson>STEVEN SCHWARTZ</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>JAMES BONNER</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>JANETTE GHATTAS</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>CHRISTIE GANAS</NamePerson>
        <BaseCompensationFilingOrg>222096</BaseCompensationFilingOrg>
        <BonusFilingOrg>3644</BonusFilingOrg>
        <OtherCompensationFilingOrg>211</OtherCompensationFilingOrg>
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        <TotalCompensationFilingOrg>259735</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Joseph Korey</NamePerson>
        <BaseCompensationFilingOrg>213647</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>METHODS USED TO ESTABLISH CEO COMPENSATION</Identifier>
        <ReturnReference>Schedule J, Part I, Q. 3</ReturnReference>
        <Explanation>Compensation for the top management official was established and paid by Catholic Health Initiatives (CHI), a related organization. CHI used the following to establish the top management official's compensation: (1) Compensation Committee; (2) Independent Compensation Consultant; (3) Written Employment Contracts; (4) Compensation Survey or Study; (5) Approval by the Board or Compensation Committee.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Post-Termination Payments</Identifier>
        <ReturnReference>Schedule J, Part I, Q. 4a</ReturnReference>
        <Explanation>Post-termination payments are addressed in executive employment agreements for Catholic Health Initiatives ("CHI") and related organizations' employees at the level of Vice President and above, including the MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>Sch J, Part I, Q. 4b</ReturnReference>
        <Explanation>During the 2010 calendar year Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: John Morahan During 2010 the following contributions were made by CHI to the deferred compensation plan: John Morahan $31,632</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENT</Identifier>
        <ReturnReference>FORM 990, PART III, Q. 4A</ReturnReference>
        <Explanation>ST. JOSEPH MEDICAL GROUP (SJMG) PROVIDES QUALITY PROFESSIONAL MEDICAL SERVICES TO ITS COMMUNITY IN CONJUNCTION WITH, AND IN SUPPORT OF, ST. JOSEPH REGIONAL HEALTH NETWORK, IN READING, PENNSYLVANIA, WHICH IS ALSO A 501(C)(3) CHARITABLE, TAX EXEMPT ORGANIZATION. SJMG PROVIDES THESE SERVICES TO THE CITIZENS OF ITS COMMUNITY WITHOUT REGARD TO RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR AGE. IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PAY FOR ESSENTIAL MEDICAL SERVICES AND MEDICAL EDUCATION. THEREFORE, IN KEEPING WITH THE COMMITMENT OF SJMG AND ST. JOSEPH HEALTH NETWORK TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENT PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND INDIVIDUAL'S INABILITY TO PAY COEXSIST. SJMG PROVIDES THE FOLLOWING PROFESSIONAL MEDICAL SERVICES TO ITS COMMUNITY THROUGH ITS DULY-LICENSED PHYSICIANS, EMPLOYEES AND CONTRACTORS: FAMILY MEDICINE, OB/GYN, GENERAL SURGICAL SERVICES, NEUROLOGY, NEUROSURGERY AND CONTINUING COMMUNITY AND MEDICAL EDUCATION SERVICES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Organization's Corporate Members/ Stockholders</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 6</ReturnReference>
        <Explanation>ACCORDING TO THE BYLAWS OF ST. JOSEPH MEDICAL GROUP, THE ENTITY'S SOLE MEMBER IS BORNEMANN HEALTH CORPORATION, A PENNSYLVANIA NONPROFIT CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members/Stockholders Electing Governing Body</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 7A</ReturnReference>
        <Explanation>THE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Approval of Governing Body Decisions by Members/Stockholders</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 7B</ReturnReference>
        <Explanation>St.Joseph Medical Group's (SJMG) corporate member is Borneman Health Corporation (BHC). Pursuant to Section 5.4 of SJMG's bylaws the corporate member has the right to approve or disapprove any of the following actions: - Any change in the mission or philosophy of the corporation; - any amendment to the articles of incorporation or the bylaws of the corporation; - the removal, with or without cause, of any member of the board of directors of the corporation; - the incurrence of debt, including without limitation, borrowings, guarantees, loans, encumbrances, operating leases, and capital leases, in excess of thresholds and within the limits established from time to time by the corporate member; - any joint venture to which the corporation is a party; - the creation of a new corporation, partnership or limited liability company of the corporation; - any merger, consolidation, reorganization, dissolution or liquidation of the corporation; - Sale, lease or other disposition of any real or personal property of the corporation with a value in excess of certain dollar limits to be set from time to time by the corporate member, but only where such sale, lease or other disposition has not otherwise been previously approved by the corporate member in the corporation's budgeting process or otherwise; - sale, release, dissolution, transfer, exchange or other disposition of any organization (or of all or substantially all of the assets of such organization) controlled by the corporation; - the adoption of long range and strategic plans; - the adoption of operating and capital budgets and amdendments therto; and - any variations from previously approved operating and/or capital budgets, in excess of thresholds established by the corporate member; - expenditures for (i) non-budgeted items in excess of certain dollar limits set from time to time by the member, and (ii) items which are included in the corporation's annual budgets but which exceed the budgeted amount by an amount in excess of certain dollar limits set from time to time by the corporate member. In addition to the rights reserved to the corporate member, the corporate member shall have the power to transfer assets of the corporation or to require the corporation to transfer assets to the corporate member to the extent necessary to accomplish the corporate member's goals and objectives, and to provide for the payment of all indebtedness of the corporate member or an entity controlled by, controlling, or under common control with the corporate member, issued or incurred by or on behalf of the corporate member or a corporate member affiliate in furtherance of the corporate member's goal and objectives.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process the Organization uses to review form 990</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 11b</ReturnReference>
        <Explanation>Once the return is prepared, the return is reviewed by the Director of Finance and Chief Financial Officer. The Chief Financial Officer provides a copy of the return to the St. Joseph Medical Group's board either at a board meeting or electronically. Subsequent to providing a copy to the board, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Procedures for Monitoring and Enforcing the COI Policy</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 12c</ReturnReference>
