﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2009v1.7" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-08-15T13:34:19-07:00</Timestamp>
    <TaxPeriodEndDate>2010-09-30</TaxPeriodEndDate>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>391490371</EIN>
      <Name>
        <BusinessNameLine1>Ministry Health Care Inc</BusinessNameLine1>
      </Name>
      <NameControl>MINI</NameControl>
      <Phone>4143593126</Phone>
      <USAddress>
        <AddressLine1>11925 West Lake Park Drive</AddressLine1>
        <City>Milwaukee</City>
        <State>WI</State>
        <ZIPCode>53224</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Steven J Umland</Name>
      <Title>VP-Finance/Treasurer</Title>
      <DateSigned>2011-08-15</DateSigned>
    </Officer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="IRS990" referenceDocumentId=" IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <NameOfPrincipalOfficerPerson>Steven J Umland</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>11925 West Lake Park Drive</AddressLine1>
        <City>Milwaukee</City>
        <State>WI</State>
        <ZIPCode>53224</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>104475399</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <AllAffiliatesIncluded>false</AllAffiliatesIncluded>
      <GroupExemptionNumber>0928</GroupExemptionNumber>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>www.ministryhealth.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1984</YearFormation>
      <StateLegalDomicile>WI</StateLegalDomicile>
      <ActivityOrMissionDescription>Ministry Health Care, a Catholic sponsored parent corporation of 501(c)(3) tax exempt health provider organizations, is an internally supported, church controlled organization whoses primary activity is to provide centralized management services to those organizations. Ministry Health Care is affiliated with the church or convention or association of churches and it is included within a group exemption letter under Revenue Procedure 80-27, 1980-1 C.B. 677. Ministry Health Care is listed in the Official Catholic Directory covered under the group exemption ruling issued to the United States Catholic Conference. Ministry Health Care is internally supported and does not offer admission, goods, services or facilities for sale other than on an incidental basis, to the general public.Ministry Health Care routinely estimates the value of its tax exempt status, for itself and its subsidiary organizations, and compares that to the community benefits which that group of entities provides. The com</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>13</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>9</NbrIndependentVotingMembers>
      <TotalNbrEmployees>498</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>79933655</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>94687048</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>9794660</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>6496086</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>15207570</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>3292265</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>104935885</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>104475399</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>53034712</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>59476116</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>51970962</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>61207790</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>105005674</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>120683906</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-69789</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-16208507</RevenuesLessExpensesCY>
      <TotalAssetsBOY>657569012</TotalAssetsBOY>
      <TotalAssetsEOY>746284350</TotalAssetsEOY>
      <TotalLiabilitiesBOY>571133704</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>651018692</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>86435308</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>95265658</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Ministry Health Care, a Catholic sponsored parent corporation of 501(c)(3) tax exempt health provider organizations, is an internally supported, church controlled organization whoses primary activity is to provide centralized management services to those organizations. Ministry Health Care is affiliated with the church or convention or association of churches and it is included within a group exemption letter under Revenue Procedure 80-27, 1980-1 C.B. 677. Ministry Health Care is listed in the Official Catholic Directory covered under the group exemption ruling issued to the United States Catholic Conference. Ministry Health Care is internally supported and does not offer admission, goods, services or facilities for sale other than on an incidental basis, to the general public.Ministry Health Care routinely estimates the value of its tax exempt status, for itself and its subsidiary organizations, and compares that to the community benefits which that group of entities provides. The com</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>120683906</Expense>
      <Description>Ministry Health Care, a Catholic sponsored parent corporation of a group of 501(c)(3) tax exempt health provider organizations, is an internally supported, church controlled organization. Ministry Health Cares primary activity is to provide centralized management (strategic planning, financial, legal, human resources, information technology, supply chain, marketing and business development, etc.) to those health care organizations.</Description>
      <TotalProgramServiceExpense>120683906</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId=" IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId=" IRS990ScheduleC">false</PoliticalActivities>
      <LobbyingActivities referenceDocumentId=" IRS990ScheduleC">true</LobbyingActivities>
      <SubjectToProxyTax referenceDocumentId=" IRS990ScheduleC">false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId=" IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId=" IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId=" IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId=" IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId=" IRS990ScheduleD">false</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId=" IRS990ScheduleD">true</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId=" IRS990ScheduleD">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId=" IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId=" IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId=" IRS990ScheduleK.1">true</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId=" IRS990ScheduleR">true</DisregardedEntity>
      <RelatedEntity referenceDocumentId=" IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity referenceDocumentId=" IRS990ScheduleR">true</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId=" IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId=" IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>72</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>498</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <Form990-TFiled>false</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <Form8886TFiled>false</Form8886TFiled>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <NonDeductibleDisclosure>false</NonDeductibleDisclosure>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <QuidProQuoDisclosure>false</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <NumberOf8282Filed>0</NumberOf8282Filed>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <Form8899Filed>false</Form8899Filed>
