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      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
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      <OtherLiabilities>
        <Description>Charitable Gift Annuities</Description>
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      <OtherLiabilities>
        <Description>Patient Refund Clearing</Description>
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        <Description>Fixed Asset Retirement Obligation</Description>
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      <OtherLiabilities>
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      <OtherLiabilities>
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      <OtherLiabilities>
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      <WrittenPolicy>1</WrittenPolicy>
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      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
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      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>3592359</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>3592359</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00940</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>13201545</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5071506</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8130039</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02120</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>16793904</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5071506</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11722398</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03060</PercentOfTotalExpense>
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      <CommunityHealthServices>
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        <DirectOffsettingRevenue>93436</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1020703</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00270</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>7887</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>7887</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>2297927</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2297927</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00600</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>22348</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>22348</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>316124</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>316124</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>3758425</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>93436</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3664989</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00960</PercentOfTotalExpense>
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      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>20552329</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>5164942</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>15387387</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04020</PercentOfTotalExpense>
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      <CommunitySupport>
        <TotalCommunityBuildingExpense>125805</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>160217</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>-34412</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CommunitySupport>
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        <TotalCommunityBuildingExpense>125805</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>160217</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>-34412</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>7399117</BadDebtExpenseAmount>
      <AmountAttributableTo>390999</AmountAttributableTo>
      <AmountReimbursedByMedicare>125465084</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>135765784</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-10300700</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>1 Physicians Outpatient Surgery Center LLC</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Outpatient multi-specialty ambulatory surgery services</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.78000</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.22000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Holy Cross Hospital Inc</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>4725 N Federal Hwy</AddressLine1>
          <City>Ft Lauderdale</City>
          <State>FL</State>
          <ZIPCode>333084603</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>NOT APPLICABLE</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Physicians Outpatient Surgery Center LL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1000 North East 56th Street</AddressLine1>
            <City>Oakland Park</City>
            <State>FL</State>
            <ZIPCode>33334</ZIPCode>
          </Address>
          <FacilityType>Ambulatory Surgery Center</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 6a: Holy Cross Hospital issues it's own community benefit report in addition to a related organization, Catholic Health East, issuing a consolidated report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: Costing methodology used is cost-to-charge ratio derived from worksheet 2, ratio of patient care cost-to-charge ratio.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 33899621.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part II: Holy Cross Hospital's Community Outreach Department is the sponsor of the National School Lunch Program and Summer Food Service Program. Responsibilities include: application, planning, coordination, implementation, monitoring, etc. of all aspects of the programs in targeted lower-income (and Title I) parochial and private schools. As a result of these programs, the overall health of students has improved due to increased access to nutritious, quality food provided in portion controlled servings. This program has also provided economic relief for the families whose children receive free or reduced rate lunches/snacks.