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            <City>FREDONIA</City>
            <State>NY</State>
            <ZIPCode>14063</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHARMACY SERVICES</DescriptionOfServices>
        <Compensation>118440</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ARAMARK</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>12483 COLLECTIONS CENTER DRIVE</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>BIOMEDICAL ENGINEERING &amp; EQUPIMENT MAINT</DescriptionOfServices>
        <Compensation>108956</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>4</NumberOfContractorsGT100K>
      <GovernmentGrants>261851</GovernmentGrants>
      <TotalContributions>261851</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT REVENUE</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>7788370</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7788370</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>7788370</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>24966</TotalRevenueColumn>
        <ExclusionAmount>24966</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>10565</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>0</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>10565</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>10565</TotalRevenueColumn>
        <ExclusionAmount>10565</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>40</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>0</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>40</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>40</TotalRevenueColumn>
        <ExclusionAmount>40</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>139025</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>139025</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>7421</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7421</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>146446</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>8232238</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7934816</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>35571</ExclusionAmount>
      </TotalRevenue>
      <OtherSalariesAndWages>
        <Total>3878595</Total>
        <ProgramServices>2914982</ProgramServices>
        <ManagementAndGeneral>963613</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>56009</Total>
        <ProgramServices>42007</ProgramServices>
        <ManagementAndGeneral>14002</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>414597</Total>
        <ProgramServices>311299</ProgramServices>
        <ManagementAndGeneral>103298</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>278022</Total>
        <ProgramServices>208093</ProgramServices>
        <ManagementAndGeneral>69929</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>45015</Total>
        <ManagementAndGeneral>45015</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesOther>
        <Total>1147745</Total>
        <ProgramServices>1135245</ProgramServices>
        <ManagementAndGeneral>12500</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>1327188</Total>
        <ProgramServices>1132081</ProgramServices>
        <ManagementAndGeneral>195107</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>114572</Total>
        <ProgramServices>1350</ProgramServices>
        <ManagementAndGeneral>113222</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>27589</Total>
        <ProgramServices>8729</ProgramServices>
        <ManagementAndGeneral>18860</ManagementAndGeneral>
      </Travel>
      <DepreciationDepletion>
        <Total>598426</Total>
        <ProgramServices>598426</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>181516</Total>
        <ProgramServices>181516</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>1439585</Total>
        <ProgramServices>1048815</ProgramServices>
        <ManagementAndGeneral>390770</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>359939</Total>
        <ProgramServices>359939</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>21967</Total>
        <ProgramServices>21967</ProgramServices>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>9890765</Total>
        <ProgramServices>7964449</ProgramServices>
        <ManagementAndGeneral>1926316</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>255037</BOY>
        <EOY>283680</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>583224</BOY>
        <EOY>571082</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>242100</BOY>
        <EOY>263241</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>68113</BOY>
        <EOY>59676</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>15054454</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>11250499</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>3998381</BOY>
        <EOY>3803955</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>918240</BOY>
        <EOY>953871</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>51600</BOY>
        <EOY>51600</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>446516</BOY>
        <EOY>427805</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>6563211</BOY>
        <EOY>6414910</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1262741</BOY>
        <EOY>1087824</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>160983</BOY>