      <Form1098CFiled>false</Form1098CFiled>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <FiledLieu1041>false</FiledLieu1041>
      <NbrVotingGoverningBodyMembers>13</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>9</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>true</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <PoliciesReferenceChapters>false</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>false</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>false</WrittenPolicyOrProcedure>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Steve Umland</NamePerson>
        <TelephoneNumber>4143593126</TelephoneNumber>
        <AddressUS>
          <AddressLine1>11925 West Lake Park Drive</AddressLine1>
          <City>Milwaukee</City>
          <State>WI</State>
          <ZIPCode>53224</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>William R Weider</NamePerson>
        <Title>CIO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>354312</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>71328</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William C Werner</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Theresa Richards</NamePerson>
        <Title>EVP - St. Joseph's</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>349429</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>78567</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Steven J Umland</NamePerson>
        <Title>VP- CFO/Tresure</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>612919</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>117851</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sr Marilyn Vollmer</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sr M Therese Gottschalk</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sr M Sharee Hurtgen</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sr M Cecile Paulik</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sr Lois Bush</NamePerson>
        <Title>SVP - MIssion/Culture &amp; Board Membe</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>342975</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>462</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sr Lois Bush</NamePerson>
        <Title>SVP - Mission &amp;</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ronald E Mohorek</NamePerson>
        <Title>Sr VP/Gen Couns</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>623719</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>129837</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert Sookochoff MD</NamePerson>
        <Title>Regional VP - MMG</Title>
        <AverageHoursPerWeek>0.</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>338451</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>34647</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Richard Johnson</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Owen J Sullivan</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Nicholas F Desien</NamePerson>
        <Title>President &amp; CEO</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>1204340</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>731736</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Monica A Hilt</NamePerson>
        <Title>CEO - NR</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>294992</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>46690</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael J Kryda MD</NamePerson>
        <Title>VP Med Affairs</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>607154</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>86917</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael A Schmidt</NamePerson>
        <Title>President - St. Joseph's</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>475492</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>78567</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mark L Fenlon MD</NamePerson>
        <Title>Regional VP - MMG</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>346805</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>36213</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Splude</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jeffrey L Martin</NamePerson>
        <Title>CEO - CR</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>518118</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>126291</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Stewart Watson III MD</NamePerson>
        <Title>Pres/CEO-MMG</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>582409</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>57868</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James Martin</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Gerald M Worrick</NamePerson>
        <Title>President - Door C</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>370020</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54927</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Donald E Peters</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Brian J Kief</NamePerson>
        <Title>CEO - WR</Title>
        <AverageHoursPerWeek>50.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>509633</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>56304</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Bill Otto</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>7530768</TotalReportableCompFromOrg>
      <TotalOtherCompensation>1708205</TotalOtherCompensation>
      <NumberIndividualsGT100K>59</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Von Briesen &amp; Roper S C</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>411 East Wisconsin Ave 700</AddressLine1>
            <City>Milwaukee</City>
            <State>WI</State>
            <ZIPCode>53202</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Legal</DescriptionOfServices>
        <Compensation>150896</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Visantis Healthcare Services</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>450 Rose Point Drive</AddressLine1>
            <City>Cary</City>
            <State>NC</State>
            <ZIPCode>27511</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Consulting</DescriptionOfServices>
        <Compensation>220425</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Sullivan Cotter and Associates</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3011 West Grand Blvd 2800</AddressLine1>
            <City>Detroit</City>
            <State>MI</State>
            <ZIPCode>48202</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Consulting</DescriptionOfServices>
        <Compensation>172438</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Strategic Health Care</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>17 South High St 1000</AddressLine1>
            <City>Columbus</City>
            <State>OH</State>
            <ZIPCode>43215</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Consulting</DescriptionOfServices>
        <Compensation>172500</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Hall Render Killian Heath and Lyman PC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>One American Square Suite 2000</AddressLine1>
            <City>Indianapolis</City>
            <State>IN</State>
            <ZIPCode>46282</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Legal</DescriptionOfServices>
        <Compensation>954834</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>10</NumberOfContractorsGT100K>