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived as defined in the Form 990 Schedule H instructions and using the worksheets provided for in the Form 990 Schedule H. The cost-to-charge ratio derived from above was applied to total bad debt write-offs to calculate the costs for line 2. The organization derives the cost-to-charge ratio by using Worksheet 2 - Ratio of Patient Care Costs to Charges. Worksheet 2 computes the adjusted patient care costs by taking Total Operating Expenses and subtracting non-patient care activities, Medicaid provider taxes, total community benefit expense and Bad Debt expense. We then divide the adjusted patient care costs by gross patient charges.While we make all reasonable efforts to identify patients eligible for charity care prior to billing, such pre-billing identification is not always possible. This arises largely with patients treated in our Emergency Department ("ED") on an outpatient basis. Frequently, these patients do not complete an application for financial assistance therefore making a definitive determination difficult. The estimated amount of bad debt for patients who qualify for financial assistance is calculated for line 3 based on a review of charity write-offs, and estimating the amount of that cost that could be bad debt using the cost-to-charge ratio as described above. Per the organization's audited financial statements in regards to determining bad debt: "The Company provides an allowance for uncollectible accounts for estimated losses resulting from the unwillingness of patients and other third party payors to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are charged off against the allowance for uncollectible accounts when management determines that recovery is unlikely and the Company ceases collection efforts."</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: None of the shortfall is treated as community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: Collection efforts are placed on hold for patients that are known to qualify for charity care or financial assistance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: Holy Cross Hospital, Inc. actively conducts a Community Needs Assessment every (3) years which is inclusive of primary and secondary research methodologies - focus groups, key informant interviews, studies, findings, and a group process (including community members). In addition, local data including information from the health data warehouse, and the Quality of Life Assessments are provided by the Broward Regional Health Planning Council is assessed as part of an ongoing and continuous environmental scan. During the months of March - June, 2010 Holy Cross conducted its Needs Assessment. In addition to the resulting Needs Assessment product, the Community Health Improvement Plan 2011-2013 was also developed.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: Holy Cross Hospital's Admissions Clerks and Patient Financial Services Department are knowledgeable of federal, state, and local programs and assist patients in applying for these benefits. In addition, Financial Assistance applications for the hospital's charity care program are readily available for hospital and medical group patients. Signs informing patients of the program's availability are posted at the Admissions desk in the hospital. In addition, patients may glean information and applications on-line, via the in-house Medicaid application agency, from their Case Manager, Medical Group Office manager, or admissions clerk.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: The primary service area (PSA) from which 77% of Holy Cross's inpatient admissions and 80% of outpatient visits emanate consists of 24 zip codes (9) different cities. The secondary service area (SSA) consists of 42 zip codes and represents approximately 13% of the inpatient and 11% of the outpatient visits. The PSA and SSA populations are significantly older than that of the U.S. (median age of 40.0 and 40.6 vs. 36.3). Approximately 45% of the PSA population is over the age of 45.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: Holy Cross Hospital has a very active and dynamic Community Outreach ("CO") Department. Through this department, a majority of the community based services are performed. The CO Department faciltates access to healthcare to populations in need by identifying, advocating, educating, procuring and providing health related resources and disease prevention to better serve and improve the health of lower income, minority, and underserved populations. In 2010, more than 33,000 individuals were served by this Department. All programming is inclusionary of children, youth, adults and seniors and is provided within the underserved community sites. Services include: childhood immunization, children's hearing, vision and scoliosis screening, mobile medical screening services, health education classes, senior support groups, health assessments and referrals, HIV testing, referrals and medication, co-payment, hunger relief efforts, and sponsorship of federally funded children's school nutrition program.The Parish Nurse Starquest Program:Outreach to the Isolated and Underserved The Parish Nursing Program promotes senior independence while caring for individual health needs. The programs intention is to promote health and well-being to individuals with decreased access to socialization, peer interaction, and family relationships by providing myriad services to parishioners at three targeted churches. Programming includes health education, counseling and support, healthcare management, health assessment, observation and referrals into care, loss and bereavement support groups, and Starquest Transport. By the Numbers: 4,500 Seniors Served2,477 at the Parish106 Education Groups for 920 Individuals64 Support Groups for 423 Individuals268 Hospital Visits270 Home Visits142 Nursing Home Visits 382 senior riders provided with 393 transports via the Starquest Transport ProgramThe Holy Cross Goodstart Program:Impacting the Community by Bringing Children and Seniors Together In its sixth year of programming, the Holy Cross Goodstart Program has coordinated and presented innovative health education classes for licensed child daycare centers and homes in the community surrounding Holy Cross. Classes, seminars and children's learning activities are structured to meet the special educational needs of caregivers, pre-kindergarten children and their parents.In addition to providing health education classes for socio-economically challenged daycare centers and pre-schools, the program acknowledges the impactful role seniors play in the lives of children. Once a month, a group of special grandparents meet at Holy Cross for four hours to learn about different children's health-related topics. Topics include nutrition, emotions, heart health, stranger