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        <City>BLOOMFIELD HILLS</City>
        <State>MI</State>
        <ZIPCode>48302</ZIPCode>
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      <Description>CRANBROOK HOSPICE CARE'S MISSION IS TO PROVIDE COMFORT, SUPPORT, AND COMPASSIONATE CARE TO PEOPLE WITH LIFE-THREATENING ILLNESSES AND TO THEIR FAMILIES IN A MANNER THAT RESPECTS THE DIGNITY OF EACH INDIVIDUAL AND TO FOSTER COMMUNITY ACCEPTANCE THAT DYING IS AN INTEGRAL PART OF LIVING. ALL PATIENTS WHO MEET ADMISSION CRITERIA ARE ELIGIBLE FOR HOSPICE CARE, NO MATTER WHAT THEIR FINANCIAL STATUS IS AND REGARDLESS OF THEIR ABILITY TO PAY. CRANBROOK HOSPICE CARE ALSO PROVIDES COMMUNITY EDUCATION AND SUPPORT THROUGH ITS EXTENSIVE BEREAVEMENT PROGRAM THAT IS OPEN TO BOTH HOSPICE PATIENTS AND THE COMMUNITY AT LARGE. CRANBROOK HOSPICE CARE ALSO PROVIDES CONSULTATION OF PAIN AND SYMPTOM MANAGEMENT. DURING FISCAL YEAR ENDING JUNE 30, 2011, CRANBROOK HOSPICE CARE PROVIDED 21,266 DAYS OF CARE.THE AMOUNTS BELOW REFLECT THE QUANTIFIABLE COSTS OF CRANBROOK HOSPICE CARE'S COMMUNITY BENEFIT MINISTRY FOR THE YEAR ENDED JUNE 30, 2011: MINISTRY FOR THE POOR AND UNDERSERVED:$ 14,315 CHARITY CARE AT COST 14,752 UNPAID COST OF MEDICAID AND OTHER PUBLIC PROGRAMS 1,586 COMMUNITY HEALTH SERVICES 251 FINANCIAL CONTRIBUTIONS 3,269 COMMUNITY BUILDING ACTIVITIES$ 34,173 MINISTRY FOR THE POOR AND UNDERSERVED MINISTRY FOR THE BROADER COMMUNITY:$ 410 COMMUNITY HEALTH SERVICES 1,215 HEALTH PROFESSIONS EDUCATION 3,106 COMMUNITY BUILDING ACTIVITIES $ 4,731 MINISTRY FOR THE BROADER COMMUNITY $ 38,904 COMMUNITY BENEFIT MINISTRY MINISTRY FOR THE POOR AND UNDERSERVED REPRESENTS THE FINANCIAL COMMITMENT TO SEEK OUT AND SERVE THOSE WHO NEED HELP THE MOST, ESPECIALLY THE POOR, THE UNINSURED AND THE INDIGENT. THIS IS DONE WITH THE CONVICTION THAT HEALTHCARE IS A BASIC HUMAN RIGHT. MINISTRY FOR THE BROADER COMMUNITY REPRESENTS THE COST OF SERVICES PROVIDED FOR THE GENERAL BENEFIT OF THE COMMUNITIES IN WHICH CRANBROOK HOSPICE CARE OPERATES. MANY PROGRAMS ARE TARGETED TOWARD POPULATIONS THAT MAY BE POOR, BUT ALSO INCLUDE THOSE AREAS THAT MAY NEED SPECIAL HEALTH SERVICES AND SUPPORT. THESE PROGRAMS ARE NOT INTENDED TO BE FINANCIALLY SELF-SUPPORTING.CHARITY CARE AT COST REPRESENTS THE COST OF SERVICES PROVIDED TO PATIENTS WHO CANNOT AFFORD HEALTH CARE SERVICES DUE TO INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT IN ACCORDANCE WITH THE ESTABLISHED POLICIES OF CRANBROOK HOSPICE CARE AND WHERE NO PAYMENT FOR SUCH SERVICES IS ANTICIPATED. THE COST OF CHARITY CARE IS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY. UNPAID COST OF MEDICAID AND OTHER PUBLIC PROGRAMS REPRESENTS THE COST (DETERMINED USING A COST TO CHARGE RATIO) OF PROVIDING SERVICES TO BENEFICIARIES OF PUBLIC PROGRAMS, INCLUDING STATE MEDICAID AND INDIGENT CARE PROGRAMS, IN EXCESS OF GOVERNMENTAL AND MANAGED CARE CONTRACT PAYMENTS. FINANCIAL CONTRIBUTIONS ARE MADE BY CRANBROOK HOSPICE CARE ON BEHALF OF THE POOR AND UNDERSERVED TO COMMUNITY AGENCIES. THESE AMOUNTS INCLUDE SPECIAL SYSTEM-WIDE FUNDS USED FOR CHARITABLE ACTIVITIES AS WELL AS RESOURCES CONTRIBUTED DIRECTLY TO PROGRAMS, ORGANIZATIONS, AND FOUNDATIONS FOR EFFORTS ON BEHALF OF THE POOR AND THE UNDERSERVED. AMOUNTS INCLUDED HERE ALSO REPRESENT CERTAIN IN-KIND DONATIONS. COMMUNITY HEALTH SERVICES ARE ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR FUNDING. AMOUNTS REPORTED ARE NET OF ANY OUTSIDE FUNDING. CRANBROOK HOSPICE CARE ACTIVELY COLLABORATES WITH COMMUNITY GROUPS AND AGENCIES TO ASSIST THOSE IN NEED IN PROVIDING SUCH SERVICES. HEALTH PROFESSIONS EDUCATION INCLUDES THE UNREIMBURSED COST OF TRAINING HEALTH PROFESSIONALS SUCH AS MEDICAL RESIDENTS, NURSING STUDENTS, TECHNICIANS AND STUDENTS IN ALLIED HEALTH PROFESSIONS.COMMUNITY BUILDING ACTIVITIES INCLUDE THE COST OF PROGRAMS THAT IMPROVE THE PHYSICAL ENVIRONMENT, PROMOTE ECONOMIC DEVELOPMENT, ENHANCE OTHER COMMUNITY SUPPORT SYSTEMS, DEVELOP LEADERSHIP SKILLS TRAINING, AND BUILD COMMUNITY COALITIONS.</Description>
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        <Total>106790</Total>
        <ProgramServices>97179</ProgramServices>
        <ManagementAndGeneral>9611</ManagementAndGeneral>
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      <ConferencesMeetings>
        <Total>2795</Total>
        <ProgramServices>2543</ProgramServices>
        <ManagementAndGeneral>252</ManagementAndGeneral>
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      <DepreciationDepletion>
        <Total>1281</Total>
        <ProgramServices>1217</ProgramServices>
        <ManagementAndGeneral>64</ManagementAndGeneral>
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        <ProgramServices>7718</ProgramServices>
