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      <ReconcilationOtherChanges>2465979</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
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        <CurrentTaxYearMinus1Year>47195</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>533897</CurrentTaxYear>
        <Total>4066079</Total>
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      <InvestmentIncomeAndUBTI>
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        <CurrentTaxYearMinus3Years>1403924</CurrentTaxYearMinus3Years>
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        <CurrentTaxYear>533897</CurrentTaxYear>
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        <CurrentTaxYear>22488418</CurrentTaxYear>
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      <InvestmentIncomePercentage>0.03765</InvestmentIncomePercentage>
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    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
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        <BookValue>3430000</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>8083652</Depreciation>
        <BookValue>46698095</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>5387767</OtherCostOrOtherBasis>
        <Depreciation>2356242</Depreciation>
        <BookValue>3031525</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1715376</OtherCostOrOtherBasis>
        <Depreciation>713260</Depreciation>
        <BookValue>1002116</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>54161736</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ENTRANCE FEES</Description>
        <Amount>44292430</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEPOSITS</Description>
        <Amount>337919</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTERCOMPANY LIABILITIES</Description>
        <Amount>310637</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DONATIONS</Description>
        <Amount>21547</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTERCOMPANY NOTE PAYABLE</Description>
        <Amount>2676532</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>47639065</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 (ASC 740) FOOTNOTE</Identifier>
        <ReturnReference>Sch D, Part X, Q.2</ReturnReference>
        <Explanation>The organization is included in the consolidated financial statements of St. Clare's Health System, Inc. Below is the text of the footnote from those financial statements: The system, hospital, foundation, life care, community care and vna are not-for-profit organizations as described in Section 501(c)(3) of the internal revenue code (The "Code") and are exempt from federal income taxes on related income pursuant to section 501(A) of the code, as well as state and local taxes. Primary care is a for-profit organization subject to both federal and state income taxes. No income taxes have been provided for at June 30, 2011 and 2010 due to carryforward net losses, for which the ultimate realizability is uncertain.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>LESLIE HIRSCH</NamePerson>
        <CompBasedOnRelatedOrgs>639284</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>192728</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>25012</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>77906</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>14218</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>949148</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SUELLYN ELLERBe</NamePerson>
        <CompBasedOnRelatedOrgs>366578</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>78844</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>9000</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>36728</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>5287</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>496437</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>FREDERICK HAMMOND</NamePerson>
        <CompBasedOnRelatedOrgs>243275</CompBasedOnRelatedOrgs>
        <OtherCompensationRelatedOrgs>192541</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>20228</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>738</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>456782</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DEBRA BABE</NamePerson>
        <CompBasedOnRelatedOrgs>150068</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>33480</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>9000</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>31076</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>6146</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>229770</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>METHODS USED TO ESTABLISH CEO COMPENSATION</Identifier>
        <ReturnReference>Sch 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>SCH 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. Saint Clare's executives are subject to terms similar to the CHI MBO CEO. The following reportable individuals received post-termination payments in 2010: Frederick Hammond $187,697</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>NON-QUALIFIED DEFERRED COMPENSATION PLAN</Identifier>
        <ReturnReference>Deferred Compensation</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: Leslie Hirsch. During 2010 the following contributions were made by CHI to the deferred compensation plan: Leslie Hirsch $57,678</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>New Jersey Economic Development Auth</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>222045817</IssuerEIN>
        <CUSIPNumber>645916p35</CUSIPNumber>
        <DateIssued>2004-09-02</DateIssued>
        <IssuePrice>11320000</IssuePrice>
        <DescriptionOfPurpose>CURRENT REFUNDING</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>6545000</AmountRetired>
        <TotalProceeds>11321543</TotalProceeds>
        <AmountInReserveFund>3207319</AmountInReserveFund>
        <IssuanceCostsFromProceeds>226400</IssuanceCostsFromProceeds>
        <CreditEnhancement>228883</CreditEnhancement>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>true</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>DESCRIPTION OF PURPOSE</Identifier>
        <ReturnReference>Sch K, Part I, COLUMN F</ReturnReference>