safety, dental health and hygiene. These grandparents, who volunteer at local daycare centers in Broward County, return to the classroom empowered and filled with new information and skills to interact with small children. The program also provides a great social setting and an opportunity for these grandparents to share information and learn from each other. "I find it very interesting. I meet people I would not normally meet in the same age group," said Dorothy Vernon from Fort Lauderdale.Goodstart by the Numbers 170 Children's Learning Activities for 2,379 Preschool Children10 Classes for 259 Jan Moran Collier City Library School-Age Children 10 Caregiver Workshops for 93010 Goodstart Grandparent Workshops for 228 SeniorsThe Holy Cross School Health Program:Benefits for our Uninsured Youth The Community Outreach Team School Health program provides health screenings (vision, hearing and scoliosis), immunizations, health room observations, and health education to all Broward Elementary Parochial schools. The department also serves as a resource to all Miami-Dade Parochial Elementary Schools. Health education classes for girls continue to be provided at the Detention Center on a routine basis. Class subjects include female health and maturity, effective parenting, abuse and violence. In 2010, classes regarding health, healthy relationships, goal setting and coping strategies were provided to students at an alternative middle schoolYouth Services by the Numbers 3,905 Screenings: 390 Referrals for Follow Up 178 Clinic Visits1,438 Immunization Compliance Reviews605 Immunizations76 Health classes to 1,538 Students12 Health &amp; CPR classes to 282 School Staff Members56 Parent/Teacher Conferences24 Classroom Observations Nutritional Assistance:Meeting the Basic Needs of the CommunityFrom school children to seniors, we worked with people from all walks of life who, for multiple reasons, found themselves in need of nutritional assistance. The Community Outreach Department continues to be an authorized host provider of the National School Lunch Program (NSLP) and a technical assistance resource to independent parochial school NSLP providers. The goal is for every qualified parochial school to seek and glean independent NSLP sponsorship; four former HCH sponsored schools achieved this goal in 2010.Hunger Initiatives by the Numbers The National School Lunch Program (74,166 meals served) Year-round hospital-wide food drive donated to local Food Pantry Contributions (more than 223 tons of canned and dried goods donated) Collier City Kids Health Programming Monthly Meal (259 meals served) Goodstart Senior Grandparent Program Monthly Meal (228 meals served) Goodstart Caregiver Monthly Program (930 meals served) Publix Gift Cards for Associates and Community (25,000) Thanksgiving Donations to Associates and Community (24,525 pounds) HIV/AIDS Family Meal Program Donations (1,200 meals) HIV/AIDS Homeless HIV+ Backpack Program (1,224 meals)Facilitated Food Meals through the SHARE Discounted Grocery Program for Associates (5,000)Growing Healthy Kids:A Multifaceted Approach to Encourage Healthy EatingThe Growing Healthy Kids Program enhances classroom learning by experiential learning outside of the classroom, including on-site school vegetable gardens. We have found that students are more enthusiastic about eating vegetables when they have a hand in their growth.23 Broward, Miami-Dade and Monroe County Parochial Elementary Schools are participating in the Growing Healthy Kids Program, while 9,547 students are participating in nutrition activities on a routine basis in their classrooms. And more than 50 edible gardens have been planted on school sites and are tended to by students, teachers and parent volunteers.Growing Healthy Kids Services by the Numbers 23 Broward, Miami-Dade and Monroe County Parochial Elementary Schools provided with services9,547 students are participating in nutrition activities on a routine basis in their classrooms 3,504 nutrition lessons and activities have been taught to students50 edible gardens have been planted on school sites and are tended to by students and adult Champions 58 trainings to 281 teachers and 39 food service workers7 community programs incepted each with a gardenHIV/AIDS Testing Outreach Program:Rapid Attention to Enhance CareHoly Cross provides HIV rapid testing inclusive of pre- and post-test counseling and linkage to care. The goal of the program is to make individuals aware of their status and, if positive, link them to care and treatment. Test sites are located throughout the community at targeted locations in addition to on-site at the Community Outreach office. The HIV Medication Co-Payment Program reimburses third-party medication deductibles and co-payments for FDA approved drugs listed in the Broward County Ryan White Part B Drug Formulary.HIV Care by the Numbers 8,000 client contacts made by outreach coordinators4,134 Tests Provided in 2010207 Persons Identified as Positive and Referred/Case Managed into Medical Care 25% of Those Tested Were Homeless 112 Individuals Served by HIV Medication Co-Pay program740 Units of Service: Prescriptions and / or Co-payment ProvidedCommunity Building: Helping the Homeless in Our Community Through Community Outreach's efforts, the number of homeless individuals served increased by 54%. From incepting partnerships for our mobile health program; administration to flu shots; blanket drives during frigid winter weather; and holiday shows for sheltered homeless families Holy Cross Hospital makes every attempt to respond to the needs.Helping the Homeless by the Numbers1,158 clients seen on board our Mobile Health program54 trips made to targeted communities678 served through HIV programming services</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 7: Catholic Health East (CHE) is a multi-institutional Catholic health system, which is co-sponsored by nine religious congregations and Hope Ministries, a Public Juridic Person within CHE. Based in Newtown Square, Pennsylvania, the System provides the means to ensure the continuation of the Catholic identity and operational strength of the sponsors' health ministries, which are located within 11 eastern states from Maine to Florida. The System includes 34 acute care hospitals, four long-term acute care hospitals, 25 freestanding and hospital-based long-term care facilities, 14 assisted-living facilities, four continuing care retirement communities, eight behavioral health and rehabilitation facilities, 37 home health/hospice