        <ManagementAndGeneral>406</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>578868</Total>
        <ProgramServices>578868</ProgramServices>
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      <OtherExpenses>
        <Description>INTERCO. PURCHASED SVCS</Description>
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        <ProgramServices>393039</ProgramServices>
        <ManagementAndGeneral>38872</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>SUBSCRIPTIONS AND DUES</Description>
        <Total>11308</Total>
        <ProgramServices>10290</ProgramServices>
        <ManagementAndGeneral>1018</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT MAINTENANCE</Description>
        <Total>10811</Total>
        <ProgramServices>9838</ProgramServices>
        <ManagementAndGeneral>973</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>4849</Total>
        <ProgramServices>4849</ProgramServices>
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      <AllOtherExpenses>
        <Total>5234</Total>
        <ProgramServices>4762</ProgramServices>
        <ManagementAndGeneral>472</ManagementAndGeneral>
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        <EOY>11454</EOY>
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        <BOY>619715</BOY>
        <EOY>528258</EOY>
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      <TotalAssets>
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        <EOY>940458</EOY>
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        <EOY>614742</EOY>
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        <EOY>614742</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <EOY>314112</EOY>
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        <EOY>11604</EOY>
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        <EOY>325716</EOY>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>940458</EOY>
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      <AccountantCompileOrReview>0</AccountantCompileOrReview>
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      <AuditCommittee>1</AuditCommittee>
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      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL A SAMYN</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL SLUBOWSKI</NamePerson>
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        <CompReportPrior990RelatedOrgs>42832</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>AGNES HAGERTY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>316857</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>75909</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>26156</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsRelatedOrgs>12602</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>469695</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARIA SZYMANSKI</NamePerson>
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        <CompBasedOnRelatedOrgs>374739</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>104539</BonusRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>14320</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>763610</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>66282</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GAY LANDSTROM</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>246532</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>95381</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>43546</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>67146</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>18590</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>471195</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL MURPHY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>343184</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>68618</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>128021</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>47238</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>21304</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>608365</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KENNETH ROBBINS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>185924</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>36152</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>36572</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>28515</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>16310</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>303473</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NON-QUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2010). THE FOLLOWING ACCRUALS FOR 2010 