﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2010v3.2">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-07-21T13:13:54-05:00</Timestamp>
    <TaxPeriodEndDate>2010-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>WILLIAM STEELE &amp; ASSOCIATES PC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>40 STARK STREET</AddressLine1>
        <City>MANCHESTER</City>
        <State>NH</State>
        <ZIPCode>03101</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>222484505</EIN>
      <Name>
        <BusinessNameLine1>COVENANT HEALTH SYSTEMS INC</BusinessNameLine1>
      </Name>
      <NameControl>COVE</NameControl>
      <Phone>9786546363</Phone>
      <USAddress>
        <AddressLine1>100 AMES POND DRIVE NO 102</AddressLine1>
        <City>TEWKSBURY</City>
        <State>MA</State>
        <ZIPCode>01876</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>JOHN AHLE</Name>
      <Title>CHIEF FINANCIAL OFFICER</Title>
      <Phone>9786546363</Phone>
      <DateSigned>2011-06-30</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>MICHAEL A BARBARITA</Name>
      <Phone>6036228881</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-03-07 17:11:31Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="8">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <AddressChange>X</AddressChange>
      <NameOfPrincipalOfficerPerson>JOHN AHLE</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>100 AMES POND DRIVE NO 102</AddressLine1>
        <City>TEWKSBURY</City>
        <State>MA</State>
        <ZIPCode>01876</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>8529156</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>COVENANTHS.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1983</YearFormation>
      <StateLegalDomicile>MA</StateLegalDomicile>
      <ActivityOrMissionDescription>COVENANT HEALTH SYSTEMS IS A CATHOLIC HEALTH CARE SYSTEM SPONSORING HOSPITALS, NURSING HOMES, ASSISTED LIVING RESIDENCES AND OTHER HEALTH AND ELDER SERVICES THROUGHOUT NEW ENGLAND. WE ARE COMMITTED TO THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, AND STRIVE TO OFFER A CONTINUUM OF HIGH QUALITY CARE. PLEASE SEE OUR WEBSITE FOR THE 2010 COVENANT HEALTH SYSTEMS CORPORATE REPORT.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>12</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>11</NbrIndependentVotingMembers>
      <TotalNbrEmployees>30</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>7000</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>0</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>8003118</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>7484454</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>968610</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>867201</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>46525</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>49026</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>9025253</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>8400681</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>21184</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>8141689</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>5248309</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>5620464</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>4285561</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>3119420</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>9555054</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>16881573</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-529801</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-8480892</RevenuesLessExpensesCY>
      <TotalAssetsBOY>106520482</TotalAssetsBOY>
      <TotalAssetsEOY>102678972</TotalAssetsEOY>
      <TotalLiabilitiesBOY>82787423</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>68788404</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>23733059</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>33890568</NetAssetsOrFundBalancesEOY>
      <MissionDescription>COVENANT HEALTH SYSTEMS IS AN INNOVATIVE CATHOLIC HEALTH ORGANIZATION COMMITTED TO ADVANCING THE HEALING MINISTRY OF JESUS.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>16881573</Expense>
      <Grants>8141689</Grants>
      <Revenue>8377106</Revenue>
      <Description>SPONSORING AND OPERATING A CATHOLIC HEALTH CARE SYSTEM CONSISTING OF HOSPITALS, NURSING HOMES, ASSISTED LIVING RESIDENCES AND OTHER HEALTH AND ELDER SERVICES, AND FURTHERING THE DELIVERY OF HEALTH AND HUMAN SERVICES CONSISTENT WITH THE TEACHINGS AND LAW OF THE ROMAN CATHOLIC CHURCH.</Description>
      <TotalProgramServiceExpense>16881573</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired>0</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">1</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc1041900001">0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="RetDoc1053100001">1</TaxExemptBonds>
      <InvestTaxExemptBonds>0</InvestTaxExemptBonds>
      <EscrowAccount>0</EscrowAccount>
      <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc1043400001">1</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>15</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>30</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>12</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>11</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>1</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>1</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>1</LocalChapters>
      <PoliciesReferenceChapters>1</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>MA</StatesWhereCopyOfReturnIsFiled>
      <OwnWebsite>X</OwnWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>JOHN ALHE CHIEF FINANCIAL OFFICER</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>9786546363</TelephoneNumber>
        <AddressUS>
          <AddressLine1>100 AMES POND DRIVE</AddressLine1>
          <City>TEWKSBURY</City>
          <State>MA</State>
          <ZIPCode>01876</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>DAVID LINCOLN</NamePerson>
        <Title>CEO,PRESIDENT &amp; DIRECTOR</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>999995</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>49607</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>H WILLIAM ADAMS III</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES M ALTIERI</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOYCE L AREL</NamePerson>