agencies, and numerous ambulatory and community-based health services. Catholic Health East facilities employ approximately 54,000 full-time employees as partners in ministry.Part VI, line 7: The list of states in which CHE's community benefit report is filed are: Alabama, Connecticut, Delaware, Florida, Georgia, Maine, Massachusetts, New Jersey, North Carolina and Pennsylvania.Part VI, Line 5 - Continued:Holy Cross Hospital Response to Outstanding Community Needs and Community Benefit In 2010, Holy Cross Hospital provided $11.7 in care for the disadvantaged, community benefits and education and $3.6 million in net cost of hospital patient care services, including charity care, public programs and other programs.Community Outreach provided 33,149 individuals with direct services, health screenings, and health education. In addition to providing services to lower income minority communities, priority populations targeted for programs included the homeless, uninsured and underinsured and seniors. Homeless Outreach Programming has expanded this year and 25% of Community Outreach's ETI program participants were homeless. Efforts by all programs included participation in the community's Point In Time Survey; provision of health screenings and health education and the provision of weekend food backpacks to HIV positive homeless individuals. A children's holiday show was sponsored by the Department for more than 100 sheltered homeless families and was met with great success.Community Building efforts were concentrated in large part to the Haitian Relief efforts both locally and abroad. Efforts included: formulating a local response task-force; coordinating donations and distribution; and responding to volunteer requests and needs. The outcomes of these efforts have been provided in educational forums to benefit communities and better prepare them in the event of disaster and the need for immediate and long-term response. Continued provision of the sponsorship of the National School Lunch Program to targeted parochial schools provides local family with access to nutritious, portion controlled lunches at low or no cost. The Community Outreach Department provided 74,166 hot lunches this year to 703 unduplicated students.The Mercy Family Life Center, a medical group facility providing primary care to homeless, uninsured, underinsured and refugees has provided essential direct care services to hundreds of patients. For many families fleeing from the despair and destruction caused by the earthquake in Haiti, it is a true blessing. The Center played an instrumental part in facilitating the matriculation of children into our Broward County schools. Matriculation to school provided a "normalizing" in their lives; a sense of routine, stability and safety. During January and April Holy Cross Medical Group physicians and Community Outreach School Health Services were instrumental in providing more than 150 necessary medical care, exams and clearances for hundreds of Haitian refugee children to begin school in Broward County for no charge.Reaching Out: A Mission to Treat People with the Reverence They Deserve When the earthquake hit Haiti in January 2010, it was the most devastating disaster the country had experienced.</Explanation>
      </Form990ScheduleHPartVI>
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        <NamePerson>Sister Rita Levasseur Sch O</NamePerson>
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        <NamePerson>Linda V Wilford Sch O</NamePerson>
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        <NamePerson>James Desmarteau</NamePerson>
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        <NamePerson>Martin Roche MD</NamePerson>
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        <NamePerson>W Porter McRoberts MD</NamePerson>
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        <NamePerson>Jonathan Levy MD</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>William Leone JR MD</NamePerson>
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        <NamePerson>Brian Fingado MD</NamePerson>
        <BaseCompensationFilingOrg>230400</BaseCompensationFilingOrg>
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        <BonusFilingOrg>478332</BonusFilingOrg>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Club Dues in behalf of John Johnson, Former CEO - Tower Club, Ft. Lauderdale, FL-Membership Dues $1,575.</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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        <IssuerName>
          <BusinessNameLine1>City of Miami Florida Health Facilities Authority</BusinessNameLine1>
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        <IssuerEIN>592252396</IssuerEIN>
        <CUSIPNumber>59341PAP3</CUSIPNumber>
        <DateIssued>2003-11-25</DateIssued>
        <IssuePrice>32624712</IssuePrice>
        <DescriptionOfPurpose>Capital Expenditure</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
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        <IssuerName>
          <BusinessNameLine1>City of Tampa Florida</BusinessNameLine1>
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        <IssuerEIN>591101138</IssuerEIN>
        <CUSIPNumber>875231JR4</CUSIPNumber>
        <DateIssued>2010-04-07</DateIssued>
        <IssuePrice>26829425</IssuePrice>
        <DescriptionOfPurpose>Partial Refunding 1998 City of Tampa, Florida</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
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        <TotalProceeds>32624712</TotalProceeds>
        <AmountInReserveFund>2223876</AmountInReserveFund>
        <IssuanceCostsFromProceeds>497679</IssuanceCostsFromProceeds>
        <CapitalExpenditures>29903157</CapitalExpenditures>
        <YearOfSubstCompletion>2004</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
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        <TotalProceeds>26829425</TotalProceeds>
        <IssuanceCostsFromProceeds>377525</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>26451900</OtherSpentProceeds>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
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        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>1</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
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        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>1</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>Citibank Financial</BusinessNameLine1>