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: GAY LANDSTROM - $31,626 GRACE MCCAULEY - $21,505 MICHAEL MURPHY - $26,316 MICHAEL SLUBOWSKI - $136,445 MARIA SZYMANSKI - $101,730 PART I, LINE 4B: THE FOLLOWING IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUAL FOR 2010 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: MICHAEL SLUBOWSKI - $77,185</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE SOLE MEMBER OF CRANBROOK HOSPICE CARE IS TRINITY HOME HEALTH SERVICES, INC. SEE LINE 7 FOR ADDITIONAL INFORMATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>TRINITY HOME HEALTH SERVICES, INC. IS THE SOLE MEMBER OF CRANBROOK HOSPICE CARE. TRINITY HOME HEALTH SERVICES, INC. HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF CRANBROOK HOSPICE CARE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>AS SOLE MEMBER, TRINITY HOME HEALTH SERVICES, INC. MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HOME HEALTH SERVICES, INC. MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>PRIOR TO FILING, THE FORM 990 FOR CRANBROOK HOSPICE CARE IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF TRUSTEES. THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>CRANBROOK HOSPICE CARE HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF CRANBROOK HOSPICE CARE, WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH CRANBROOK HOSPICE CARE'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO CRANBROOK HOSPICE CARE OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF CRANBROOK HOSPICE CARE IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO CRANBROOK HOSPICE CARE. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF CRANBROOK HOSPICE CARE ON AN ANNUAL BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF CRANBROOK HOSPICE CARE ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>CRANBROOK HOSPICE CARE IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS:</Identifier>
        <ReturnReference>FORM 990, PART VII, SECTION A, LINE 1, COLUMN B:</ReturnReference>
        <Explanation>THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: AGNES HAGERTY - 49 HOURS GAY LANDSTROM - 49 HOURS GRACE MCCAULEY - 49 HOURS MICHAEL MURPHY - 54 HOURS KENNETH ROBBINS - 39 HOURS MICHAEL A. SAMYN - 49 HOURS MICHAEL SLUBOWSKI - 54 HOURS MARIA SZYMANSKI - 49 HOURS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2:</ReturnReference>
        <Explanation>CRANBROOK HOSPICE CARE'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY11 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP</BusinessNameLine1>
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          <AddressLine1>245 STATE ST SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
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          <BusinessNameLine1>AMICARE HOSPICE SERVICES INC</BusinessNameLine1>
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          <AddressLine1>27870 CABOT DRIVE</AddressLine1>
          <City>NOVI</City>
          <State>MI</State>
          <ZIPCode>483772920</ZIPCode>
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          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
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          <BusinessNameLine1>AUXILIARY OF HOLY ROSARY HOSPITAL</BusinessNameLine1>
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          <AddressLine1>351 SW 9TH STREET</AddressLine1>
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          <BusinessNameLine1>SAINT ALPHONSUS MEDICAL CENTER-ONTARIO</BusinessNameLine1>
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          <BusinessNameLine1>TRINITY HEALTH - MICHIGAN</BusinessNameLine1>
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          <AddressLine1>300 NORTH AVENUE</AddressLine1>
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          <BusinessNameLine1>BATTLE CREEK HEALTH SYSTEM</BusinessNameLine1>
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          <BusinessNameLine1>BAUM HARMON MERCY HOSPITAL</BusinessNameLine1>
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          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
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          <BusinessNameLine1>BAUM HARMON MERCY HOSPITAL &amp; CLINICS FOUNDATION</BusinessNameLine1>
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          <BusinessNameLine1>BAUM HARMON MERCY HOSPITAL</BusinessNameLine1>
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          <BusinessNameLine1>CAPITAL PARK FAMILY HEALTH CENTER INC</BusinessNameLine1>
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          <BusinessNameLine1>MOUNT CARMEL HEALTH SYSTEM</BusinessNameLine1>