        <Explanation>The Board of Directors and Organization leaders annually disclose any potential or actual conflicts of interest. The Compliance Officer reviews each of the disclosure statements and prepares a report detailing any identified conflicts. The conflict disclosure review is presented at the Board Affairs Committee. All employees and Board members receive education on conflicts of interest, with Board meetings and physician transaction review meetings starting with a request to declare potential conflicts with agenda items. Any potential issues are reviewed and individuals with a material conflict are permitted to participate in discussions but do not participate in the vote on any action item. Department leaders disclose any potential employee conflicts to the CRO with the CEO determining the course of action for any potentially significant conflicts.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process for Determining CEO's Compensation</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 15A</ReturnReference>
        <Explanation>The organization's CEO's compensation is paid by CHI. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September, 2011. In addition, in December 2009, hay group completed a comprehensive review of all positions at the level of vice president and above to determine and validate appropriate compensation levels.</Explanation>
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      <GeneralExplanation>
        <Identifier>Process for Determining Compensation - Officers/Key Employees</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 15B</ReturnReference>
        <Explanation>DURING THE TAX YEAR ENDED JUNE 30, 2011, NO OFFICERS, DIRECTORS, OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION WAS PAID BY ST. JOSEPH REGIONAL HEALTH NETWORK, A RELATED ORGANIZATION, AND WAS SET BY A COMPENSATION COMMITTEE WHO UTILIZED AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THE ST. JOSEPH REGIONAL HEALTH NETWORK BOARD OF DIRECTORS OVERSEES THE COMPENSATION SETTING PROCESS TO ENSURE REASONABLENESS OR COMPLIANCE WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Public Inspection of Documents</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 19</ReturnReference>
        <Explanation>The Organization's conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in Catholic Health Initiatives' consolidated audited financial statements that are available at www.CatholicHealthInit.org or at www.DACBOND.org.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Estimate of Hours</Identifier>
        <ReturnReference>Form 990, Part VII</ReturnReference>
        <Explanation>COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 40 HOUR PER WEEK EMPLOYEES.</Explanation>
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          <State>CO</State>
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          <BusinessNameLine1>Appletree Court</BusinessNameLine1>
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          <State>MN</State>
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          <AddressLine1>2400 St Francis Drive</AddressLine1>
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          <BusinessNameLine1>CHI Nebraska</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Mary's Hospital Foundation</BusinessNameLine1>
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          <AddressLine1>1314 3rd Avenue</AddressLine1>
          <City>Nebraska City</City>
          <State>NE</State>
          <ZIPCode>68410</ZIPCode>
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          <BusinessNameLine1>Saint Clare's Health Services Inc</BusinessNameLine1>
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          <AddressLine1>25 Pocono Road</AddressLine1>
          <City>Denville</City>
          <State>NJ</State>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>Saint Clare's Community Care</BusinessNameLine1>
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          <AddressLine1>66 Ford Road</AddressLine1>
          <City>Denville</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
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          <BusinessNameLine1>SCHS</BusinessNameLine1>
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          <BusinessNameLine1>Saint Clare's Foundation Inc</BusinessNameLine1>
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          <AddressLine1>66 Ford Road</AddressLine1>
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          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
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          <BusinessNameLine1>Saint Clare's Hospital</BusinessNameLine1>
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          <AddressLine1>66 Ford Road</AddressLine1>
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          <State>NJ</State>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>St Francis Life Care Corporation</BusinessNameLine1>
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          <AddressLine1>19 Pocono Road</AddressLine1>
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          <State>NJ</State>
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          <BusinessNameLine1>Visiting Nurse Association of Saint Clar</BusinessNameLine1>
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          <AddressLine1>191 Woodport Road</AddressLine1>
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          <State>NJ</State>
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          <BusinessNameLine1>St Joseph Community Health Services</BusinessNameLine1>
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          <AddressLine1>300 Central Ave SW Suite 3000W</AddressLine1>
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          <State>NM</State>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>CHI Health Connect at Home - Fargo</BusinessNameLine1>
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          <AddressLine1>4816 Amber Valley Parkway</AddressLine1>
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          <State>ND</State>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>Carrington Health Center</BusinessNameLine1>
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          <State>ND</State>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>Lisbon Area Health Services</BusinessNameLine1>
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          <State>ND</State>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Hospital of Devils Lake</BusinessNameLine1>
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          <State>ND</State>
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          <BusinessNameLine1>The Mercy Hospital of Devils Lake Fdn</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Hospital of Valley City</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Medical Center</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Medical Foundation</BusinessNameLine1>