          <BusinessNameLine2>Products Inc</BusinessNameLine2>
        </NameOfGICProvider>
        <TermOfGIC>30.000000000000</TermOfGIC>
        <RegulatorySafeHarborSatisfied>1</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
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        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
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      <Form990ScheduleKPartV>
        <Identifier>Part III, Line 3a:</Identifier>
        <Explanation>The organization has entered into various management and service contracts. Collectively, these contracts do not constitute an amount of private business use that exceeds the prescribed percentage.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Catholic Health East is the sole member.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>Yes, Catholic Health East approves the appointment of the members of the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>Catholic Health East has limited reserved power to approve decisions of the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The organization took steps to educate management, members of the board and members of appropriate subcommittees of the board on the compliance requirements mandated by the Form 990. The form was reviewed by management and then submitted to a subcommitte thereof which reported its findings to the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Catholic Health East Policy 103 sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving the organization in a fiduciary capacity, including directors, officers and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and board chair. Summary information is reported to the entire board and available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The organization adopted Catholic Health East's process for determining compensation which includes the following: The board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Organizational articles of incorporation, corporate bylaws, governance policies believed to be of interest to the public, conflict-of-interest policy, annual community benefit report and IRS Form 990 are available to the public through the organization's web site.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990 Part VII and Schedule J:</ReturnReference>
        <Explanation>John C. Johnson's Compensation: The compensation for John C. Johnson is reflective of two positions held in 2010. From January 1, 2010 through April 30, 2010 Mr. Johnson was President and Chief Executive Officer and the compensation for that period is reflective of responsibility over Holy Cross Hospital, Inc. with joint responsibility over Mercy Hospital, Inc. (a related of which CHE is the sole member). As of May 1, 2010, Mr. Johnson was promoted to Executive Vice President Ministry Operations for Catholic Health East. Approximately $472,000 of the total compensation was deferred compensation that was earned in prior years and that vested in 2010. The estimated breakdown for Holy Cross Hospital is Base Compensation $95,624; At Risk Compensation $26,998; Other Reportable Compensation $115,984; Deferred Compensation $3,007; and Nontaxable Benefits $4,808. The estimated breakdown for Mercy Hospital is Base Compensation $95,624; At Risk Compensation $26,999; Other Reportable Compensation $115,984; Deferred Compensation $3,007; and Nontaxable Benefits $4,808. The estimated breakdown for CHE System Office is Base Compensation $382,497; At Risk Compensation $107,994; Other Reportable Compensation $463,935; Deferred Compensation $12,029; and Nontaxable Benefits $19,231. The total amount of Mr. Johnson's compensation is paid out of Catholic Health East. Patrick Taylor M.D.'s Compensation: The compensation for Patrick Taylor, M.D. is reflective of two positions held in 2010 at Holy Cross Hospital. From January 1, 2010 through April 30, 2010 he was Chief Operating Officer. As of May 1, 2010, Dr. Taylor was promoted to President and Chief Executive Officer. The compensation of Dr. Taylor as President and CEO is paid out of Catholic Health East. Linda V. Wilford's Compensation: The Chief Financial Officer (CFO) compensation is reflective of responsibility over Holy Cross Hospital, Inc. with joint responsibility over Mercy Hospital, Inc. (a related of which CHE is the sole member). The estimated breakdown for Holy Cross Hospital is Base Compensation $184,267; At Risk Compensation $60,506; Other Reportable Compensation $4,519; Deferred Compensation $85,773; and Nontaxable Benefits $9,517. The estimated breakdown for Mercy Hospital is Base Compensation $122,845; At Risk Compensation $40,338; Other Reportable Compensation $3,013; Deferred Compensation $57,182; and Nontaxable Benefits $6,344. Nora Triola's Compensation: The compensation for Nora Triola is reflective of two positions held in 2010. From January 1, 2010 through August 1, 2010 she was Chief Nursing Officer and the compensation for that period is reflective of responsibility over Holy Cross Hospital, Inc. with joint responsibility over Mercy Hospital, Inc. (a related of which CHE is the sole member). As of August 2, 2010, Ms. Triola was promoted to Executive Vice President and Chief Nursing Officer for Catholic Health East. The estimated breakdown for Holy Cross Hospital is Base Compensation $122,584; At Risk Compensation $44,284; Other Reportable Compensation $2,196; Deferred Compensation $34,697; and Nontaxable Benefits $5,956. The estimated breakdown for Mercy Hospital is Base Compensation $122,584; At Risk Compensation $44,284; Other Reportable Compensation $2,196; Deferred Compensation $34,697; and Nontaxable Benefits $5,956. The estimated breakdown for CHE System Office is Base Compensation $133,269; At Risk Compensation $15,000; Other Reportable Compensation $10,473; Deferred Compensation $5,997; and Nontaxable Benefits $5,285. The compensation for Ms. Triola as CHE EVP and CNO is paid out of Catholic Health East. Sister Rita Levasseur's Compensation: All compensation paid on behalf of the Sisters goes to their religious order.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII, Section A</ReturnReference>
