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      <PensionPlanContributions>
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        <ProgramServices>401232</ProgramServices>
        <ManagementAndGeneral>50199</ManagementAndGeneral>
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      <FeesForServicesManagement>
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      </FeesForServicesManagement>
      <FeesForServicesLegal>
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      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ManagementAndGeneral>360</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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        <ProgramServices>963637</ProgramServices>
        <ManagementAndGeneral>89748</ManagementAndGeneral>
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      <Advertising>
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      <OfficeExpenses>
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        <ProgramServices>341148</ProgramServices>
        <ManagementAndGeneral>73319</ManagementAndGeneral>
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      <InformationTechnology>
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        <ProgramServices>1169</ProgramServices>
        <ManagementAndGeneral>46</ManagementAndGeneral>
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      <Royalties>
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      </Royalties>
      <Occupancy>
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        <ProgramServices>385517</ProgramServices>
        <ManagementAndGeneral>69908</ManagementAndGeneral>
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      <Travel>
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        <ManagementAndGeneral>7194</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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        <ManagementAndGeneral>787</ManagementAndGeneral>
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      <Interest>
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      <PaymentsToAffiliates>
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        <ProgramServices>1931175</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>80954</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>86345</ProgramServices>
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      <TotalFunctionalExpenses>
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      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
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        <Explanation>St. John's Medical Group's FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2010 READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS."</Explanation>
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        <Identifier>POST-TERMINATION PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PART I, Q. 4A</ReturnReference>
        <Explanation>Post-termination payments are addressed in the executive employment agreements for Catholic Health Initiative's ("CHI") MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package.</Explanation>
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        <Identifier>METHODS USED TO ESTABLISH CEO COMPENSATION</Identifier>
        <ReturnReference>SCHEDULE J, PART I, Q. 3</ReturnReference>
        <Explanation>Compensation for the top management official of St. John's Medical Group was established and paid by a related organization, catholic health initiatives (CHI). CHI used the following methods to establish the top management official's compensation: 1) compensation committee; 2) independent compensation consultant; 3) compensation survey or study; and 4) approval by the board or compensation committee; 5) written employment contract.</Explanation>
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        <NamePerson>Ronnie Smalling-</NamePerson>
        <PurposeOfLoan>Signing loan</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>125000</OriginalPrincipalAmount>
        <BalanceDue>0</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
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        <NamePerson>D Sean Smith-</NamePerson>
        <PurposeOfLoan>Retention loan</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>120000</OriginalPrincipalAmount>
        <BalanceDue>44045</BalanceDue>
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    <IRS990ScheduleN documentId="IRS990ScheduleN">
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      <DispositionTable>
        <DescriptionOfAsset>EQUIPMENT</DescriptionOfAsset>
        <DateOfDistribution>2009-10-01</DateOfDistribution>
        <FMVOfAsset>88106</FMVOfAsset>
        <MethodOfFMVDetermination>ACTUAL COST</MethodOfFMVDetermination>
        <EIN>431423050</EIN>
        <NamePerson>SISTERS OF MERCY HEALTH SYSTEM</NamePerson>
        <AddressUS>
          <AddressLine1>14528 SOUTH OUTER 30 ROAD SUITE 10</AddressLine1>
          <City>CHESTERFIELD</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
        </AddressUS>
        <IRCSection>501(C)(3)</IRCSection>
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      <DispositionTable>
        <DescriptionOfAsset>PREPAID EXPENSE</DescriptionOfAsset>
        <DateOfDistribution>2009-10-01</DateOfDistribution>
        <FMVOfAsset>1216255</FMVOfAsset>
        <MethodOfFMVDetermination>ACTUAL COST</MethodOfFMVDetermination>
        <EIN>431423050</EIN>
        <NamePerson>SISTERS OF MERCY HEALTH SYSTEM</NamePerson>
        <AddressUS>
          <AddressLine1>14528 SOUTH OUTER 30 ROAD SUITE 10</AddressLine1>
          <City>CHESTERFIELD</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