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          <BusinessNameLine1>CATHERINE MCAULEY HEALTH SERVICES CORP</BusinessNameLine1>
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          <BusinessNameLine1>TRINITY HEALTH-MICHIGAN</BusinessNameLine1>
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          <BusinessNameLine1>COMMUNITY HEALTH PARTNERS OF SOUTH BEND</BusinessNameLine1>
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          <BusinessNameLine1>SAINT JOSEPH REGIONAL MEDICAL CENTER INC</BusinessNameLine1>
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          <BusinessNameLine1>CRANBROOK HOSPICE CARE</BusinessNameLine1>
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          <State>MI</State>
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          <BusinessNameLine1>DILEY RIDGE MEDICAL CENTER</BusinessNameLine1>
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          <BusinessNameLine1>MERCY HEALTH SERVICES-IOWA CORP</BusinessNameLine1>
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          <BusinessNameLine1>LAKESHORE COMMUNITY HOSPITAL INC</BusinessNameLine1>
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          <State>MI</State>
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          <State>OR</State>
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          <AddressLine1>801 E LASALLE AVE PO BOX 1935</AddressLine1>
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          <AddressLine1>4215 EDISON LAKES PARKWAY</AddressLine1>
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          <State>IN</State>
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          <State>MI</State>
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          <AddressLine1>PO BOX 9184</AddressLine1>
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          <State>MI</State>
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          <City>NOVI</City>
          <State>MI</State>
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          <AddressLine1>27870 CABOT DRIVE</AddressLine1>
          <City>NOVI</City>
          <State>MI</State>
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          <AddressLine1>27870 CABOT DRIVE</AddressLine1>
          <City>NOVI</City>
          <State>MI</State>
          <ZIPCode>483772920</ZIPCode>
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          <AddressLine1>27870 CABOT DRIVE</AddressLine1>
          <City>NOVI</City>
          <State>MI</State>
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          <AddressLine1>17410 COLLEGE PARKWAY</AddressLine1>
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          <State>MI</State>
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          <AddressLine1>5352 BECKLEY ROAD STE A</AddressLine1>
          <City>BATTLE CREEK</City>
          <State>MI</State>
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          <AddressLine1>607 DEWEY AVENUE SUITE 300</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49504</ZIPCode>
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          <AddressLine1>793 W STATE STREET</AddressLine1>
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          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
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          <AddressLine1>5300 ELLIOTT DRIVE</AddressLine1>
          <City>YPSILANTI</City>
          <State>MI</State>
          <ZIPCode>48197</ZIPCode>
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          <AddressLine1>5955 EAST BROAD ST</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
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          <AddressLine1>615 VALLEY VIEW DR STE 202</AddressLine1>
          <City>MOLINE</City>
          <State>IL</State>
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          <AddressLine1>1000 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
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          <AddressLine1>300 WEST TEXTILE ROAD</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
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          <AddressLine1>1303 E HERNDON AVE</AddressLine1>
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          <State>CA</State>
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          <AddressLine1>1122 AVENUE L</AddressLine1>
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          <State>IA</State>
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          <AddressLine1>1055 N CURTIS RD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
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          <AddressLine1>877 WEST MAIN ST STE 603</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