        <EOY>153700</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1423724</BOY>
        <EOY>1241524</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>4639221</BOY>
        <EOY>4690148</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>403904</BOY>
        <EOY>386876</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>96362</BOY>
        <EOY>96362</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>5139487</BOY>
        <EOY>5173386</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>6563211</BOY>
        <EOY>6414910</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-1658527</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1692426</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>53750</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>1683</InvestmentEarningsOrLosses>
        <OtherExpenditures>-1683</OtherExpenditures>
        <EndOfYearBalance>53750</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>53750</BeginningOfYearBalance>
        <EndOfYearBalance>53750</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Buildings>
        <OtherCostOrOtherBasis>5689443</OtherCostOrOtherBasis>
        <Depreciation>3886702</Depreciation>
        <BookValue>1802741</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>9114366</OtherCostOrOtherBasis>
        <Depreciation>7151865</Depreciation>
        <BookValue>1962501</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>250645</OtherCostOrOtherBasis>
        <Depreciation>211932</Depreciation>
        <BookValue>38713</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>3803955</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>INTEREST IN NET ASSETS OF AFFILIATED FOUNDATION</Description>
        <BookValue>427805</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>427805</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>ESTIMATED THIRD PARTY PAYOR SETTLEMENTS</Description>
        <Amount>153700</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>153700</TotalOfAmounts>
      <TotalRevenue>8232238</TotalRevenue>
      <TotalExpenses>9890765</TotalExpenses>
      <ExcessOrDeficitForYear>-1658527</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>12107</NetUnrealizedGLOnInvestments>
      <OtherAmount>1680319</OtherAmount>
      <TotalAdjustments>1692426</TotalAdjustments>
      <ExcessOrDeficitPerFS>33899</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>9924664</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>12107</NetUnrealizedGainsInvestments>
      <OtherRevenues>1680319</OtherRevenues>
      <RevenueNotRptdF990>1692426</RevenueNotRptdF990>
      <RevenueSubtotal>8232238</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>8232238</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>9890765</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>9890765</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>9890765</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE HOSPITAL IS A 501(C)(3) ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE HOSPITAL BELIEVES IT IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR YEARS PRIOR TO 2008.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>NET APPRECIATION OF FUNDS HELD IN TRUST 142,844. NET ASSET CONTRIBUTION 1,537,475. TOTAL TO SCHEDULE D, PART XI, LINE 8: 1,680,319.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>NET APPRECIATION OF FUNDS HELD IN TRUST 142,844. NET ASSET CONTRIBUTION FROM SAINT VINCENT HEALTH SYSTEM 1,537,475.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>350.000000000000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent350>X</Pcent350>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>162437</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>197506</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>-35069</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>1202186</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>903435</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>298751</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03130</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>1364623</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1100941</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>263682</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03130</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>30870</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>30870</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02760</PercentOfTotalExpense>
      </CommunityHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>30870</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>30870</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02760</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>1395493</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1100941</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>294552</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05890</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>176433</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>1129242</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>1610220</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-480978</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>0</WrittenDebtCollectionPolicy>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>WESTFIELD MEMORIAL HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>189 EAST MAIN STREET</AddressLine1>