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          <AddressLine1>2700 Stewart Parkway</AddressLine1>
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          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
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        <PrimaryActivity>Mgmt Svcs</PrimaryActivity>
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          <City>Lexington</City>
          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
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          <State>KY</State>
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          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
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          <State>NE</State>
          <ZIPCode>68108</ZIPCode>
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          <State>NE</State>
          <ZIPCode>68802</ZIPCode>
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          <BusinessNameLine1>Central Nebraska Home Care Services</BusinessNameLine1>
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          <AddressLine1>PO Box 1146-4510 Second Avenue</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
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          <State>NE</State>
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          <State>NE</State>
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          <State>WA</State>
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          <State>KS</State>
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          <AddressLine1>424 Lewis Hargett Cr 160</AddressLine1>
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          <State>KY</State>
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          <AddressLine1>1401 HarrodsBurg Road Bldg B70</AddressLine1>
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          <State>KY</State>
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        <LegalDomicileState>KY</LegalDomicileState>
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          <BusinessNameLine1>SJHS</BusinessNameLine1>
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        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>16644</ShareOfTotalIncome>
        <ShareOfEOYAssets>882139</ShareOfEOYAssets>
        <PercentageOwnership>0.85000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mercy Health Services Corporation</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2727 McClelland Blvd</AddressLine1>
          <City>Joplin</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
        </AddressUS>
        <EIN>431457881</EIN>
        <PrimaryActivity>DME</PrimaryActivity>
        <LegalDomicileState>MO</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>St John's RMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>-1533371</ShareOfTotalIncome>
        <ShareOfEOYAssets>1369083</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Good Samaritan Outreach Services</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1990</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470659440</EIN>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI Nebraska</BusinessNameLine1>
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        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>-2921063</ShareOfTotalIncome>
        <ShareOfEOYAssets>355110</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Health Systems Enterprises Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO BOX 1990</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470664558</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
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          <BusinessNameLine1>GSH</BusinessNameLine1>
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        <TypeOfEntity>C Corp</TypeOfEntity>
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        <ShareOfEOYAssets>1443049</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Saint Clare's Primary Care Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>66 Ford Road</AddressLine1>
          <City>Denville</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <EIN>222441202</EIN>
        <PrimaryActivity>Billing Services</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
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          <BusinessNameLine1>SCCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>-342970</ShareOfTotalIncome>
        <ShareOfEOYAssets>2177166</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MedQuest</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1301 15th Avenue West</AddressLine1>
          <City>Williston</City>
          <State>ND</State>
          <ZIPCode>58801</ZIPCode>
        </AddressUS>
        <EIN>450392137</EIN>
        <PrimaryActivity>Sale of DME</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHof Williston</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>9852</ShareOfTotalIncome>
        <ShareOfEOYAssets>962554</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Consolidated Health Services</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1700 Edison Drive</AddressLine1>
          <City>Milford</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311378212</EIN>
        <PrimaryActivity>Home Health</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfEOYAssets>11595125</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>American Nursing Care</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 Edison Drive</AddressLine1>
          <City>Milford</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311085414</EIN>
        <PrimaryActivity>Home Health</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>1778617</ShareOfTotalIncome>
        <ShareOfEOYAssets>44470358</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Amerimed Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1700 Edison Drive</AddressLine1>
          <City>Milford</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311158699</EIN>
        <PrimaryActivity>Home Health</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANC</BusinessNameLine1>
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        <TypeOfEntity>C Corp</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Patient Transport Services Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1700 Edison Drive</AddressLine1>
          <City>Milford</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
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        <EIN>311100798</EIN>
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        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>ANC</BusinessNameLine1>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Samaritan Family Care Inc</BusinessNameLine1>
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          <AddressLine1>40 W Fourth St 1700</AddressLine1>
          <City>Dayton</City>