        <Explanation>THE SERIES 2004 BONDS WERE ISSUED TO CURRENTLY REFUND A PORTION OF THE AUTHORITY'S FIRST MORTGAGE REVENUE BONDS (FRANCISCAN OAKS PROJECT) SERIES 1997, WHICH WERE ISSUED 12/23/1997.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>TOTAL GROSS PROCEEDS</Identifier>
        <ReturnReference>SCH K, PART II, Q. 3</ReturnReference>
        <Explanation>TOTAL GROSS PROCEEDS DIFFERS FROM THE ISSUE PRICE AS A RESULT OF INVESTMENT EARNINGS WHICH ARE IN THE AMOUNT OF $1,543.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>Form 990, Part III, q. 4a</ReturnReference>
        <Explanation>St. Francis Life Care Corporation (operating as Franciscan Oaks) is a 501(c)(3) Continuing Care Retirement Community (CCRC) with 286 independent living units, 34 Assisted Living units and 84 skilled nursing beds. Franciscan Oaks offers a variety of different programs that are designed to meet the physical, emotional, recreational and social needs of the elderly. The organization gives back to the community through such programs as food and clothing drives. Franciscan Oaks operates at the lowest feasible cost taking into account cash flow requirements such as payment of indebtedness. Its entrance fees and monthly charges are set at rates that are generally affordable in the community, with certain entrance fees being refundable. This pricing structure ensures that Franciscan Oaks reaches the broadest portion of the community possible. Franciscan Oaks is committed to the established policy of maintaining, in residence, any person who becomes unable to pay their regular charges by using the organization's own reserves or soliciting funds from its sponsoring organization or the general public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Organization's Corporate Members/ Stockholders</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 6</ReturnReference>
        <Explanation>ACCORDING TO THE BYLAWS, THE ENTITY'S SOLE MEMBER IS SAINT CLARE'S HEALTH SERVICES, INC. D/B/A SAINT CLARE'S HEALTH SYSTEM, A NEW JERSEY NONPROFIT CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Members/Stockholders Electing Governing Body</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 7a</ReturnReference>
        <Explanation>ACCORDING TO THE ORGANIZATION'S BYLAWS, THE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Approval of Governing Body Decisions by Members/Stockholders</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 7B</ReturnReference>
        <Explanation>The organization's corporate member is SAINT CLARE'S HEALTH SERVICES, INC. D/B/A SAINT CLARE'S HEALTH SYSTEM. Pursuant to Section 2.1 of the organization's bylaws, both SAINT CLARE'S HEALTH SYSTEM and Catholic Health Initiatives ("CHI") (SAINT CLARE'S HEALTH SYSTEM's sole corporate member) have reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the SAINT CLARE'S HEALTH SYSTEM Board: - Approve members of the ST. FRANCIS LIFE CARE CORPORATION board - Amendment of the corporate documents of ST. FRANCIS LIFE CARE CORPORATION - Approve removal of a member of the governing body of ST. FRANCIS LIFE CARE CORPORATION - Adoption of long range and strategic plans for ST. FRANCIS LIFE CARE CORPORATION The following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: - Substantial change in the mission or philosophy of ST. FRANCIS LIFE CARE CORPORATION - Removal of a member of the governing body of ST. FRANCIS LIFE CARE CORPORATION - Approval of issuance of debt by ST. FRANCIS LIFE CARE CORPORATION - Approval of participation of ST. FRANCIS LIFE CARE CORPORATION in a joint venture - Approval of formation of a new corporation by ST. FRANCIS LIFE CARE CORPORATION - Approval of a merger involving ST. FRANCIS LIFE CARE CORPORATION - Approval of the sale of all or substantially all of the assets of ST. FRANCIS LIFE CARE CORPORATION - To require the transfer of assets by ST. FRANCIS LIFE CARE CORPORATION to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to the organization's bylaws, SAINT CLARE'S HEALTH SYSTEM or CHI may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and its President and the Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.</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 CHIEF FINANCIAL OFFICER of St. Clare's Hospital. THE CHIEF FINANCIAL OFFICER will provide a copy of the return to the BOARD by email. 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>Annually, officers, trustees, and key employees are required to complete a conflict of interest statement acknowledging that they have no conflicts of interest. The completed Form is returned to the corporate compliance officer for review. In addition, any conflicts that may arise during the year must be disclosed to the compliance officer. In addition to the annual questionnaire, if there is an actual or potential conflict of interest, the individual with the conflict is prohibited from participating in discussions or voting on matters related to the conflict.</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>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process for Determining Compensation - Officers/Key Employees</Identifier>
        <ReturnReference>Form 990, Part VI, Q. 15b</ReturnReference>
        <Explanation>THE NON-CEO OFFICER AND KEY EMPLOYEE COMPENSATION IS SET BY THE COMPENSATION COMMITTEE OF THE BOARD OF SAINT CLARE'S HEALTH SERVICES, INC. THE COMPENSATION COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS. ADDITIONALLY, THE CEO WILL MAKE RECOMMENDATIONS. THE COMPENSATION COMMITTEE USES MARKET STUDIES TO ASSIST IN DETERMINING THE APPROPRIATE COMPENSATION LEVELS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Public Inspection of Documents</Identifier>
        <ReturnReference>FORM 990, PART VI, q. 19</ReturnReference>
        <Explanation>The organization's governing documents and conflict of interest policy are available upon request. In addition, the governing documents are available from the New Jersey Secretary of State. 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 for Related Organizations</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, 60 HOUR-PER-WEEK EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Changes in Net Assets</Identifier>
        <ReturnReference>Form 990, Part XI, Q. 5</ReturnReference>