          <City>WESTFIELD</City>
          <State>NY</State>
          <ZIPCode>14787</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>WESTFIELD MEMORIAL HOSPITAL INC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>0</CHNAConducted>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>350.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>0</UsesFPGDiscounted>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <OtherFactors>X</OtherFactors>
        <ExplainsApplicationMethod>0</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <CollectionActivities>1</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 6A: SAINT VINCENT HEALTH SYSTEM, THE SOLE CORPORATE MEMBER WESTFIELD MEMORIAL HOSPITAL, PREPARES THE COMMUNITY BENEFIT REPORT OF WESTFIELD MEMORIAL HOSPITAL.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS CALCULATED USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>PART I, LINE 7, COLULMN F</ReturnReference>
        <Explanation>BAD DEBT EXPENSE OF $359,939 HAVE BEEN EXCLUDED FROM TOTAL EXPENSES FOR CALCULATION OF PERCENT OF TOTAL EXPENSE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE DUE 30 DAYS AFTER THE DATE OF DISCHARGE. RECEIVABLES PAST DUE MORE THAN 120 DAYS ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE GENERALLY WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD-PARTY PAYORS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: THE AMOUNTS REPORTED ON PART III, LINE 7 ARE NOT TREATED AS COMMUNITY BENEFIT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>PART III, LINE 4</ReturnReference>
        <Explanation>FOOTNOTE DESCRIBING BAD DEBT EXPENSE:PATIENT ACCOUNTS RECEIVABLE ARE DUE 30 DAYS AFTER THE DATE OF DISCHARGE. RECEIVABLES PAST DUE MORE THAN 120 DAYS ARE CONSIDERED DELINQUENT. DELINQUENT RECEIVABLES ARE GENERALLY WRITTEN OFF BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE PATIENT AND OTHER THIRD-PARTY PAYORS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>PART III, LINE 7</ReturnReference>
        <Explanation>MEDICARE ALLOWABLE COSTS ARE CALCULATED USING A COST-TO-CHARGE RATIO. MEDICARE ALLOWABLE COSTS OF CARE CAME FROM MEDICARE COST REPORT FOR CALENDAR YEAR 2011.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>WESTFIELD MEMORIAL HOSPITAL, INC.</Identifier>
        <Explanation>PART V, SECTION B, LINE 10: COMMUNITY CARE DECISIONS ARE BASED ON YEARLY INCOME, FAMILY SIZE AND OTHER FACTORS, SUCH AS SAVINGS AND INVESTMENTS. THOSE FACTORS WILL BE COMPARED TO GUIDELINES APPROVED BY THE SAINT VINCENT HEALTH CENTER BOARD OF TRUSTEES TO DETERMINE ELIGIBILITY FOR COMMUNITY CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>WESTFIELD MEMORIAL HOSPITAL, INC.</Identifier>
        <Explanation>PART V, SECTION B, LINE 11H: COMMUNITY CARE DECISIONS ARE BASED ON YEARLY INCOME, FAMILY SIZE AND OTHER FACTORS, SUCH AS SAVINGS AND INVESTMENTS. THOSE FACTORS WILL BE COMPARED TO GUIDELINES APPROVED BY THE SAINT VINCENT HEALTH CENTER BOARD OF TRUSTEES TO DETERMINE ELIGIBILITY FOR COMMUNITY CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>WESTFIELD MEMORIAL HOSPITAL, INC.</Identifier>
        <Explanation>PART V, SECTION B, LINE 19D: BASED ON SECTION 501(R)(5) THE MAXIMUM AMOUNT CHARGED TO FAP - ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS THE SAME AMOUNT BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: WESTFIELD MEMORIAL HOSPITAL DOES NOT CURRENTLY HAVE A FORMALIZED METHOD TO ASSESS THE COMMUNITY FOR ITS HEALTH CARE NEEDS. WE CURRENTLY USE INTERNAL AND EXTERNAL MARKET STUDIES TO ESTABLISH PATTERNS OF UTILIZATION OF SERVICES AND AGE OF POPULATION. IN THE NEXT FEW YEARS, WESTFIELD MEMORIAL HOSPITAL PLANS TO LAUNCH A MORE FORMALIZED PROCESS TO ASSESS OUR COMMUNITY NEEDS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: INFORMING THE PUBLIC THAT CHARITY CARE IS AVAILABLE IS AN IMPORTANT ELEMENT OF OUR CHARITY CARE PROGRAM AND WESTFIELD MEMORIAL HOSPITAL CONTINUOUSLY STRIVES TO IMPROVE ITS COMMUNICATIONS WITH PATIENTS ON THE AVAILABILITY OF CHARITY CARE INFORMATION AND FORMALIZING OUR CHARITY CARE POLICY. A SUMMARY DESCRIPTION OF THE CHARITY CARE POLICY IS AVAILABLE IN PATIENT REGISTRATION AREAS AND FROM FINANCIAL COUNSELORS WHO ARE PRESENT ON-SITE TO ASSIST PATIENTS IN QUALIFYING FOR GOVERNMENTAL ASSISTANCE PROGRAMS AND CHARITY CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: WESTFIELD MEMORIAL HOSPITAL SERVES RESIDENTS IN CHAUTAUQUA COUNTY NEW YORK. CHAUTAUQUA COUNTY IS A RURAL AREA OF APPROXIMATELY 1500 SQUARE MILES AND HAS A POPULATION OF 134,904. THE COST OF LIVING INDEX IS LESS THAN AVERAGE AND THE PERCENT OF RESIDENTS LIVING IN POVERTY WAS 13.8%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 5: ONE OF THE HALLMARKS OF A CHARITABLE ORGANIZATION IS THAT THE ORGANIZATION SERVES A BROAD, INDEFINITE CHARITABLE CAUSE. ONE OF THE KEY INDICATORS THAT AN ORGANIZATION SERVES THE BROADER COMMUNITY IS CONTROL OF THE ORGANIZATION BY INDEPENDENT COMMUNITY LEADERS. WESTFIELD MEMORIAL HOSPITAL S GOVERNING BOARD IS MADE UP OF TWO MEMBERS FROM ITS SPONSOR, THE SAINT VINCENT HEALTH SYSTEM, AND THE BALANCE FROM THE COMMUNITY AT LARGE WHO DIRECT AND GUIDE MANAGEMENT IN CARRYING OUT THE MISSION OF WESTFIELD MEMORIAL HOSPITAL. TRUSTEES ARE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO WESTFIELD MEMORIAL HOSPITAL AND ARE NOT COMPENSATED FOR THEIR SERVICES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: WESTFIELD MEMORIAL HOSPITAL WAS BUILT ON A FOUNDATION OF CARING FOR ALL PEOPLE AND THAT COMMITMENT HAS REMAINED STRONG THROUGH THE YEARS. IT IS A PART OF THE SAINT VINCENT HEALTH SYSTEM LOCATED IN NEARBY ERIE PENNSYLVANIA. THIS MISSION HAS HELPED TO MAKE SAINT VINCENT HEALTH SYSTEM ONE OF THE LARGEST EMPLOYERS IN ERIE, PENNSYLVANIA AND WESTFIELD, NEW YORK WITH THE ABILITY TO MAKE A SIGNIFICANTLY POSITIVE ECONOMIC IMPACT ON ERIE COUNTY PA AND CHAUTAUQUA COUNTY NEW YORK IN TERMS OF SALARIES PAID TO ASSOCIATES AND DOLLARS SPENT WITHIN THE REGION. THIS ECONOMIC IMPACT IN FISCAL YEAR 2011 AMOUNTS TO MORE THAN $604 MILLION, A 9.7% INCREASE OVER THE PREVIOUS YEAR. IN ADDITION, MORE THAN $25.9 MILLION WAS SPENT CARING FOR THOSE MOST IN NEED THROUGH THE HOSPITAL'S COMMUNITY SERVICE, FREE SERVICES AND MEDICAID PATIENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>PART VI, LINE 7</ReturnReference>
        <Explanation>A COMMUNITY BENEFIT REPORT IS FILED IN NEW YORK.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>SCOTT A WHALEN PHD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>492170</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>16106</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>106645</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10951</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>625872</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MAUREEN CHADWICK</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>154868</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>640</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>20710</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11882</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>188100</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS ELLIOTT</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>277506</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>45560</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>12802</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>5926</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>341794</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>23031</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RONALD FILIPPI</NamePerson>
        <BaseCompensationFilingOrg>205177</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24819</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>229996</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>C ANGELA BONTEMPO</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>603942</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>20030</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>3522</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>627494</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>SCOTT WHALEN EARNED DEFERRED COMPENSATION OF $106,645 THOMAS ELLIOTT EARNED DEFERRED COMPENSATION OF $12,802 THOMAS ELLIOTT RECEIVED A RETIREMENT PAYMENT OF $15,399 MAUREEN CHADWICK EARNED DEFERRED COMPENSATION OF $20,710</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>ADDITIONAL INFORMATION FOR SCHEDULE J, PART II: SCOTT WHALEN: HEALTH, DENTAL &amp; DISABILITY INSURANCE BENEFITS - $10,951; 2011 DEFERRED COMPENSATION - $106,645; TOTAL 2011 BENEFITS EARNED - $117,596; TOTAL BENEFITS - $117,596. MAUREEN CHADWICK: HEALTH, DENTAL &amp; DISABILITY INSURANCE BENEFITS - $11,822; 2011 DEFERRED COMPENSATION - $20,710; TOTAL 2011 BENEFITS EARNED - $32,592; TOTAL BENEFITS - $32,592. RONALD FILIPPI: HEALTH, DENTAL &amp; DISABILITY INSURANCE BENEFITS - $39,602; TOTAL 2011 BENEFITS EARNED - $39,602; TOTAL BENEFITS - $39,602. THOMAS ELLIOTT: HEALTH, DENTAL &amp; DISABILITY INSURANCE BENEFITS - $5,926; 2011 DEFERRED COMPENSATION - $12,802; TOTAL 2011 BENEFITS EARNED - $18,728; TOTAL PRIOR PERIOD DEFERRED COMPENSATION - $23,031; TOTAL BENEFITS - $41,759. C. ANGELA BONTEMPO: HEALTH, DENTAL &amp; DISABILITY INSURANCE BENEFITS - $3,522; TOTAL 2011 BENEFITS EARNED - $3,522; TOTAL BENEFITS - $3,522.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>SAINT VINCENT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF WESTFIELD MEMORIAL HOSPITAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>SAINT VINCENT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF WESTFIELD MEMORIAL HOSPITAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <Explanation>SAINT VINCENT HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF WESTFIELD MEMORIAL HOSPITAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS REVIEWED BY FINANCE PERSONNEL AND MANAGEMENT. THE FORM 990 IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL REVIEW AND APPROVAL.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE POLICY IS DISTRIBUTED TO THE BOARD OF DIRECTORS AND KEY LEADERSHIP IN ACCORDANCE WITH THE WMH CONFLICT OF INTEREST POLICY. COLLECTED DISCLOSURE FORMS ARE PRE-SCREENED BY THE CORPORATE COMPLIANCE OFFICER AND LEGAL COUNSEL FOR POTENTIAL CONFLICTS AND RECOMMENDATIONS FOR CORRECTIVE ACTION, IF NECESSARY. THE CORPORATE COMPLIANCE OFFICER THEN DISCUSSES THESE DISCLOSURES AND CORRECTIVE ACTIONS WITH THE CHAIRPERSON OF THE WMH BOARD OF DIRECTORS. THE CHAIRPERSON WOULD THEN TAKE ACTION AS NECESSARY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>EXECUTIVE AND TOP MANAGEMENT COMPENSATION IS DETERMINED BY THE SAINT VINCENT HEALTH SYSTEM HUMAN RESOURCES DEPARTMENT AND AN EXECUTIVE COMPENSATION CONSULTING FIRM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 12,107. NET APPRECIATION OF FUNDS HELD IN TRUST 142,844. NET ASSET CONTRIBUTION 1,537,475. TOTAL TO FORM 990, PART XI, LINE 5: 1,692,426.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>990, PART XI, LINE 2C</ReturnReference>