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          <AddressLine1>1416 SIXTH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
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          <City>MASON CITY</City>
          <State>IA</State>
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          <AddressLine1>793 W STATE STREET</AddressLine1>
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          <State>OH</State>
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          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
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        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
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          <BusinessNameLine1>MEDILUCENT MOB I</BusinessNameLine1>
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          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
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          <AddressLine1>1000 4TH STREET SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
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        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY OUTPATIENT SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1512 12TH AVENUE ROAD</AddressLine1>
          <City>NAMPA</City>
          <State>ID</State>
          <ZIPCode>83686</ZIPCode>
        </AddressUS>
        <EIN>841380439</EIN>
        <PrimaryActivity>OUTPATIENT SURGERY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MICHIANA HEALTH INFORMATION NETWORK LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>215 WEST MADISON STREET</AddressLine1>
          <City>SOUTH BEND</City>
          <State>IN</State>
          <ZIPCode>46601</ZIPCode>
        </AddressUS>
        <EIN>352050128</EIN>
        <PrimaryActivity>COMMUNITY BASED CLINICAL INFORMATION SYSTEM AND DATA DEPOSITORY</PrimaryActivity>
        <LegalDomicileState>IN</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311369473</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NEWCO AMBULATORY SURGERY CTR LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4190 24TH AVENUE</AddressLine1>
          <City>FORT GRATIOT</City>
          <State>MI</State>
          <ZIPCode>48059</ZIPCode>
        </AddressUS>
        <EIN>300136708</EIN>
        <PrimaryActivity>OUTPATIENT SURGERY CENTER</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311531135</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ROSENBERG &amp; BRUNO PROPERTIES LLC (FKA BSV MEDICAL OFFICE BUILDING II LLC)</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>855 M STREET TENTH FLOOR</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93721</ZIPCode>
        </AddressUS>
        <EIN>202673839</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SARMED OUTPATIENT PHARMACY LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>999 N CURTIS RD STE 102</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83706</ZIPCode>
        </AddressUS>
        <EIN>510483218</EIN>
        <PrimaryActivity>PHARMACY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SIXTY FOURTH STREET LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2373 64TH ST STE 2200</AddressLine1>
          <City>BYRON CENTER</City>
          <State>MI</State>
          <ZIPCode>49315</ZIPCode>
        </AddressUS>
        <EIN>202443646</EIN>
        <PrimaryActivity>PROVIDE OUTPATIENT SURGICAL CARE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ALPHONSUS CALDWELL CANCER CTR LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3123 MEDICAL DR</AddressLine1>
          <City>CALDWELL</City>
          <State>ID</State>
          <ZIPCode>83605</ZIPCode>
        </AddressUS>
        <EIN>820526861</EIN>
        <PrimaryActivity>RADIATION ONCOLOGY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311603660</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TAMARACK MEDICAL CLINIC LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>610 VILLAGE DRIVE</AddressLine1>
          <City>DONNELLY</City>
          <State>ID</State>
          <ZIPCode>83615</ZIPCode>
        </AddressUS>
        <EIN>201637921</EIN>
        <PrimaryActivity>OUTPATIENT MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>793 W STATE STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43222</ZIPCode>
        </AddressUS>
        <EIN>311784409</EIN>
        <PrimaryActivity>MEDICAL OFFICE BUILDING RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WOODLAND IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5301 E HURON RIVER DR</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>760820959</EIN>