        <Explanation>Net Unrealized Gain/Loss $2,703,432 Prior Period Adjusment (237,453) ----------- Total 2,465,979</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Catholic Health Initiatives</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>198 Inverness Drive West</AddressLine1>
          <City>Englewood</City>
          <State>CO</State>
          <ZIPCode>80112</ZIPCode>
        </AddressUS>
        <EIN>470617373</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Bornemann Healthcare Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2500 Bernville Road PO Box 316</AddressLine1>
          <City>Reading</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <EIN>232187242</EIN>
        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHI Institute For Research and Innovatio</BusinessNameLine1>
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          <State>KY</State>
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          <AddressLine1>310 East Ninth Street</AddressLine1>
          <City>London</City>
          <State>KY</State>
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          <BusinessNameLine1>SJHS</BusinessNameLine1>
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          <BusinessNameLine1>Saint Joseph Berea Hospital Foundation</BusinessNameLine1>
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          <AddressLine1>305 Estill Street</AddressLine1>
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          <AddressLine1>305 Estill Street</AddressLine1>
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          <State>KY</State>
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          <BusinessNameLine1>Saint Joseph Medical Foundation Inc</BusinessNameLine1>
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          <BusinessNameLine1>Saint Joseph Mount Sterling Foundation</BusinessNameLine1>
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          <BusinessNameLine1>St Joseph Medical Center Inc</BusinessNameLine1>
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          <State>MD</State>
          <ZIPCode>21204</ZIPCode>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>St Joseph Medical Center Foundation In</BusinessNameLine1>
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          <BusinessNameLine1>Alverna Apartments</BusinessNameLine1>
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          <AddressLine1>300 SE 8th Avenue</AddressLine1>
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          <BusinessNameLine1>Appletree Court</BusinessNameLine1>
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          <BusinessNameLine1>Healthcare and Wellness Foundation</BusinessNameLine1>
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          <AddressLine1>2400 St Francis Drive</AddressLine1>
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          <BusinessNameLine1>St Joseph's Area Health Services</BusinessNameLine1>
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          <AddressLine1>555 South 70th Street</AddressLine1>
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          <State>NE</State>
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          <BusinessNameLine1>Saint Elizabeth Health Services</BusinessNameLine1>
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          <AddressLine1>555 South 70th Street</AddressLine1>
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          <BusinessNameLine1>Saint Francis Medical Center</BusinessNameLine1>
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          <AddressLine1>PO Box 9804</AddressLine1>
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          <BusinessNameLine1>CHI Nebraska</BusinessNameLine1>
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          <BusinessNameLine1>Saint Francis Medical Center Foundation</BusinessNameLine1>
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          <AddressLine1>PO Box 9804</AddressLine1>
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          <State>NE</State>
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          <BusinessNameLine1>St Mary's Hospital</BusinessNameLine1>
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          <AddressLine1>1314 3rd Avenue</AddressLine1>
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          <State>NE</State>
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          <BusinessNameLine1>St Mary's Hospital Foundation</BusinessNameLine1>
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          <AddressLine1>1314 3rd Avenue</AddressLine1>
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          <BusinessNameLine1>Saint Clare's Health Services Inc</BusinessNameLine1>
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          <BusinessNameLine1>Saint Clare's Community Care</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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          <BusinessNameLine1>Saint Clare's Hospital</BusinessNameLine1>
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          <AddressLine1>66 Ford Road</AddressLine1>
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          <BusinessNameLine1>St Francis Life Care Corporation</BusinessNameLine1>
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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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          <BusinessNameLine1>St Joseph Community Health Services</BusinessNameLine1>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>CHI Health Connect at Home - Fargo</BusinessNameLine1>
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          <BusinessNameLine1>Carrington Health Center</BusinessNameLine1>
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          <State>KY</State>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Des Moines Medical Center Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1111 6th Avenue</AddressLine1>
          <City>Des Moines</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>420837382</EIN>
        <PrimaryActivity>Real Estate</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA Corp</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfEOYAssets>1253452</ShareOfEOYAssets>
        <PercentageOwnership>0.92980</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mercy Park Apartments Ltd</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1111 6th Avenue</AddressLine1>