          <State>OH</State>
          <ZIPCode>45402</ZIPCode>
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        <EIN>311299450</EIN>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mercy Services Corp</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2700 Stewart Parkway</AddressLine1>
          <City>Roseburg</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
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        <EIN>930824308</EIN>
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        <LegalDomicileState>OR</LegalDomicileState>
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          <BusinessNameLine1>MMC</BusinessNameLine1>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>St Anthony Development Company</BusinessNameLine1>
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          <AddressLine1>1415 Southgate</AddressLine1>
          <City>Pendleton</City>
          <State>OR</State>
          <ZIPCode>97801</ZIPCode>
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        <EIN>931216943</EIN>
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          <BusinessNameLine1>St Anthony H</BusinessNameLine1>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>CGH Realty Company Inc</BusinessNameLine1>
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          <AddressLine1>215 N 12th St</AddressLine1>
          <City>Reading</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
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        <EIN>232326801</EIN>
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          <BusinessNameLine1>SJHM</BusinessNameLine1>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Caduceus Medical Associates Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6028 Shallowford Road Suite D</AddressLine1>
          <City>Chattanooga</City>
          <State>TN</State>
          <ZIPCode>37422</ZIPCode>
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        <EIN>621570736</EIN>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mountain Management Services Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6028D Shallowford Road</AddressLine1>
          <City>Chattanooga</City>
          <State>TN</State>
          <ZIPCode>37422</ZIPCode>
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        <PrimaryActivity>mgmt svc org</PrimaryActivity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Physician Health System Network</BusinessNameLine1>
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          <AddressLine1>1149 Market St</AddressLine1>
          <City>Tacoma</City>
          <State>WA</State>
          <ZIPCode>98402</ZIPCode>
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        <PrimaryActivity>Health Org.</PrimaryActivity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Healthcare Mgmt Services Org Inc</BusinessNameLine1>
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          <AddressLine1>1149 Market St</AddressLine1>
          <City>Tacoma</City>
          <State>WA</State>
          <ZIPCode>98402</ZIPCode>
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        <PrimaryActivity>Health Org.</PrimaryActivity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Harold W Rase 1995 Charitable Unittrust</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>30 West 7th Street</AddressLine1>
          <City>Dickinson</City>
          <State>ND</State>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Harold W Rase 1996 Charitable Unittrust</BusinessNameLine1>
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          <AddressLine1>30 West 7th Street</AddressLine1>
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          <State>ND</State>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Harold W Rase 1997 Charitable Unittrust</BusinessNameLine1>
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          <AddressLine1>30 West 7th Street</AddressLine1>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Harold W Rase 1999 Charitable Unittrust</BusinessNameLine1>
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          <AddressLine1>30 West 7th Street</AddressLine1>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>James &amp; Henrietta Nistler Unitrust</BusinessNameLine1>
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          <AddressLine1>30 West 7th Street</AddressLine1>
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          <BusinessNameLine1>Joseph A Schuster Annuity Trust #1</BusinessNameLine1>
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          <AddressLine1>400 Univerity Avenue</AddressLine1>
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      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>Ray &amp; Shirley David 1999 Unitrust</BusinessNameLine1>
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          <AddressLine1>30 West 7th Street</AddressLine1>
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          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
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        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Tom Deyle Charitable Remainder Unitrust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 1810</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>David Deyle Charitable Remainder Unitrus</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 1810</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
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        <PrimaryActivity>Investments</PrimaryActivity>
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          <BusinessNameLine1>GSHF</BusinessNameLine1>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Jeanne Deyle Charitable Remainder Unitru</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 1810</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>476192398</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
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          <BusinessNameLine1>GSHF</BusinessNameLine1>
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        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Lodesca Miller Charitable Remainder Unit</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>PO Box 1810</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
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        <PrimaryActivity>Investments</PrimaryActivity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Robert &amp; Wanda Charitable Remainder Unit</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 1810</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>266191916</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
        <ShareOfTotalIncome>13030</ShareOfTotalIncome>
        <ShareOfEOYAssets>537775</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>true</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Joseph Regional Health Network</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>5681107</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>