        <PrimaryActivity>RADIOLOGY/IMAGING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COMMUNITY HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>565 W WESTERN AVE</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49440</ZIPCode>
        </AddressUS>
        <EIN>383522260</EIN>
        <PrimaryActivity>SOFTWARE MARKETING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTH MANAGEMENT CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382961814</EIN>
        <PrimaryActivity>WEIGHT MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTH VENTURES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382589959</EIN>
        <PrimaryActivity>OTHER MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY HEALTHCARE EQUIPMENT</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382578569</EIN>
        <PrimaryActivity>HOME MEDICAL EQUIPMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY PROFESSIONAL CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383024797</EIN>
        <PrimaryActivity>REAL ESTATE RENTAL</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HACKLEY PROFESSIONAL PHARMACY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>382447870</EIN>
        <PrimaryActivity>PHARMACY</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEF INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383086401</EIN>
        <PrimaryActivity>OFFICE STAFFING</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HOLY CROSS PRIVATE HOME SERVICES CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11801 TECH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20904</ZIPCode>
        </AddressUS>
        <EIN>521986562</EIN>
        <PrimaryActivity>HOME CARE SERVICES</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HPC CO-OWNERS ASSOCIATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1700 CLINTON</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>270734448</EIN>
        <PrimaryActivity>CONDOMINIUM ASSOCIATION</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HURON ARBOR CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5301 EAST HURON RIVER DR PO BOX 992</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>382475644</EIN>
        <PrimaryActivity>PROVIDES OFFICE RENTAL SPACE</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>INTEGRATED HEALTH ASSOCIATES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 FRANK LLOYD WRIGHT DR LOBBY J</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>383126920</EIN>
        <PrimaryActivity>MEDICAL MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>IHA AFFILIATION CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 FRANK LLOYD WRIGHT DR LOBBY J</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>383188895</EIN>
        <PrimaryActivity>MEDICAL MANAGEMENT</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>IHA HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>24 FRANK LLOYD WRIGHT DR LOBBY J</AddressLine1>
          <City>ANN ARBOR</City>
          <State>MI</State>
          <ZIPCode>48106</ZIPCode>
        </AddressUS>
        <EIN>383316559</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MARYLAND CARE GROUP INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>11801 TECH ROAD</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20904</ZIPCode>
        </AddressUS>
        <EIN>521815313</EIN>
        <PrimaryActivity>HEALTHCARE HOLDING</PrimaryActivity>
        <LegalDomicileState>MD</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEDNOW INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1512 12TH AVENUE ROAD</AddressLine1>
          <City>NAMPA</City>
          <State>ID</State>
          <ZIPCode>83686</ZIPCode>
        </AddressUS>
        <EIN>820389927</EIN>
        <PrimaryActivity>OUTPATIENT PHARMACY</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY COMMUNITY PHYSICIANS</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>363 FREMONT STREET</AddressLine1>
          <City>BATTLE CREEK</City>
          <State>MI</State>
          <ZIPCode>49017</ZIPCode>
        </AddressUS>
        <EIN>264252468</EIN>
        <PrimaryActivity>HEALTHCARE SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERCY MEDICAL SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>801 5TH STREET</AddressLine1>
          <City>SIOUX CITY</City>
          <State>IA</State>
          <ZIPCode>51101</ZIPCode>
        </AddressUS>
        <EIN>421283849</EIN>
        <PrimaryActivity>PRIMARY CARE PHYSICIANS</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MICHIGAN PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>44405 WOODWARD AVENUE H-5</AddressLine1>
          <City>PONTIAC</City>
          <State>MI</State>
          <ZIPCode>48341</ZIPCode>
        </AddressUS>
        <EIN>383293125</EIN>