      <TotalContributions>0</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Other</Description>
        <BusinessCode>900003</BusinessCode>
        <TotalRevenueColumn>5840248</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5840248</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Assessments &amp; Billings fo</Description>
        <BusinessCode>900003</BusinessCode>
        <TotalRevenueColumn>88846800</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>88846800</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>94687048</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>6483286</TotalRevenueColumn>
        <ExclusionAmount>6483286</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>12800</Other>
      </GrossAmountSalesAssets>
      <GainOrLoss>
        <Other>12800</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>12800</TotalRevenueColumn>
        <ExclusionAmount>12800</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Marks to Market, Net</Description>
        <BusinessCode>523000</BusinessCode>
        <TotalRevenueColumn>-6003192</TotalRevenueColumn>
        <ExclusionAmount>-6003192</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Interest Income-Aff Notes</Description>
        <BusinessCode>900003</BusinessCode>
        <TotalRevenueColumn>18304592</TotalRevenueColumn>
        <ExclusionAmount>18304592</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>2010A Bond - Loss</Description>
        <BusinessCode>525990</BusinessCode>
        <TotalRevenueColumn>-1378507</TotalRevenueColumn>
        <ExclusionAmount>-1378507</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>-7630628</TotalRevenueColumn>
        <ExclusionAmount>-7630628</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>3292265</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>104475399</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>94687048</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>9788351</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>7204274</Total>
        <ProgramServices>7204274</ProgramServices>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>40158770</Total>
        <ProgramServices>40158770</ProgramServices>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>3552215</Total>
        <ProgramServices>3552215</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>5983884</Total>
        <ProgramServices>5983884</ProgramServices>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2576973</Total>
        <ProgramServices>2576973</ProgramServices>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>1215772</Total>
        <ProgramServices>1215772</ProgramServices>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>184558</Total>
        <ProgramServices>184558</ProgramServices>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>45000</Total>
        <ProgramServices>45000</ProgramServices>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>1324989</Total>
        <ProgramServices>1324989</ProgramServices>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>8232403</Total>
        <ProgramServices>8232403</ProgramServices>
      </FeesForServicesOther>
      <Advertising>
        <Total>2263098</Total>
        <ProgramServices>2263098</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>3243667</Total>
        <ProgramServices>3243667</ProgramServices>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>16970483</Total>
        <ProgramServices>16970483</ProgramServices>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1313837</Total>
        <ProgramServices>1313837</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>1061496</Total>
        <ProgramServices>1061496</ProgramServices>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>314904</Total>
        <ProgramServices>314904</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>23124641</Total>
        <ProgramServices>23124641</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>657772</Total>
        <ProgramServices>657772</ProgramServices>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>2027829</Total>
        <ProgramServices>2027829</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>136001</Total>
        <ProgramServices>136001</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>Provision for Bad Debts</Description>
        <Total>-1050000</Total>
        <ProgramServices>-1050000</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Association Dues</Description>
        <Total>141340</Total>
        <ProgramServices>141340</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>0</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>120683906</Total>
        <ProgramServices>120683906</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>15747543</BOY>
        <EOY>44475555</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>21335000</BOY>
        <EOY>39084220</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>-2600000</BOY>
        <EOY>-500000</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>24759403</BOY>
        <EOY>23019038</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>12554227</BOY>
        <EOY>13687664</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>25181836</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>8048532</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>15125579</BOY>
        <EOY>17133304</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>120752000</BOY>
        <EOY>241984635</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>139143503</BOY>
        <EOY>73870000</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>310751757</BOY>
        <EOY>293529934</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>657569012</BOY>
        <EOY>746284350</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>28287307</BOY>
        <EOY>38369080</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>513039550</BOY>
        <EOY>581904515</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>29806847</BOY>
        <EOY>30745097</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>571133704</BOY>
        <EOY>651018692</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>86435308</BOY>
        <EOY>95265658</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>86435308</BOY>
        <EOY>95265658</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>657569012</BOY>
        <EOY>746284350</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="09000047" softwareVersion="2009v1.7">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type2>X</SupportingOrg509a3Type2>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Dr Kate Newcomb Convalescent Cente</BusinessNameLine1>
        </Name>
        <EIN>391357365</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Howard Young Health Care Inc</BusinessNameLine1>
        </Name>
        <EIN>391499115</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Marian Health System Inc</BusinessNameLine1>
        </Name>
        <EIN>363659989</EIN>
        <TypeOfOrganization>Type 1</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>117772</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Mercy Medical Center</BusinessNameLine1>
        </Name>
        <EIN>390806268</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>4988509</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Agape Community Center</BusinessNameLine1>
        </Name>
        <EIN>391461846</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>540000</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>St Clares Hospital of Weston Inc</BusinessNameLine1>
        </Name>