        <Explanation>During 2010 Sister Susan Welsh received $342,630 of compensation from a related organization. The total amount of Sister Susan Welsh's compensation is paid directly to the Sisters of Mercy on her behalf.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized gains on investments: 202,224. Donated services and use of facilities: 3,701,243. Investment Income 79,330. Release from Restrictions -8,103,891. Annuity Expense &amp; Payouts -279,095. Pension Adjustment -4,420,425. Loss of Discontinued Operation -2,099,289. Transfer to/from Affiliates 404,567. Transfer to/from Capital 6,843,087. Net Assets Release from Restricted 2,253,564. North Ridge Contra Account 2,098,416. Unrestricted Contribution 219,978. All Other Contributions, Gifts, Grants and Similar Amounts -3,943,573. Equity in Earnings 169,424. Loss on Extinguishment of Debt -1,051,933. Change in Fair Value of Interest Rate Swap -970,961. Total to Form 990, Part XI, Line 5: -4,897,334.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health System of Maine</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>144 State Street</AddressLine1>
          <City>Portland</City>
          <State>ME</State>
          <ZIPCode>04101</ZIPCode>
        </AddressUS>
        <EIN>010484074</EIN>
        <PrimaryActivities>Management &amp; Support Services</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11c, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Catholic Health East</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>144 State Street</AddressLine1>
          <City>Portland</City>
          <State>ME</State>
          <ZIPCode>04101</ZIPCode>
        </AddressUS>
        <EIN>010211534</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy Health System of Maine</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Care for Kids Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>310 South Manning Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>141717564</EIN>
        <PrimaryActivities>Day care center</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
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          <State>FL</State>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Nazareth Medical Office Building Associates LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o Nazareth Hospital 2601 Holme Av</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19152</ZIPCode>
        </AddressUS>
        <EIN>232388040</EIN>
        <PrimaryActivity>Medical Office Building</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.01000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Nazareth Medical Office Building Associates LP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o Nazareth Hospital 2601 Holme Av</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19152</ZIPCode>
        </AddressUS>
        <EIN>232388040</EIN>
        <PrimaryActivity>Medical Office Building</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.47460</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Agnes Long Term Intensive Care LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1900 S Broad Street</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19145</ZIPCode>
        </AddressUS>
        <EIN>200984882</EIN>
        <PrimaryActivity>Long Term Intensive Care</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.60000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Agnes Long Term Intensive Care LLP</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1900 S Broad Street</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19145</ZIPCode>
        </AddressUS>
        <EIN>200984882</EIN>
        <PrimaryActivity>Long Term Intensive Care</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.40000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Peter's Ambulatory Surgery Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1375 Washington Avenue Ste 201</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12206</ZIPCode>
        </AddressUS>
        <EIN>460463892</EIN>
        <PrimaryActivity>Surgery</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.34750</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Outpatient Surgical Management LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5673 Peachtree Dunwoody Rd Ste 550</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30342</ZIPCode>
        </AddressUS>
        <EIN>208004929</EIN>
        <PrimaryActivity>Outpatient Medical Services</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CV Partners LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5665 Peachtree Dunwoody Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>303421764</ZIPCode>
        </AddressUS>
        <EIN>263881202</EIN>
        <PrimaryActivity>Outpatient Medical Services</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Gwinnett Cardiovascular Services LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 Medical Center Boulevard</AddressLine1>
          <City>Lawrenceville</City>
          <State>GA</State>
          <ZIPCode>30045</ZIPCode>
        </AddressUS>
        <EIN>263870307</EIN>
        <PrimaryActivity>Cardiology</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Central New Jersey Heart Services LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>10720 Sikes Places Ste 300</AddressLine1>
          <City>Charlotte</City>
          <State>NC</State>
          <ZIPCode>28277</ZIPCode>
        </AddressUS>
        <EIN>208525458</EIN>
        <PrimaryActivity>Cardiac Program</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.63905</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Physicians Outpatient Surgery Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1000 NE 56th</AddressLine1>
          <City>Oakland Park</City>
          <State>FL</State>
          <ZIPCode>33334</ZIPCode>
        </AddressUS>
        <EIN>352325646</EIN>
        <PrimaryActivity>Ambulatory Surgery Center</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <ShareOfTotalIncome>968593</ShareOfTotalIncome>
        <ShareOfEOYAssets>2568330</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
        <PercentageOwnership>0.73000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Center for Surgery &amp; Digestive Orders</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3641 South Miami Avenue</AddressLine1>
          <City>Miami</City>
          <State>FL</State>
          <ZIPCode>33133</ZIPCode>
        </AddressUS>
        <EIN>510438152</EIN>
        <PrimaryActivity>Outpatient Medical Services</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SJV Management LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 Century Pkwy Ste 200E</AddressLine1>
          <City>Mount Laurel</City>
          <State>NJ</State>
          <ZIPCode>08054</ZIPCode>
        </AddressUS>