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        <IRCSection>501(C)(3)</IRCSection>
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      <DirectorOfSuccessor2>true</DirectorOfSuccessor2>
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      <ReceiveCompensation2>false</ReceiveCompensation2>
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        <Identifier>SHEDULE N PART II Q 2E</Identifier>
        <Explanation>ST. JOHN'S MEDICAL GROUP SOLD SUBSTANTIALLY ALL OF ITS ASSETS TO THE SISTERS OF MERCY HEALTH SYSTEM ON OCTOBER 31, 2009. ALL OF THE OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES THAT ARE LISTED ON PART VII ON THIS FORM 990 WILL HOLD THE SAME POSITIONS AFTER THE TRANSISTION TO THE SISTER OF MERCY HEALTH SYSTEM.</Explanation>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Significant changes to program services</Identifier>
        <ReturnReference>Form 990, Part III, Line 3</ReturnReference>
        <Explanation>St. John's Medical Group has ceased conducting business, effective October 31, 2009. Accordingly, the information contained in this Form 990 represents St. John's Medical Group's wind-up period.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>Introduction: St. John's Medical Group is a network of physician practices affiliated with St. John's Regional Medical Center and HealthFirst Network. St. John's Medical Group was granted tax-exempt status in 2000. The network includes primary care, OB/GYN, and specialty practices. All offices are conveniently located throughout Joplin, Webb City, Carthage, Neosho, Baxter Springs, Columbus, and Pittsburg. Community service has always been at the core of St. John's Medical Group's activities. Quantifiable community benefit programs include traditional charity care, unpaid costs of public programs, non-billed services, training and education of health care professionals, donations, and community-building activities. In addition to quantifiable community benefits, we recognize our corporate responsibility to provide leadership in promoting the health and general well being of the community we serve. The programs and services described throughout this report not only serve the community but also reduce the burdens on government. Community Benefit ApproacH &amp; Community Health Needs Assessment: Since the late 1980's St. John's Medical Group has been intimately involved in community health collaboration, helped spearhead the original team to look at area health issues, AND set priorities and plans for improvement. St. John's Medical Group continues our deep commitment and involvement in the community health collaboratiON today and has a dedicated staff to assist our community benefit efforts. Process: St. John's Medical Group'S Community Benefit Plan is based on our understanding of unique communities' needs derived from collaborative needs assessments, focus groups, and surveys conducted with our community partners. The Jasper and Newton Counties Community Health Collaborative (CHC) was formed in 1999 as a collaborative entity of health and human service providers with a general desire to reduce duplication of efforts. THIS PROGRAM PROVIDES FOR a more efficient use of limited resources. Additionally, it was generally recognized that the health of the community was not the responsibility of any one entity, but rather required the coordinated efforts of many entities, public and private, to realize an improved health status of a community. The CHC has been working for several years to measure and improve the health status of the community. The Jasper and Newton Counties Community Health Collaborative completed an in-depth Community Health Status Report in January 2006. The report reflects the compilation and analysis of extensive data sources to identify issues having a significant impact on the health and general well being of area residents. Summary of Assessment Findings: Ten key factors having the greatest impact on the overall wellness of the area emerged in the Community Health Status review. The ten issues were then prioritized through a group prioritization process. Community stakeholders were invited to prioritize the issues of most importance to them, keeping in mind how aware the community was of each issue and how difficult the issue was to change. As a result, the issues fell into the following order of priority. 1. Healthy Behaviors 2. Child and Maternal Health 3. Smoking and Tobacco 4. Access to Health Care Services 5. Disease and Mortality 6. Unintentional Injuries 7. Environment 8. Personal and Family Safety 9. Income, Employment, and Education 10. Alcohol and Drugs Financial Assistance Policies &amp; Programs: Not-for-profit organizations (501(c)(3)) have a responsibility to offer service that benefits their communities, sufficientLY UTILIZING what would be their tax burden if they were a for-profit corporation. St. John's Medical Group provides care, without regard to ability to pay, to individuals with limited financial resources. If patients need healthcare services, but lack the means to pay, we provide patient financial counseling services. Financial counseling services include HELPING patients enroll in Medicare, Medicaid, or other local health care financial assistance PROGRAMS. If they are not qualified under those programs, we provide financial assistance information, including our policy, procedures, AND an application. WE THEN help them complete the application with direct staff support as needed. Qualified patients will have all or part of their bill forgiven. Additionally, we assist those patients who are uninsured, but do not qualify for Charity Care, in paying for their health care needs by applying a discount to service charges.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A CONTINUED</ReturnReference>