        <EIN>721531917</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>6384074</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Eagle River Memorial Hospital</BusinessNameLine1>
        </Name>
        <EIN>390985690</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>1404345</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Howard Young Medical Center</BusinessNameLine1>
        </Name>
        <EIN>390873606</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>5650647</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Good Samaritan Health Center</BusinessNameLine1>
        </Name>
        <EIN>390808503</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>2516546</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Door County Memorial Hospital</BusinessNameLine1>
        </Name>
        <EIN>390806324</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>1934614</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>St Elizabeth Hospital</BusinessNameLine1>
        </Name>
        <EIN>410693877</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>1267587</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Our Lady of Victory Hospital</BusinessNameLine1>
        </Name>
        <EIN>390807065</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>1858876</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Sacred HeartSt Marys Hospitals</BusinessNameLine1>
        </Name>
        <EIN>391390638</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>9657669</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>St Michaels Hospital</BusinessNameLine1>
        </Name>
        <EIN>390808443</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>10901453</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>St Josephs Hospital</BusinessNameLine1>
        </Name>
        <EIN>390847631</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>31894257</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Ministry Medical Group</BusinessNameLine1>
        </Name>
        <EIN>391965593</EIN>
        <TypeOfOrganization>2</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>8483821</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>Ministry Home Care</BusinessNameLine1>
        </Name>
        <EIN>391936201</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>1346276</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>17</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>88946446</SumOfAmounts>
      <GeneralExplanation>Line 11h Column (iv): The publicly supported organizations that are supported by Ministry Health Care, Inc. are not specifically identified in Ministry Health Care Inc.'s governing documents. However, there had been a historic and continuing relationship between Ministry Health Care, Inc. and its supported organizations and because of this relationship there exists a substantial commmon identity of interests between such organizations.Line 11h, Column (vii): The amount of support is quantified based upon what the organization provides for such services as management oversight, strategic planning, and other financial services. The organization bills the supported organization for these services.</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="09000047" softwareVersion="2009v1.7">
      <Form4720Filed4955Tax>false</Form4720Filed4955Tax>
      <CorrectionMade>false</CorrectionMade>
      <Volunteers>true</Volunteers>
      <PaidStaffOrManagement>true</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>true</MailingsMembers>
      <MailingsMembersAmount>100</MailingsMembersAmount>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>45000</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>19510</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>64610</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i</Identifier>
        <ReturnReference>Part II-B, Line 1i - Other Activities Description</ReturnReference>
        <Explanation>Part IIb - Paid staff and volunteers are used in various activities to influence legislation. In FY2010, volunteers sent letters to state-elected officials in support of an assessment on Critical Access Hospitals. Volunteers also sent letters to and met with/called members of Congress in support of federal funding for several pieces of clinical equipment and in conjuction with the Patient Protection and Affordable Care Act. Paid staff members sent letters to and had meetings with legislators on the same topics.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="09000047" softwareVersion="2009v1.7">
      <Land>
        <OtherCostOrOtherBasis>1960846</OtherCostOrOtherBasis>
        <BookValue>1960846</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>3930688</OtherCostOrOtherBasis>
        <Depreciation>1768913</Depreciation>
        <BookValue>2161775</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>408778</OtherCostOrOtherBasis>
        <Depreciation>258265</Depreciation>
        <BookValue>150513</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>18486857</OtherCostOrOtherBasis>
        <Depreciation>6021354</Depreciation>
        <BookValue>12465503</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>394667</OtherCostOrOtherBasis>
        <BookValue>394667</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>17133304</TotalOfBookValueLandBuildings>
      <TotalOfBookValueSecurities>73870000</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>Swap Receivable</Description>
        <BookValue>661637</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other AR</Description>
        <BookValue>37678</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LT Notes receivable - affiliates</Description>
        <BookValue>263837317</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>LT Constant Maturity Swap Receivable</Description>
        <BookValue>1365000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Investments in Affiliates/Non Affiliates</Description>
        <BookValue>10730587</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Interest Receivable</Description>
        <BookValue>15827379</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>General Suspense</Description>
        <BookValue>-334776</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Current Constant Maturity SwapReceivable</Description>
        <BookValue>1365000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Bond Funds</Description>
        <BookValue>40112</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>293529934</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Swap Marks to Market</Description>
        <Amount>16089318</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>SERP Liability 457f Plan</Description>
        <Amount>3312024</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Liability 457b Plan</Description>
        <Amount>11343755</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>30745097</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>The Corporation is a tax exempt corporation pursuant to Sections 501(c)(3) and 509(a)(3) of the Internal Revenue Code (the Code). The Corporation could be subject to federal and state income taxes on any unrelated business income under the provisions of Section 511 of the Code.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="09000047" softwareVersion="2009v1.7">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>false</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>William R Weider</NamePerson>
        <BaseCompensationFilingOrg>278090</BaseCompensationFilingOrg>
        <BonusFilingOrg>48961</BonusFilingOrg>