        <EIN>202273476</EIN>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PercentageOwnership>0.50000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Catherine Horan Building Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>042938180</EIN>
        <PrimaryActivity>Building Management</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Diversified Community Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>043128890</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mercy Inpatient Medical Associates Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>043029829</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Providence Home Care Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>043317426</EIN>
        <PrimaryActivity>Health Care Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>System Coordinated Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>042938181</EIN>
        <PrimaryActivity>Lab Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Physicians Medical Office Building Condominium Trust</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1221 Main Street Room 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
        </AddressUS>
        <EIN>046608649</EIN>
        <PrimaryActivity>Property Management</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SJM Properties</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>411 Canisteo Street</AddressLine1>
          <City>Hornell</City>
          <State>NY</State>
          <ZIPCode>148482104</ZIPCode>
        </AddressUS>
        <EIN>161294991</EIN>
        <PrimaryActivity>Property Holdings</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carbondale Area Physicians' Association PC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Lincoln Ave</AddressLine1>
          <City>Carbondale</City>
          <State>PA</State>
          <ZIPCode>18407</ZIPCode>
        </AddressUS>
        <EIN>232801677</EIN>
        <PrimaryActivity>Medical Insurance Contracting</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carbondale Area Physicians' PHO Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Lincoln Ave</AddressLine1>
          <City>Carbondale</City>
          <State>PA</State>
          <ZIPCode>18407</ZIPCode>
        </AddressUS>
        <EIN>232801676</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Carbondale Physicians' Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Lincoln Ave</AddressLine1>
          <City>Carbondale</City>
          <State>PA</State>
          <ZIPCode>18407</ZIPCode>
        </AddressUS>
        <EIN>232365077</EIN>
        <PrimaryActivity>Pharmacy</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Chestnut Risk Services Ltd</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>11 Victoria Street</AddressLine1>
          <City>Hamilton</City>
          <Country>BD</Country>
        </AddressForeign>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>BD</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LifeCare Physicians PC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>601 Hamilton Avenue</AddressLine1>
          <City>Trenton</City>
          <State>NJ</State>
          <ZIPCode>086291986</ZIPCode>
        </AddressUS>
        <EIN>261649038</EIN>
        <PrimaryActivity>Health Care Services</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Multicare Plus Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>601 Hamilton Avenue</AddressLine1>
          <City>Trenton</City>
          <State>NJ</State>
          <ZIPCode>086291986</ZIPCode>
        </AddressUS>
        <EIN>223435844</EIN>
        <PrimaryActivity>Inactive</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Langhorne Services II Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1201 Langhorne-Newtown Road</AddressLine1>
          <City>Langhorne</City>
          <State>PA</State>
          <ZIPCode>190470000</ZIPCode>
        </AddressUS>
        <EIN>253795549</EIN>
        <PrimaryActivity>General Partner of LMOB Partners, II</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Langhorne Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1201 Langhorne-Newtown Road</AddressLine1>
          <City>Langhorne</City>
          <State>PA</State>
          <ZIPCode>190470000</ZIPCode>
        </AddressUS>
        <EIN>232625981</EIN>
        <PrimaryActivity>General Partner of LMOB Partners</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMHP Holdings Corp</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 Stevens Drive</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19113</ZIPCode>
        </AddressUS>
        <EIN>261144363</EIN>
        <PrimaryActivity>Behavioral Health</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Select Health of South Carolina Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4390 Belle Oaks Drive Suite 400</AddressLine1>
          <City>Charleston</City>
          <State>SC</State>
          <ZIPCode>29405</ZIPCode>
        </AddressUS>
        <EIN>571032456</EIN>
        <PrimaryActivity>Health Maintenance Organization</PrimaryActivity>
        <LegalDomicileState>SC</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Gateway Health Plan Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>600 Grant Street</AddressLine1>
          <City>Pittsburgh</City>
          <State>PA</State>
          <ZIPCode>15219</ZIPCode>
        </AddressUS>
        <EIN>251505506</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Gateway Health Plan Inc of Ohio</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>600 Grant Street</AddressLine1>
          <City>Pittsburgh</City>
          <State>PA</State>
          <ZIPCode>15219</ZIPCode>
        </AddressUS>
        <EIN>300282076</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MCMC Eastwick Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>c/o MHS One West Elm Street</AddressLine1>
          <City>Conshohocken</City>
          <State>PA</State>
          <ZIPCode>19428</ZIPCode>
        </AddressUS>
        <EIN>232184261</EIN>
        <PrimaryActivity>Medical Office Buildings</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Community Behavioral Healthcare Network of PA Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8040 Carlson Road</AddressLine1>
          <City>Harrisburg</City>
          <State>PA</State>
          <ZIPCode>17112</ZIPCode>
        </AddressUS>
        <EIN>251765391</EIN>