        <Explanation>Community Outreach for the Poor: St. John's Medical Group offers services and programs that are designed to help the underprivileged population in our community. These programs and services not only help with the health of individual patients, but also create a positive impact on our community as a whole. Community Health Education &amp; Prescription Medication Assistance Program: In order to help with the often overwhelming costs associated with prescription medications, the Prescription Medication Assistance Program provides prescription medications for needy patients in our surrounding communities. Education for patients and their families regarding the use of the prescribed medications is also included in this program. Community Based Clinical Services Rural Health Community Clinics: St. John's Medical Group provides clinical staff and physician time to help the freestanding Community Clinic of Carthage and Parsons, Kansas. Community-Building Activities: Christmas in August: Staff members coordinate and distribute back to school clothes, school supplies and money to help identified economically disadvantaged families in the Joplin community. School supplies were provided for 217 children at West Central School in Joplin. Holiday Food Baskets: St. John's coordinates and distributes food and gift baskets for identified economically disadvantaged families throughout the year, including Thanksgiving and Christmas. Many of us in departments across the entire organization prepare gifts of food, clothing, and toys for area families during St. Johns Holiday Outreach project that is done in cooperation with our Chamber Business Partner, Joplin High School. We do this each year, and we know it does make a difference to families in need. Community Outreach for the Broader Community: In addition to its programs and services specifically targeted to the poor in the surrounding area, St. John's Medical Group strives to be a leader in initiatives designed to benefit the community as a whole. Community Health Education, Community Health Fairs: Community Health Fairs are offered to provide no cost health related educational information or screenings. The Farm Show, Life Fair, and the Women's Health Fair are just a few of the health fairs we offer. Four States Farm, Show The Four States Farm Show: assists residents in rural and agricultural communities with a variety of health screenings and safety education. Preventive Health Promotion &amp; Education: THESE Presentations educate audiences on preventive health issues. These programs include regular education and outreach in local TV and radio markets, as well as presentations to schools and civic groups. Community Based Clinical Services Sports Physicals: Members of our medical staff provide free physicals for area school children, a requirement for their participation in school athletic programs. Health Professions Education, Other Health Professionals Medical Education: Support St. John's Medical Group provides educational opportunities and clinical settings for the training of health professionals. In-Kind Donations, Community Boards &amp; Involvement: St. John's Medical Group's staff supports a variety of not-for-profit organizations through board and committee service. Other Non-Profit Fund Raising Activities: St. John's Medical Group employees assist many non-profit organizations to raise funds by participating in their fund raising events. Community Building Activities, High School Student Shadow Program High: school students interested in a health related profession shadow a clinically trained person to gain insight into the career. Community Services &amp; Non-Profit Organization Support: St. John's supports patients and health care organizations in the four-state area by assisting with donations and networkING activities to organizations that belong to healthy communities.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 4</ReturnReference>
        <Explanation>ST JOHN'S MEDICAL GROUP AMENDED ITS ARTICLES OF INCORPORATION, EFFECTIVE NOVEMBER 5, 2010, TO INCLUDE THE PROVISION THAT IN FURTHERANCE OF ITS EXEMPT PURPOSE, IT WILL OWN, MANAGE, AND DISPOSE OF ITS REMAINING ASSETS AFTER THE SALE OF SUBSTANTIALLY ALL OF ITS ASSETS ON OCTOBER 31, 2009.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS OR SHAREHOLDERS</Identifier>
        <ReturnReference>Form 990, Part VI, Q. 6</ReturnReference>
        <Explanation>THE SOLE MEMBER OF THE ORGANIZATION IS St. John's Regional Medical Center, Joplin, Missouri, A Missouri NONPROFIT CORPORATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER ELECT ONE OR MORE MEMBERS OF GOVERNING BOARD</Identifier>
        <ReturnReference>Form 990, part VI, q. 7a</ReturnReference>
        <Explanation>THE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing Powers</Identifier>
        <ReturnReference>Form 990, Part VI, Q. 7B</ReturnReference>
        <Explanation>The organization's corporate member is St. John's Regional Medical Center ("SJRMC"). Pursuant to Section 5.4 of the organization's bylaws, the Corporate Member shall have the right to approve any of the actions set forth below: -Substantial change in the mission or philosophy of the St. John's Medical Group ("SJMG") -Amendment of the corporate documents of SJMG -Approve members of the SJMG board -Removal of a member of the governing body of SJMG -Approval of issuance of debt by SJMG -Approval of participation of SJMG in a joint venture -Approval of formation of a new corporation by SJMG -Approval of a merger involving SJMG -Approval of the sale of all or substantially all of the assets of SJMG -Adoption of long range and strategic plans for SJMG -Adoption of operating and capital budgets and amendments of SJMG Pursuant to Section 5.5 of the organization's bylaws, SJRMC or CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process, if any, the organization uses to review Form 990</Identifier>