        <OtherCompensationFilingOrg>27261</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>49704</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21624</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>425640</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Theresa Richards</NamePerson>
        <BaseCompensationFilingOrg>277199</BaseCompensationFilingOrg>
        <BonusFilingOrg>23727</BonusFilingOrg>
        <OtherCompensationFilingOrg>48503</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>63676</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14891</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>427996</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Steven J Umland</NamePerson>
        <BaseCompensationFilingOrg>464300</BaseCompensationFilingOrg>
        <BonusFilingOrg>86442</BonusFilingOrg>
        <OtherCompensationFilingOrg>62177</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>97679</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>20172</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>730770</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Sr Lois Bush</NamePerson>
        <BaseCompensationFilingOrg>342900</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>75</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>462</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>343437</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ronald E Mohorek</NamePerson>
        <BaseCompensationFilingOrg>478109</BaseCompensationFilingOrg>
        <BonusFilingOrg>85857</BonusFilingOrg>
        <OtherCompensationFilingOrg>59753</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>108046</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21791</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>753556</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert Sookochoff MD</NamePerson>
        <BaseCompensationFilingOrg>326405</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>12046</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>18629</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16018</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>373098</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nicholas F Desien</NamePerson>
        <BaseCompensationFilingOrg>905799</BaseCompensationFilingOrg>
        <BonusFilingOrg>233995</BonusFilingOrg>
        <OtherCompensationFilingOrg>64546</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>710112</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21624</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>1936076</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Monica A Hilt</NamePerson>
        <BaseCompensationFilingOrg>247509</BaseCompensationFilingOrg>
        <BonusFilingOrg>30818</BonusFilingOrg>
        <OtherCompensationFilingOrg>16665</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>29473</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17217</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>341682</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Michael J Kryda MD</NamePerson>
        <BaseCompensationFilingOrg>407751</BaseCompensationFilingOrg>
        <BonusFilingOrg>53584</BonusFilingOrg>
        <OtherCompensationFilingOrg>145819</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>79822</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>7095</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>694071</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Michael A Schmidt</NamePerson>
        <BaseCompensationFilingOrg>343492</BaseCompensationFilingOrg>
        <BonusFilingOrg>45978</BonusFilingOrg>
        <OtherCompensationFilingOrg>86022</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>63676</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14891</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>554059</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mark L Fenlon MD</NamePerson>
        <BaseCompensationFilingOrg>298569</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>48236</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>17476</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>18737</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>383018</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jeffrey L Martin</NamePerson>
        <BaseCompensationFilingOrg>417041</BaseCompensationFilingOrg>
        <BonusFilingOrg>46529</BonusFilingOrg>
        <OtherCompensationFilingOrg>54548</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>110735</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15556</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>644409</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James Stewart Watson III MD</NamePerson>
        <BaseCompensationFilingOrg>481960</BaseCompensationFilingOrg>
        <BonusFilingOrg>62115</BonusFilingOrg>
        <OtherCompensationFilingOrg>38334</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>50895</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6973</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>640277</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Gerald M Worrick</NamePerson>
        <BaseCompensationFilingOrg>231019</BaseCompensationFilingOrg>
        <BonusFilingOrg>70711</BonusFilingOrg>
        <OtherCompensationFilingOrg>68290</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>36291</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>18636</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>424947</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Brian J Kief</NamePerson>
        <BaseCompensationFilingOrg>382940</BaseCompensationFilingOrg>
        <BonusFilingOrg>110302</BonusFilingOrg>
        <OtherCompensationFilingOrg>16391</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>39087</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>17217</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>565937</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 7</Identifier>
        <ReturnReference>Part I, Line 7: Non-Fixed payments not listed above</ReturnReference>
        <Explanation>See Part III - The Corporation has an executive incentive compensation plan with various measures to determine whether awards are granted, including operating cash flow (operating income/loss plus depreciation),other finanicial measures (salary to revenue and supply to revenue), customer service and care measures, measures of service to the poor and individual performance achievements. Amounts paid under this plan are included in taxable compensation and in column B (ii) on Schedule J, Part II. Amounts awarded under this plan are evaluated by an independent compensation consultant on behalf of the Compensation Committee of the Board of Directors and that Committee approves annual awards.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1b</Identifier>
        <ReturnReference>Part I, Line 1b: Reason for not following policy regarding payment provisions for expenses</ReturnReference>
        <Explanation>The following individuals received payments for health or social club dues or initiation fees. The personal use of those facilities is included in the taxable income of the recepients and in Column B(iii) on Scheudule J, Part II. Nicholas F. Desien, Michael J. Kryda, MD, Michael A. Schmidt, Jeffrey L. Martin &amp; Brian J. Kief. The provision of these benefits is evaluated by an independent compensation consultant on behalf of the Compensation Committee of the Board of Directors.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>See explanation below regarding Health or Social Club dues or initiation.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK.1" softwareId="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Wisconsin Health &amp; Educational Facilities Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>391337855</IssuerEIN>