          <City>Des Moines</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>421202422</EIN>
        <PrimaryActivity>Housing</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI-IA Corp</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>264489</ShareOfTotalIncome>
        <ShareOfEOYAssets>1796053</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Central Kansas Health Services Associati</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3515 Broadway</AddressLine1>
          <City>Great Bend</City>
          <State>KS</State>
          <ZIPCode>67530</ZIPCode>
        </AddressUS>
        <EIN>481042853</EIN>
        <PrimaryActivity>MEDICAL EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>KS</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CKMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SJL Physician Management Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>424 Lewis Hargett Cr 160</AddressLine1>
          <City>Lexington</City>
          <State>KY</State>
          <ZIPCode>40503</ZIPCode>
        </AddressUS>
        <EIN>270164198</EIN>
        <PrimaryActivity>Management</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Joseph Office Park Association</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1401 HarrodsBurg Road Bldg B70</AddressLine1>
          <City>Lexington</City>
          <State>KY</State>
          <ZIPCode>40504</ZIPCode>
        </AddressUS>
        <EIN>611079899</EIN>
        <PrimaryActivity>Management</PrimaryActivity>
        <LegalDomicileState>KY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C 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>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>-2921063</ShareOfTotalIncome>
        <ShareOfEOYAssets>355110</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Health Systems Enterprises Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 1990</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>470664558</EIN>
        <PrimaryActivity>MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>25289</ShareOfTotalIncome>
        <ShareOfEOYAssets>1443049</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Saint Clare's Primary Care Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>66 Ford Road</AddressLine1>
          <City>Denville</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
        </AddressUS>
        <EIN>222441202</EIN>
        <PrimaryActivity>Billing Services</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCCC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C 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>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Consolidated Health Services</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 Edison Drive</AddressLine1>
          <City>Milford</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311378212</EIN>
        <PrimaryActivity>Home Health</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C 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>
        <DirectControllingEntityName>
          <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>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 Edison Drive</AddressLine1>
          <City>Milford</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311158699</EIN>
        <PrimaryActivity>Home Health</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANC</BusinessNameLine1>
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        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>2395230</ShareOfTotalIncome>
        <ShareOfEOYAssets>11869657</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Patient Transport Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 Edison Drive</AddressLine1>
          <City>Milford</City>
          <State>OH</State>
          <ZIPCode>45150</ZIPCode>
        </AddressUS>
        <EIN>311100798</EIN>
        <PrimaryActivity>Home Health</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ANC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>662425</ShareOfTotalIncome>
        <ShareOfEOYAssets>5325941</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Samaritan Family Care Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>40 W Fourth St 1700</AddressLine1>
          <City>Dayton</City>
          <State>OH</State>
          <ZIPCode>45402</ZIPCode>
        </AddressUS>
        <EIN>311299450</EIN>
        <PrimaryActivity>Healthcare</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SHP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mercy Services Corp</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2700 Stewart Parkway</AddressLine1>
          <City>Roseburg</City>
          <State>OR</State>
          <ZIPCode>97470</ZIPCode>
        </AddressUS>
        <EIN>930824308</EIN>
        <PrimaryActivity>Retail Sales</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
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        <ShareOfEOYAssets>954798</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Anthony Development Company</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 Southgate</AddressLine1>
          <City>Pendleton</City>
          <State>OR</State>
          <ZIPCode>97801</ZIPCode>
        </AddressUS>
        <EIN>931216943</EIN>
        <PrimaryActivity>Athletic Club</PrimaryActivity>
        <LegalDomicileState>OR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Anthony H</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>53891</ShareOfTotalIncome>
        <ShareOfEOYAssets>3007554</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CGH Realty Company Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>215 N 12th St</AddressLine1>
          <City>Reading</City>
          <State>PA</State>
          <ZIPCode>19603</ZIPCode>
        </AddressUS>
        <EIN>232326801</EIN>
        <PrimaryActivity>Real Estate</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>1007</ShareOfTotalIncome>
        <ShareOfEOYAssets>42415</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Caduceus Medical Associates Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6028 Shallowford Road Suite D</AddressLine1>
          <City>Chattanooga</City>
          <State>TN</State>
          <ZIPCode>37422</ZIPCode>
        </AddressUS>
        <EIN>621570736</EIN>