        <ReturnReference>Form 990, Part VI, Q. 11A</ReturnReference>
        <Explanation>Once the return is prepared, the return is reviewed by the Chief Financial Officer. The Chief Financial Officer presents the return to St. John's Medical Group's board at its board meeting. Subsequent to review by the board and Chief Financial Officer, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Procedures for Monitoring and Enforcing the COI Policy</Identifier>
        <ReturnReference>Form 990, Part VI, Q. 12c</ReturnReference>
        <Explanation>All Board members annually complete the Conflict of Interest (COI) statement. The COI is reviewed by the CRO and any discrepancy is discussed with the Board Member and rectified. Before each Board meeting, the Board members are asked if they have any conflicts with any topics to be discussed. If there is a conflict that Board member will not participate in that part of the meeting. Key Employees, Managers, directors and above are required annually to disclose any conflicts of interest and disclose any situations that could become a conflict of interest. We have a monthly compliance meeting where potential conflicts can be addressed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Process for Determining Executive Compensation</Identifier>
        <ReturnReference>Form 990, Part VI, Q. 15A</ReturnReference>
        <Explanation>The organization's CEO's compensation is paid by CHI. CHI uses the Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of CHI's senior most executives (including each MBO CEO) are reviewed on an individual basis annually. The Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Hay Group to the HR Committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September, 2010. In addition, in December 2009, Hay Group completed a comprehensive review of all CHI positions at the level of Vice President and above to determine and validate appropriate compensation levels.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 15B</ReturnReference>
        <Explanation>Any executive compensation paid to officers, directors or trustees was set by a compensation committee utilizing an independent consultant and comparability studies and the appropriate board oversight to determine compensation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing Documents, Conflict of Interest Policy, and Financial Statements</Identifier>
        <ReturnReference>Form 990, Part VI, Q. 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. The organization's conflict of interest policy and governing documents are not publicly available.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ESTIMATE OF HOURS DEVOTED TO RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>COMPENSATION REPORTED ON FORM 990, PART VII COLUMN E WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>LOAN TO AND/OR FROM INTEREST PERSONS</Identifier>
        <ReturnReference>SCHEDULE L, PART II</ReturnReference>
        <Explanation>D SEAN SMITH, MD HAD A $44,045 RETENTION LOAN THAT WAS TRANSFERRED WITH ALL OTHER PHYSICIAN LOANS TO MERCY AT THE END OF OCTOBER 2009. RONNIE SMALLING'S LOAN WAS PAID IN FULL BY ST JOHN'S MEDICAL GROUP DURING THE FISCAL YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Joseph Community Health Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 Central SW Suite 300</AddressLine1>
          <City>Albuquerque</City>
          <State>NM</State>
          <ZIPCode>87102</ZIPCode>
        </AddressUS>
        <EIN>710897107</EIN>
        <PrimaryActivities>Community</PrimaryActivities>
        <LegalDomicileState>NM</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Joseph Community Health Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 Central SW Suite 300</AddressLine1>
          <City>Albuquerque</City>
          <State>NM</State>
          <ZIPCode>87102</ZIPCode>
        </AddressUS>
        <EIN>850253087</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>NM</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJCHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Francis of Baker City</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3325 Pocahontas Road</AddressLine1>
          <City>Baker City</City>
          <State>OR</State>
          <ZIPCode>97814</ZIPCode>
        </AddressUS>
        <EIN>930412495</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Elizabeth Health Care Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3325 Pocahontas Road</AddressLine1>
          <City>Baker City</City>
          <State>OR</State>
          <ZIPCode>97814</ZIPCode>
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        <EIN>943164869</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>OR</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>SEHS</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Flaget Memorial Hospital Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>4305 New Shepherdsville Road</AddressLine1>
          <City>Bardstown</City>
          <State>KY</State>
          <ZIPCode>40004</ZIPCode>
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        <EIN>562351341</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FH</BusinessNameLine1>
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          <BusinessNameLine1>Flaget Healthcare DBA Flaget Memorial</BusinessNameLine1>