        <CUSIPNumber>97710BWJ7</CUSIPNumber>
        <DateIssued>2010-06-17</DateIssued>
        <IssuePrice>78755138</IssuePrice>
        <DescriptionOfPurpose>See Schedule O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Wisconsin Health &amp; Educational Facilities Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>391337855</IssuerEIN>
        <CUSIPNumber>97710BSE3</CUSIPNumber>
        <DateIssued>2010-03-31</DateIssued>
        <IssuePrice>53775868</IssuePrice>
        <DescriptionOfPurpose>See Schedule O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Wisconsin Health &amp; Educational Facilities Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>391337855</IssuerEIN>
        <CUSIPNumber>97710BGK2</CUSIPNumber>
        <DateIssued>2009-02-02</DateIssued>
        <IssuePrice>118315000</IssuePrice>
        <DescriptionOfPurpose>See Schedule O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Wisconsin Health &amp; Educational Facilities Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>391337855</IssuerEIN>
        <CUSIPNumber>97710BAE2</CUSIPNumber>
        <DateIssued>2004-08-05</DateIssued>
        <IssuePrice>125000000</IssuePrice>
        <DescriptionOfPurpose>See Sch O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>78616473</TotalProceeds>
        <AmountUnspent>45588289</AmountUnspent>
        <IssuanceCostsFromProceeds>1004177</IssuanceCostsFromProceeds>
        <CapitalExpenditures>32024007</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>53775868</TotalProceeds>
        <IssuanceCostsFromProceeds>711346</IssuanceCostsFromProceeds>
        <CapitalExpenditures>53064522</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>118315000</TotalProceeds>
        <IssuanceCostsFromProceeds>2623551</IssuanceCostsFromProceeds>
        <CapitalExpenditures>115691449</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>135729233</TotalProceeds>
        <IssuanceCostsFromProceeds>4421108</IssuanceCostsFromProceeds>
        <CapitalExpenditures>131308125</CapitalExpenditures>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00020</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00424</PercentageOfPrvtBusinessReUBI>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00200</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00100</PercentageOfPrvtBusinessReUBI>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Governing documents are not generally made available to the public with the exception of Form 990 and its related schedules.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Senior Executives of the Corporation have their salary and benefits reviewed by an outside independent compensation consulting firm to determine that the compensation is fair market value compensation. A Compensation Committee of the Board of Directors meets with the compensation consultant at least annually to approve the executive compensation and benefit levels.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Officers, directors, trustees, and VPs and above of Ministry Health Care, Inc. and its related organizations are provided the conflict of interest policy and sign off, where any exceptions are noted, on an annual basis. The Corporation's CEO reviews the conflict of interest sign offs and disclosures, addresses potential or actual conflicts and takes appropriate measures to eliminate or otherwise mitigate such potential or actual conflicts of interests including, but not limited to, prohibiting such individuals from voting or influencing the vote on the subject matter.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The Finance and Investment Committee of the organization is provided a copy of the 990 and related attachments and those materials were reviewed with the Committee. This role was specifically delegated to the Finance and Investment Committee by the Ministry Health Care, Inc. Board of Directors. Management of the organization reviews the 990 to ensure its accuracy and completeness prior to providing to the Finance and Investment Committee and certain portions of the form are reviewed by legal counsel.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>Marian Health System, Inc. (Marian) is the sole corporate member of Ministry Health Care, Inc. Marian is a 501(c)(3) tax exempt organization. Marian holds various reserved governance powers over Ministry Health Care, including approval of Board members, the Chief Executive Officer, governing documents, the auditing firm, budgets and financial plans.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Marian Health System, Inc. (Marian) is the sole corporate member of Ministry Health Care, Inc. Marian is a 501(c)(3) tax exempt organization. Marian holds various reserved governance powers over Ministry Health Care, including approval of Board members, the Chief Executive Officer, governing documents, the auditing firm, budgets and financial plans.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Several officers and key employees of Ministry Health Care, Inc. have business relationships in that they also serve as officers or directors of another organization(s) within the Ministry Health system. This includes the following individuals: Nicholas Desien, Brian Kief, Jeff Martin, Monica Hilt, Michael Kryda, Sr. Lois Bush and James Watson.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="09000047" softwareVersion="2009v1.7">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Portage County Development LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3100 Business Park Drive</AddressLine1>
          <City>Stevens Point</City>
          <State>WI</State>
          <ZIPCode>54481</ZIPCode>
        </AddressUS>
        <PrimaryActivities>Property management</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <EOYAssets>1267953</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Ministry Home Care Services LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>611 St Joseph Avenue 4S</AddressLine1>
          <City>Marshfield</City>
          <State>WI</State>
          <ZIPCode>54449</ZIPCode>
        </AddressUS>
        <EIN>391935942</EIN>
        <PrimaryActivities>Home infusion services</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <TotalIncome>1659000</TotalIncome>
        <EOYAssets>6017000</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>Ministry Home Care Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Putnam Capital Management</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>7505 Stone Ridge Drive</AddressLine1>
          <City>Schofield</City>
          <State>WI</State>
          <ZIPCode>54476</ZIPCode>
        </AddressUS>
        <PrimaryActivities>Capital management</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <TotalIncome>-103049</TotalIncome>
        <EOYAssets>6903037</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Ministry Weight Management Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2251 North Shore Drive</AddressLine1>
          <City>Rhinelander</City>
          <State>WI</State>
          <ZIPCode>54501</ZIPCode>
        </AddressUS>
        <EIN>391829015</EIN>
        <PrimaryActivities>Health Services</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Sacred Heart - St Marys Hospital Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Partners with Saint Josephs Hospital of</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>611 Saint Joseph Avenue</AddressLine1>
          <City>Marshfield</City>
          <State>WI</State>
          <ZIPCode>54449</ZIPCode>