        <Explanation>THE PROCESS IS CONSISTENT WITH PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT VINCENT HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>232 WEST 25TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16544</ZIPCode>
        </AddressUS>
        <EIN>250965547</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SISTERS OF SAINT JOSEPH OF NORTHWESTERN PA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT VINCENT FOUNDATION FOR HEALTH AND HUMAN SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>232 WEST 25TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16544</ZIPCode>
        </AddressUS>
        <EIN>251669168</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SISTERS OF SAINT JOSEPH OF NORTHWESTERN PA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>238 WEST 22ND STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16502</ZIPCode>
        </AddressUS>
        <EIN>251679140</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT VINCENT HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTHWEST REGIONAL GAMMA KNIFE NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>232 WEST 25TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16544</ZIPCode>
        </AddressUS>
        <EIN>201007381</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT VINCENT HEALTH CENTER</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT VINCENT SURGERY CENTER OF ERIE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>312 WEST 25TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16502</ZIPCode>
        </AddressUS>
        <EIN>421609387</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT VINCENT HEALTH CENTER</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MILLCREEK PHYSICIAN ASSOCIATES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1910 SASSAFRAS STREET SUITE 100</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16502</ZIPCode>
        </AddressUS>
        <EIN>200509297</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT VINCENT HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT VINCENT AFFILIATED PHYSICIANS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1910 SASSAFRAS STREET SUITE 100</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16502</ZIPCode>
        </AddressUS>
        <EIN>203784338</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT VINCENT HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SAINT VINCENT HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>232 WEST 25TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16544</ZIPCode>
        </AddressUS>
        <EIN>250965547</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SISTERS OF SAINT JOSEPH OF NORTHWESTERN PA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ERIE REGIONAL DMAT PA-3</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>232 WEST 25TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16544</ZIPCode>
        </AddressUS>
        <EIN>753140132</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT VINCENT HEALTH CENTER</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SISTERS OF SAINT JOSEPH OF NORTHWESTERN PA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5031 W RIDGE ROAD</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16506</ZIPCode>
        </AddressUS>
        <EIN>250965595</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NONE</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>REGIONAL TELEMEDICINE NETWORK</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>232 WEST 25TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16544</ZIPCode>
        </AddressUS>
        <EIN>271117671</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT VINCENT HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT VINCENT NWPA SURGERY CENTER LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>312 WEST 25TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16502</ZIPCode>
        </AddressUS>
        <EIN>050591755</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CLINICAL SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT VINCENT PROFESSIONAL BLDG LEASEHOLD CONDO ASSN</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>312 WEST 25TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16502</ZIPCode>
        </AddressUS>
        <EIN>251578290</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CLINICAL SERVICES INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT VINCENT ENDOSCOPY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2501 WEST 12TH STREET</AddressLine1>
          <City>ERIE</City>
          <State>PA</State>
          <ZIPCode>16506</ZIPCode>
        </AddressUS>
        <EIN>208572620</EIN>
        <PrimaryActivity>HEALTH CARE</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SAINT VINCENT HEALTH CENTER</BusinessNameLine1>
        </DirectControllingEntityName>
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</Return>