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          <AddressLine1>4305 New Shepherdsville Road</AddressLine1>
          <City>Bardstown</City>
          <State>KY</State>
          <ZIPCode>40004</ZIPCode>
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        <EIN>611345363</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
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        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Lakewood Health Center</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>600 Main Avenue South</AddressLine1>
          <City>Baudette</City>
          <State>MN</State>
          <ZIPCode>56623</ZIPCode>
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        <EIN>410758434</EIN>
        <PrimaryActivities>LTerm Care</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Appletree Court</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 Oak Street</AddressLine1>
          <City>Breckenridge</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
        </AddressUS>
        <EIN>411850500</EIN>
        <PrimaryActivities>Senior Homes</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SFH</BusinessNameLine1>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Healthcare and Wellness Foundation</BusinessNameLine1>
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          <AddressLine1>2400 St Francis Drive</AddressLine1>
          <City>Breckenridge</City>
          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
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        <EIN>760761782</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MN</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>SFMC</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>St Francis Home</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2400 St Francis Drive</AddressLine1>
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          <State>MN</State>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>St Francis Medical Center</BusinessNameLine1>
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          <State>MN</State>
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          <BusinessNameLine1>Carrington Health Center</BusinessNameLine1>
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          <State>ND</State>
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          <BusinessNameLine1>Saint Clare's Community Care</BusinessNameLine1>
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          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
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        <EIN>222876836</EIN>
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          <BusinessNameLine1>SCHS</BusinessNameLine1>
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          <City>Denville</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
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          <BusinessNameLine1>Good Samaritan College of Nursing &amp; Heal</BusinessNameLine1>
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          <City>Cincinnati</City>
          <State>OH</State>
          <ZIPCode>45220</ZIPCode>
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          <BusinessNameLine1>GHS</BusinessNameLine1>
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          <BusinessNameLine1>Total Healthcare</BusinessNameLine1>
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          <State>CO</State>
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          <City>Denville</City>
          <State>NJ</State>
          <ZIPCode>07834</ZIPCode>
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          <BusinessNameLine1>TriHealth Physician Institute</BusinessNameLine1>
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          <City>Cincinnati</City>
          <State>OH</State>
          <ZIPCode>45206</ZIPCode>
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          <BusinessNameLine1>GSH</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Catholic Health Initiatives Colorado Fou</BusinessNameLine1>
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          <City>Colorado Springs</City>
          <State>CO</State>
          <ZIPCode>80903</ZIPCode>
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        <PublicCharityStatus>7</PublicCharityStatus>
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          <BusinessNameLine1>CHI Colorado</BusinessNameLine1>
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          <BusinessNameLine1>SET of Colorado Springs Inc</BusinessNameLine1>
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          <AddressLine1>825 E Pikes Peak Avenue Bldg 29</AddressLine1>
          <City>Colorado Springs</City>
          <State>CO</State>
          <ZIPCode>80903</ZIPCode>
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        <LegalDomicileState>CO</LegalDomicileState>
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        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHI Colorado</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Catholic Health Initiatives</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>1999 Broadway Suite 4000</AddressLine1>
          <City>Denver</City>
          <State>CO</State>
          <ZIPCode>80202</ZIPCode>
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        <PrimaryActivities>Healthcare</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
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        <PublicCharityStatus>9</PublicCharityStatus>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <AddressLine1>4200 West Conejos Place 436</AddressLine1>