        </AddressUS>
        <EIN>396094701</EIN>
        <PrimaryActivities>Hospital Auxiliary</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11,TypeIII-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Josephs Hospital of Marshfield</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Community Foundation of St Michaels Ho</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>900 Illinois Avenue</AddressLine1>
          <City>Stevens Point</City>
          <State>WI</State>
          <ZIPCode>54481</ZIPCode>
        </AddressUS>
        <EIN>391657410</EIN>
        <PrimaryActivities>Charitable Foundation</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Michaels Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Good Samaritan Health Center Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 South Center Avenue</AddressLine1>
          <City>Merrill</City>
          <State>WI</State>
          <ZIPCode>54452</ZIPCode>
        </AddressUS>
        <EIN>391627755</EIN>
        <PrimaryActivities>Charitable Foundatioin</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Good Samaritan Health Center</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Foundation of St Josephs Hospital of M</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>611 Saint Joseph Avenue</AddressLine1>
          <City>Marshfield</City>
          <State>WI</State>
          <ZIPCode>54449</ZIPCode>
        </AddressUS>
        <EIN>391684957</EIN>
        <PrimaryActivities>Charitable Foundation</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Josephs Hospital of Marshfield Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Foundation of Saint Clares Hospital of</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3400 Ministry Parkway</AddressLine1>
          <City>Weston</City>
          <State>WI</State>
          <ZIPCode>54476</ZIPCode>
        </AddressUS>
        <EIN>733193633</EIN>
        <PrimaryActivities>Charitable Foundation</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Saint Clares Hospital of Weston Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Howard Young Clinics Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>240 Maple Street</AddressLine1>
          <City>Woodruff</City>
          <State>WI</State>
          <ZIPCode>54568</ZIPCode>
        </AddressUS>
        <EIN>391969706</EIN>
        <PrimaryActivities>Clinic</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Howard Young Health Care Inc</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Howard Young Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>240 Maple St</AddressLine1>
          <City>Woodruff</City>
          <State>WI</State>
          <ZIPCode>54568</ZIPCode>
        </AddressUS>
        <EIN>391521169</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Dr Kate Newcomb Convalescent Cente</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>301 Elm St</AddressLine1>
          <City>Woodruff</City>
          <State>WI</State>
          <ZIPCode>54568</ZIPCode>
        </AddressUS>
        <EIN>391357365</EIN>
        <PrimaryActivities>LTC Facility</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Howard Young Health Care Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>240 Maple St</AddressLine1>
          <City>Woodruff</City>
          <State>WI</State>
          <ZIPCode>54568</ZIPCode>
        </AddressUS>
        <EIN>391499115</EIN>
        <PrimaryActivities>Home Office</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Marian Health Systems Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1923 South Utica Avenue</AddressLine1>
          <City>Tulsa</City>
          <State>OK</State>
          <ZIPCode>74104</ZIPCode>
        </AddressUS>
        <EIN>363659989</EIN>
        <PrimaryActivities>Parent Corp</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>500 S Oakwood Road</AddressLine1>
          <City>Oshkosh</City>
          <State>WI</State>
          <ZIPCode>54904</ZIPCode>
        </AddressUS>
        <EIN>390806268</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Agape Community Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6100 North 42nd Street</AddressLine1>
          <City>Milwaukee</City>
          <State>WI</State>
          <ZIPCode>53209</ZIPCode>
        </AddressUS>
        <EIN>391461846</EIN>
        <PrimaryActivities>Community Center</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Clares Hospital of Weston Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3400 Ministry Parkway</AddressLine1>
          <City>Weston</City>
          <State>WI</State>
          <ZIPCode>54476</ZIPCode>
        </AddressUS>
        <EIN>721531917</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Eagle River Memorial Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>201 Hospital Road</AddressLine1>
          <City>Eagle River</City>
          <State>WI</State>
          <ZIPCode>54521</ZIPCode>
        </AddressUS>
        <EIN>390985690</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Howard Young Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>240 Maple Street</AddressLine1>
          <City>Woodruff</City>
          <State>WI</State>
          <ZIPCode>54568</ZIPCode>
        </AddressUS>
        <EIN>390873606</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Good Samaritan Health Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 South Center Avenue</AddressLine1>
          <City>Merrill</City>
          <State>WI</State>
          <ZIPCode>54452</ZIPCode>
        </AddressUS>
        <EIN>390808503</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Door County Memorial Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>323 South 18th Avenue</AddressLine1>
          <City>Sturgeon Bay</City>
          <State>WI</State>
          <ZIPCode>54235</ZIPCode>
        </AddressUS>
        <EIN>390806324</EIN>
        <PrimaryActivities>Hospital/Clinic/Nursing Home</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Elizabeth Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1200 Grant Blvd West</AddressLine1>
          <City>Wabasha</City>
          <State>MN</State>
          <ZIPCode>55981</ZIPCode>
        </AddressUS>
        <EIN>410693877</EIN>
        <PrimaryActivities>Hospital/Nursing Home</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Our Lady of Victory Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1120 Pine Street</AddressLine1>
          <City>Stanley</City>
          <State>WI</State>
          <ZIPCode>54768</ZIPCode>
        </AddressUS>
        <EIN>390807065</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sacred HeartSt Marys Hospitals</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 West Mohawk Drive/2251 North Sh</AddressLine1>
          <City>TomahawkRhinelander</City>
          <State>WI</State>
          <ZIPCode>544875450</ZIPCode>
        </AddressUS>
        <EIN>391390638</EIN>
        <PrimaryActivities>Hospitals</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Michaels Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>900 Illinois Avenue</AddressLine1>
          <City>Stevens Point</City>
          <State>WI</State>
          <ZIPCode>54481</ZIPCode>
        </AddressUS>
        <EIN>390808443</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Josephs Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>611 Saint Joseph Avenue</AddressLine1>
          <City>Marshfield</City>
          <State>WI</State>
          <ZIPCode>54449</ZIPCode>
        </AddressUS>
        <EIN>390847631</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Ministry Medical Group</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>824 Illinois Avenue</AddressLine1>