        <PrimaryActivity>Healthcare</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfEOYAssets>1008</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mountain Management Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6028D Shallowford Road</AddressLine1>
          <City>Chattanooga</City>
          <State>TN</State>
          <ZIPCode>37422</ZIPCode>
        </AddressUS>
        <EIN>621570739</EIN>
        <PrimaryActivity>mgmt svc org</PrimaryActivity>
        <LegalDomicileState>TN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>-386020</ShareOfTotalIncome>
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        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Physician Health System Network</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1149 Market St</AddressLine1>
          <City>Tacoma</City>
          <State>WA</State>
          <ZIPCode>98402</ZIPCode>
        </AddressUS>
        <EIN>911746721</EIN>
        <PrimaryActivity>Health Org.</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Healthcare Mgmt Services Org Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1149 Market St</AddressLine1>
          <City>Tacoma</City>
          <State>WA</State>
          <ZIPCode>98402</ZIPCode>
        </AddressUS>
        <EIN>911865474</EIN>
        <PrimaryActivity>Health Org.</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>FHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Harold W Rase 1995 Charitable Unittrust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 West 7th Street</AddressLine1>
          <City>Dickinson</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>456090420</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
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        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Harold W Rase 1996 Charitable Unittrust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 West 7th Street</AddressLine1>
          <City>Dickinson</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206037112</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfEOYAssets>15495</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Harold W Rase 1997 Charitable Unittrust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 West 7th Street</AddressLine1>
          <City>Dickinson</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206037104</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
        <ShareOfTotalIncome>1025</ShareOfTotalIncome>
        <ShareOfEOYAssets>20261</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Harold W Rase 1999 Charitable Unittrust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 West 7th Street</AddressLine1>
          <City>Dickinson</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206037099</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
        <ShareOfTotalIncome>1313</ShareOfTotalIncome>
        <ShareOfEOYAssets>25027</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>James &amp; Henrietta Nistler Unitrust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 West 7th Street</AddressLine1>
          <City>Dickinson</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206021899</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
        <ShareOfTotalIncome>-16708</ShareOfTotalIncome>
        <ShareOfEOYAssets>41455</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Joseph A Schuster Annuity Trust #1</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>400 Univerity Avenue</AddressLine1>
          <City>Des Moines</City>
          <State>IA</State>
          <ZIPCode>50314</ZIPCode>
        </AddressUS>
        <EIN>421195122</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MFDM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
        <ShareOfTotalIncome>18924</ShareOfTotalIncome>
        <ShareOfEOYAssets>441488</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Ray &amp; Shirley David 1999 Unitrust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>30 West 7th Street</AddressLine1>
          <City>Dickinson</City>
          <State>ND</State>
          <ZIPCode>58601</ZIPCode>
        </AddressUS>
        <EIN>206037077</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJHHC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
        <ShareOfTotalIncome>1250</ShareOfTotalIncome>
        <ShareOfEOYAssets>24194</ShareOfEOYAssets>
        <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>
        </AddressUS>
        <EIN>476192393</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
        <ShareOfTotalIncome>4884</ShareOfTotalIncome>
        <ShareOfEOYAssets>166321</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <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>
        </AddressUS>
        <EIN>476192395</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
        <ShareOfTotalIncome>4880</ShareOfTotalIncome>
        <ShareOfEOYAssets>166425</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Jeanne Deyle Charitable Remainder Unitru</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 1810</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>476192398</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
        <ShareOfTotalIncome>4880</ShareOfTotalIncome>
        <ShareOfEOYAssets>166320</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Lodesca Miller Charitable Remainder Unit</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 1810</AddressLine1>
          <City>Kearney</City>
          <State>NE</State>
          <ZIPCode>68848</ZIPCode>
        </AddressUS>
        <EIN>476186933</EIN>
        <PrimaryActivity>Investments</PrimaryActivity>
        <LegalDomicileState>NE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GSHF</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>Trust</TypeOfEntity>
        <ShareOfTotalIncome>3387</ShareOfTotalIncome>
        <ShareOfEOYAssets>86367</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <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>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SAINT CLARE'S HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>j</TransactionType>
        <AmountInvolved>440957</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SAINT CLARE'S HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>684159</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>