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          <BusinessNameLine1>Bishop Drumm Retirement Center</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Medical Center - Des Moines AKA</BusinessNameLine1>
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          <AddressLine1>1111 6th Avenue</AddressLine1>
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          <AddressLine1>1111 6th Avenue</AddressLine1>
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          <BusinessNameLine1>Mercy College of Health Sciences</BusinessNameLine1>
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          <AddressLine1>1111 6th Avenue</AddressLine1>
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          <BusinessNameLine1>CHI-IA Corp</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Foundation of Des Moines IA</BusinessNameLine1>
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          <AddressLine1>1111 6th Avenue</AddressLine1>
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          <BusinessNameLine1>Mercy Professional Practice Associates</BusinessNameLine1>
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          <AddressLine1>1111 6th Avenue</AddressLine1>
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          <BusinessNameLine1>Good Samaritan Hospital Foundation</BusinessNameLine1>
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          <State>NE</State>
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          <BusinessNameLine1>St Joseph Health Ministries Foundation</BusinessNameLine1>
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          <AddressLine1>2135 Noll Drive Suite C</AddressLine1>
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          <State>PA</State>
          <ZIPCode>17603</ZIPCode>
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          <BusinessNameLine1>St Joseph Health Services Inc</BusinessNameLine1>
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          <AddressLine1>2135 Noll Drive Suite C</AddressLine1>
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          <State>PA</State>
          <ZIPCode>17603</ZIPCode>
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          <BusinessNameLine1>SJHM</BusinessNameLine1>
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          <State>KY</State>
          <ZIPCode>40509</ZIPCode>
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          <BusinessNameLine1>SJHS</BusinessNameLine1>
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          <BusinessNameLine1>Saint Joseph Berea Hospital Foundation</BusinessNameLine1>
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          <AddressLine1>305 Estill Street</AddressLine1>
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          <State>KY</State>
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          <BusinessNameLine1>Saint Joseph Health System Inc</BusinessNameLine1>
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          <AddressLine1>150 N Eagle Creek Dr</AddressLine1>
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          <State>KY</State>
          <ZIPCode>40509</ZIPCode>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>St Joseph Hospital Foundation Inc</BusinessNameLine1>
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          <AddressLine1>One St Joseph Drive</AddressLine1>
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          <BusinessNameLine1>Saint Joseph Medical Foundation Inc</BusinessNameLine1>
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          <BusinessNameLine1>Visiting Nurse Association of Saint Clar</BusinessNameLine1>
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          <AddressLine1>191 Woodport Road</AddressLine1>
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          <State>NJ</State>
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          <BusinessNameLine1>SCHS</BusinessNameLine1>
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          <BusinessNameLine1>Saint Elizabeth Foundation</BusinessNameLine1>
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          <AddressLine1>555 South 70th Street</AddressLine1>
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          <State>NE</State>
          <ZIPCode>68510</ZIPCode>
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          <BusinessNameLine1>SERMC</BusinessNameLine1>
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          <BusinessNameLine1>Saint Elizabeth Health Services</BusinessNameLine1>
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          <AddressLine1>555 South 70th Street</AddressLine1>
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          <State>NE</State>
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          <AddressLine1>555 South 70th Street</AddressLine1>
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          <BusinessNameLine1>Saint Elizabeth Regional Medical Center</BusinessNameLine1>
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          <AddressLine1>555 South 70th Street</AddressLine1>
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          <State>NE</State>
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          <BusinessNameLine1>The Physician Network</BusinessNameLine1>
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          <AddressLine1>8055 O Street Suite 300</AddressLine1>
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          <State>NE</State>
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          <BusinessNameLine1>Unity Family Healthcare</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>2170</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>