        <PrimaryActivity>Behavioral Health</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Health Management Services Org Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>500 Grove Street Suite 100</AddressLine1>
          <City>Haddon Heights</City>
          <State>NJ</State>
          <ZIPCode>08035</ZIPCode>
        </AddressUS>
        <EIN>223366580</EIN>
        <PrimaryActivity>Health Care Billing</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Jeannette Medical Providers</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3805 West Chester Pike</AddressLine1>
          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
        </AddressUS>
        <EIN>251787334</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Jeannette OBGYN Group 1 Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3805 West Chester Pike</AddressLine1>
          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
        </AddressUS>
        <EIN>232890748</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Jeannette Primary Care Group 1 Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>3805 West Chester Pike</AddressLine1>
          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
        </AddressUS>
        <EIN>232890743</EIN>
        <PrimaryActivity>Holding Company</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Saint Joseph's Service Corporation Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>5673 Peachtree Dunwoody Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>303421769</ZIPCode>
        </AddressUS>
        <EIN>581750815</EIN>
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        <LegalDomicileState>GA</LegalDomicileState>
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        <TypeOfEntity>C</TypeOfEntity>
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        <NameOfRelatedOrg>
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          <City>Atlanta</City>
          <State>GA</State>
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        <EIN>581657768</EIN>
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          <BusinessNameLine1>Magnetic Resonance Imaging Inc</BusinessNameLine1>
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          <AddressLine1>5673 Peachtree Dunwoody Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>303421769</ZIPCode>
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      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>ACTx</BusinessNameLine1>
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          <AddressLine1>5673 Peachtree Dunwoody Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Georgia Health Enterprises LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>11440 Commerce Park Drive</AddressLine1>
          <City>Reston</City>
          <State>VA</State>
          <ZIPCode>20191</ZIPCode>
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          <BusinessNameLine1>St Mary's Highland Hills Village Inc</BusinessNameLine1>
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          <AddressLine1>1660 Jennings Mill Road</AddressLine1>
          <City>Bogart</City>
          <State>GA</State>
          <ZIPCode>30622</ZIPCode>
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        <EIN>582276801</EIN>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GHE Physicians PC</BusinessNameLine1>
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          <AddressLine1>3500 Piedmont Road</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
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          <AddressLine1>4725 North Federal Highway</AddressLine1>
          <City>Fort Lauderdale Highwa</City>
          <State>FL</State>
          <ZIPCode>333080000</ZIPCode>
        </AddressUS>
        <EIN>591145192</EIN>
        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>FL</LegalDomicileState>
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        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>3951</ShareOfTotalIncome>
        <ShareOfEOYAssets>405928</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Mercy Physician Group Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3663 South Miami Avenue</AddressLine1>
          <City>Miami</City>
          <State>FL</State>
          <ZIPCode>33133</ZIPCode>
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        <EIN>202970015</EIN>
        <PrimaryActivity>Health Care</PrimaryActivity>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Stella Maris Insurance Company Limited</BusinessNameLine1>
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        <AddressForeign>
          <AddressLine1>PO Box 69</AddressLine1>
          <City>Grand Cayman</City>
          <ProvinceOrState>Cayman Islands</ProvinceOrState>
          <Country>CJ</Country>
          <PostalCode>KY1-1102</PostalCode>
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        <EIN>980078266</EIN>
        <PrimaryActivity>Insurance</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
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        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>Catholic Health East Senior Services</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3805 West Chester Pike Suite 100</AddressLine1>
          <City>Newtown Square</City>
          <State>PA</State>
          <ZIPCode>19073</ZIPCode>
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        <EIN>371572595</EIN>
        <PrimaryActivity>Senior Services</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
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      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
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      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
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      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
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      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Catholic Health East</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>114515</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Catholic Health East</BusinessNameLine1>
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        <TransactionType>O</TransactionType>
        <AmountInvolved>365444943</AmountInvolved>
        <MethodOfAmtDetermination>Actual Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Holy Cross Medical Properties</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>Actual Cost</MethodOfAmtDetermination>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>