        <PrimaryActivity>PHYSICIAN SERVICES</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MICHIGAN ATHLETIC CLUB</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2500 BURTON</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49546</ZIPCode>
        </AddressUS>
        <EIN>382647304</EIN>
        <PrimaryActivity>ATHLETIC CLUB</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>310971510</EIN>
        <PrimaryActivity>BEHAVIORAL HEALTHCARE SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL HEALTH HORIZONS CORP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311177652</EIN>
        <PrimaryActivity>MEDICAL SERVICES/RENT</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MOUNT CARMEL HEALTH PROVIDERS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311382442</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>NORTH IOWA MERCY MEDICAL SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 4TH ST SW</AddressLine1>
          <City>MASON CITY</City>
          <State>IA</State>
          <ZIPCode>50401</ZIPCode>
        </AddressUS>
        <EIN>421382308</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>IA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PRIMARY CARE NETWORK OF OHIO INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311422486</EIN>
        <PrimaryActivity>HEALTH MANAGEMENT SERVICES</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PRIORITY PLUS OF CALIFORNIA</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 27230</AddressLine1>
          <City>FRESNO</City>
          <State>CA</State>
          <ZIPCode>93729</ZIPCode>
        </AddressUS>
        <EIN>770395267</EIN>
        <PrimaryActivity>FORMERLY HEALTH MANAGEMENT NOW DISCONTINUED SUBSTANTIALLY ALL OPERATIONS</PrimaryActivity>
        <LegalDomicileState>CA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT ALPHONSUS PHYSICIANS PA</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1055 NORTH CURTIS ROAD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>837061370</ZIPCode>
        </AddressUS>
        <EIN>331078261</EIN>
        <PrimaryActivity>PHYSICIANS</PrimaryActivity>
        <LegalDomicileState>ID</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SAINT MARY'S HEALTH MANAGEMENT COMPANY</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1640 EAST PARIS SE</AddressLine1>
          <City>GRAND RAPIDS</City>
          <State>MI</State>
          <ZIPCode>49546</ZIPCode>
        </AddressUS>
        <EIN>383450733</EIN>
        <PrimaryActivity>ATHLETIC CLUB</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SURGERY CENTER FINANCING CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>6150 EAST BROAD STREET</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43213</ZIPCode>
        </AddressUS>
        <EIN>311531102</EIN>
        <PrimaryActivity>FINANCE, INSURANCE AND REAL ESTATE</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TRINITY HEALTH EMPLOYEE BENEFIT TRUST</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>27870 CABOT DRIVE</AddressLine1>
          <City>NOVI</City>
          <State>MI</State>
          <ZIPCode>483772920</ZIPCode>
        </AddressUS>
        <EIN>383410377</EIN>
        <PrimaryActivity>GRANTOR TRUST</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>T</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VENZKE INSURANCE COMPANY LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>PO BOX 1051 GRAND CAYMAN</AddressLine1>
          <City>GRAND CAYMAN</City>
          <Country>CJ</Country>
        </AddressForeign>
        <EIN>980453602</EIN>
        <PrimaryActivity>PROVISION OF INSURANCE COVERAGE</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WESTSHORE HEALTH NETWORK</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1820 44TH STREET</AddressLine1>
          <City>KENTWOOD</City>
          <State>MI</State>
          <ZIPCode>49508</ZIPCode>
        </AddressUS>
        <EIN>383280200</EIN>
        <PrimaryActivity>PHYSICIAN HOSPITAL ORGANIZATION</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>WORKPLACE HEALTH OF GRAND HAVEN</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1415 LEAHY ST</AddressLine1>
          <City>MUSKEGON</City>
          <State>MI</State>
          <ZIPCode>49442</ZIPCode>
        </AddressUS>
        <EIN>383112035</EIN>
        <PrimaryActivity>OCCUPATIONAL HEALTH</PrimaryActivity>
        <LegalDomicileState>MI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>431911</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TRINITY HOME HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>100613</AmountInvolved>
        <MethodOfAmtDetermination>PER BOOKS</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>