          <City>Stevens Point</City>
          <State>WI</State>
          <ZIPCode>54481</ZIPCode>
        </AddressUS>
        <EIN>391965593</EIN>
        <PrimaryActivities>Clinics</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type 1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Ministry Home Care</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>611 St Joseph Avenue 4S</AddressLine1>
          <City>Marshfield</City>
          <State>WI</State>
          <ZIPCode>54449</ZIPCode>
        </AddressUS>
        <EIN>391936201</EIN>
        <PrimaryActivities>Home Care/Hospice</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Diagnostic and Treatment Center</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3401 Cranberry Blvd</AddressLine1>
          <City>Weston</City>
          <State>WI</State>
          <ZIPCode>54476</ZIPCode>
        </AddressUS>
        <EIN>200691634</EIN>
        <PrimaryActivity>Ancillary</PrimaryActivity>
        <LegalDomicileState>WI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Clare</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>50</ShareOfTotalIncome>
        <ShareOfEOYAssets>50</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Diagnostic and Treatment Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>7500000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Diagnostic and Treatment Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>231348</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Diagnostic and Treatment Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>18446</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Howard Young Foundation Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>34096</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>2848259</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>2140250</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>27399012</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>2013346</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Agape Community Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>540000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Clares Hospital of Weston Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>2360692</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Clares Hospital of Weston Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>4023382</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Clares Hospital of Weston Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>152139638</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Clares Hospital of Weston Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>10647760</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eagle River Memorial Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>599228</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Eagle River Memorial Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>805140</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Howard Young Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>2416927</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Howard Young Medical Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>3199600</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Good Samaritan Health Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>1074923</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Good Samaritan Health Center</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>1441622</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Door County Memorial Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>563776</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Door County Memorial Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>1370838</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Door County Memorial Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>2590435</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Door County Memorial Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>186209</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Elizabeth Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>319552</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Elizabeth Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>948035</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Elizabeth Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>1161522</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Elizabeth Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>87738</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Our Lady of Victory Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>648249</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Our Lady of Victory Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>1210627</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Our Lady of Victory Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>13900614</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Our Lady of Victory Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>800659</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Sacred HeartSt Marys Hospitals</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>4735151</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Sacred HeartSt Marys Hospitals</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>4922518</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Sacred HeartSt Marys Hospitals</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>28631646</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Sacred HeartSt Marys Hospitals</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>1922154</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Michaels Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>3200000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Michaels Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>4759851</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Michaels Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>6141602</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Michaels Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>8227295</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Michaels Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>505855</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Josephs Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>r</TransactionType>
        <AmountInvolved>15000000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Josephs Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>17661458</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Josephs Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>16232799</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>St Josephs Hospital</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>85283</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Ministry Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>2580228</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Ministry Medical Group</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>5903593</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Ministry Home Care</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>497341</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Ministry Home Care</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>n</TransactionType>
        <AmountInvolved>848935</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Ministry Home Care</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>d</TransactionType>
        <AmountInvolved>3010000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>