        <Title>DIRECTOR, CHAIR</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PATRICA A CAHILL</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RICHARD S CORRENTE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EDWIN CLIFT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN A ISAACSON</NamePerson>
        <Title>DIRECTOR, VICE CHAIR</Title>
        <AverageHoursPerWeek>3.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SR JUNE KETTERER SGM</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CATHERINE LOEFFLER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>THOMAS L KELLY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LOUISE TROTTIER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN AHLE</NamePerson>
        <Title>TREASURER &amp; CFO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>359936</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>42623</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUSAN MCDONOUGH</NamePerson>
        <Title>VP OF STRATEGY</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>416751</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>37882</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENNETH FERRON</NamePerson>
        <Title>VP OF ADMINISTRATION</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>299240</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>96315</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>THOMAS LUCAS</NamePerson>
        <Title>VP - FINANCE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>247487</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>40179</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID FRASER</NamePerson>
        <Title>VP - HUMAN RESOURCES</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>201694</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19430</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARY SCHAEFER</NamePerson>
        <Title>DIRECTOR RISK MANAGEMENT</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>132203</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30163</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NANCY MULVIHILL</NamePerson>
        <Title>VP - CORPORATE COMM.</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>137523</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>31426</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ARNOLD GOLDIE</NamePerson>
        <Title>REGIONAL CONTROLLER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>128842</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30896</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LOUISE CLOUGH</NamePerson>
        <Title>DIRECTOR CLINICAL ADMIN.</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>156523</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8291</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOSEPH O'CONNELL</NamePerson>
        <Title>CORPORATE CONTROLLER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>140414</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7771</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>3220608</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>394583</TotalOtherCompensation>
      <NumberIndividualsGT100K>13</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CATHOLIC HEALTHCARE AUDIT NETWORK</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>231 SOUTH BMISTON AVENUE STE 300</AddressLine1>
            <City>CLAYTON</City>
            <State>MO</State>
            <ZIPCode>63105</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>INTERNAL AUDIT</DescriptionOfServices>
        <Compensation>657528</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ROPES &amp; GRAY</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>ONE INTERNATIONAL PLACE</AddressLine1>
            <City>BOSTON</City>
            <State>MA</State>
            <ZIPCode>021102624</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LEGAL</DescriptionOfServices>
        <Compensation>490635</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ARCHSTONE LAW GROUP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>245 WINTER STREET STE 400</AddressLine1>
            <City>WALTHAM</City>
            <State>MA</State>
            <ZIPCode>024518709</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LEGAL</DescriptionOfServices>
        <Compensation>278054</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CONGREGATION OF ST BRIGID</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>37 CEDARWOOD AVENUE</AddressLine1>
            <City>WALTHAM</City>
            <State>MA</State>
            <ZIPCode>02453</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>RELIGIOUS</DescriptionOfServices>
        <Compensation>234708</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>BAKER NEWMAN NOYES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>280 FORE STREET</AddressLine1>
            <City>PORTLAND</City>
            <State>ME</State>
            <ZIPCode>04101</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>AUDIT</DescriptionOfServices>
        <Compensation>148597</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>6</NumberOfContractorsGT100K>
      <ProgramServiceRevenue>
        <Description>MEMBERSHIP AND OTHER F</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>7484454</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7484454</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>7484454</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>843626</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>843626</RelatedOrExemptFunctionIncome>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Other>152050</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>16967</Securities>
        <Other>111508</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-16967</Securities>
        <Other>40542</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>23575</TotalRevenueColumn>
        <ExclusionAmount>23575</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>CHANGE - CSV INSURANCE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>49026</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>49026</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>49026</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>8400681</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8377106</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>23575</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>8141689</Total>
        <ProgramServices>8141689</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>1359931</Total>
        <ProgramServices>1359931</ProgramServices>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>3421962</Total>
        <ProgramServices>3421962</ProgramServices>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>238464</Total>
        <ProgramServices>238464</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>371252</Total>
        <ProgramServices>371252</ProgramServices>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>228855</Total>
        <ProgramServices>228855</ProgramServices>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>570133</Total>
        <ProgramServices>570133</ProgramServices>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>149690</Total>
        <ProgramServices>149690</ProgramServices>
      </FeesForServicesAccounting>
      <Occupancy>
        <Total>260819</Total>
        <ProgramServices>260819</ProgramServices>
      </Occupancy>
      <ConferencesMeetings>
        <Total>308346</Total>
        <ProgramServices>308346</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>946692</Total>
        <ProgramServices>946692</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>123331</Total>
        <ProgramServices>123331</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>30686</Total>
        <ProgramServices>30686</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>491385</Total>
        <ProgramServices>491385</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIP. RENT &amp; MAINTENAN</Description>
        <Total>47764</Total>
        <ProgramServices>47764</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>31741</Total>
        <ProgramServices>31741</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>AUTO EXPENSE</Description>
        <Total>29710</Total>
        <ProgramServices>29710</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ADVERTISING</Description>
        <Total>28892</Total>
        <ProgramServices>28892</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>100231</Total>
        <ProgramServices>100231</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>16881573</Total>
        <ProgramServices>16881573</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>516421</BOY>
        <EOY>2396316</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>2132608</BOY>
        <EOY>544981</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>173493</BOY>
        <EOY>157264</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>769994</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>620331</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>258844</BOY>
        <EOY>149663</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>34528315</BOY>
        <EOY>37688431</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>68910801</BOY>
        <EOY>61742317</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>106520482</BOY>
        <EOY>102678972</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2303521</BOY>
        <EOY>2073696</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>31005515</BOY>
        <EOY>30829781</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>49478387</BOY>
        <EOY>35884927</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>82787423</BOY>
        <EOY>68788404</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>23267178</BOY>
        <EOY>33390297</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>465881</BOY>
        <EOY>500271</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>23733059</BOY>
        <EOY>33890568</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>106520482</BOY>
        <EOY>102678972</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-8480892</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>18638401</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus3Years>5718</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>503000</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>7000</CurrentTaxYearMinus1Year>
        <Total>515718</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>7553864</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7870857</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7661167</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8003118</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>7484454</CurrentTaxYear>
        <Total>38573460</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>7553864</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>7876575</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8164167</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8010118</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>7484454</CurrentTaxYear>
        <Total>39089178</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>39089178</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>810409</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>995673</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>853500</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>977662</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>843626</CurrentTaxYear>
        <Total>4480870</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>810409</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>995673</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>853500</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>977662</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>843626</CurrentTaxYear>
        <Total>4480870</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>3073739</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>-3817</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>-65618</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>37473</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>72601</CurrentTaxYear>
        <Total>3114378</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>11438012</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8868431</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>8952049</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>9025253</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8400681</CurrentTaxYear>
        <Total>46684426</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.83730</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.83570</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.09600</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.10280</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>465881</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>34390</InvestmentEarningsOrLosses>
        <EndOfYearBalance>500271</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>396185</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>69696</InvestmentEarningsOrLosses>
        <EndOfYearBalance>465881</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <Contributions>500000</Contributions>
        <InvestmentEarningsOrLosses>-103815</InvestmentEarningsOrLosses>
        <EndOfYearBalance>396185</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <TermEndowmentEOYBalance>1.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>19019</OtherCostOrOtherBasis>
        <Depreciation>1771</Depreciation>
        <BookValue>17248</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>750975</OtherCostOrOtherBasis>
        <Depreciation>618560</Depreciation>
        <BookValue>132415</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>149663</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>BOARD DESIGNATED INVESTMENTS</Description>
        <BookValue>37688431</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>37688431</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>FUNDS HELD BY TRUSTEE</Description>
        <BookValue>20035102</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>NOTES RECIEVABLE AND OTHER ASSETS</Description>
        <BookValue>1070680</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>30855914</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>GAAP ACQUISITION ADJUSTMENT</Description>
        <BookValue>9780621</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>61742317</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO AFFILILATES</Description>
        <Amount>31328988</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER VARIOUS LIABILITIES</Description>
        <Amount>4555939</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>35884927</TotalOfAmounts>
      <TotalRevenue>8400681</TotalRevenue>
      <TotalExpenses>16881573</TotalExpenses>
      <ExcessOrDeficitForYear>-8480892</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>3863337</NetUnrealizedGLOnInvestments>
      <OtherAmount>14775064</OtherAmount>
      <TotalAdjustments>18638401</TotalAdjustments>
      <ExcessOrDeficitPerFS>10157509</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>7484000</TotRevenueEtcAuditedFinclStmt>
      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>7484000</RevenueSubtotal>
      <OtherRevenuesNotIncluded>916681</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>916681</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>8400681</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>8733000</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>8733000</ExpensesSubtotal>
      <OtherExpensesNotIncluded>8148573</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>8148573</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>16881573</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>FUNDS TO BE USED TO ASSIST THE NEEDY THROUGH EDUCATON AND/OR PROJECTS FOR THE POOR AS DETERMINED BY THE VICE PRESIDENT OF MISSION AND APPROVED BY THE PRESIDENT OF COVENANT HEALTH SYSTEMS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>INTERCOMPANY TRANSFERS: 4,959,873. INVESTMENT GAINS TEMPORARILY RESTRICTED NET ASSETS: 34,390. ROUNDING 180. GAAP ACQUISITION ADJUSTMENT 9,780,621.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CASH SURRENDER VALUE 49,026. INVESTMENT INCOME CLASSIFIED AS NON OPERATING 843,626. GAIN ON SALE OF ASSETS CLASSIFIED AS NON OPERATING 23,575. ROUNDING 454.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CASH SURRENDER VALUE 49,026. ROUNDINGS -453. DONATION CLASSIFIED AS NON OPERATING 8,100,000.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FELICIAN SISTERS OF NORTH AMERICA INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>871 MERCER ROAD</AddressLine1>
          <City>BEAVER FALLS</City>
          <State>PA</State>
          <ZIPCode>15010</ZIPCode>
        </AddressUS>
        <EINOfRecipient>271282473</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>5000000</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT FOR MINISTRY.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ORDER OF THE CONGREGATION OF ST BRIGID</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>5118 LOMA LINDA DRIVE</AddressLine1>
          <City>SAN ANTONIO</City>
          <State>TX</State>
          <ZIPCode>782013801</ZIPCode>
        </AddressUS>
        <EINOfRecipient>746239269</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfNonCashAssistance>18075</AmountOfNonCashAssistance>
        <MethodOfValuation>BLUE BOOK VALUE</MethodOfValuation>
        <DescriptionOfNonCashAssistance>AUTO</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>PROVIDE TRANSPORTATION TO HELP CARRY ON MINISTRY.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NEW HAMPSHIRE CATHOLIC CHARITIES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>215 MYRTLE STREET</AddressLine1>
          <City>MANCHESTER</City>
          <State>NH</State>
          <ZIPCode>031044354</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020222163</EINOfRecipient>
        <IRCSection>3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>CHRISTMAS DRIVE TO ASSIST POOR AND NEEDY</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>3</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>3</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: GRANTS ARE MADE BASED ON THE REQUESTING ORGANIZATION'S MISSION, ITS NEED AND ITS ABILITY TO USE THE FUNDS IN ACCORDANCE WITH THE GRANT REQUEST. ALL GRANTS ARE APPROVED BY THE BOARD OF DIRECTORS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <TravelForCompanions>X</TravelForCompanions>
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>1</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID LINCOLN</NamePerson>
        <BaseCompensationFilingOrg>688362</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>311633</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>37357</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1049602</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN AHLE</NamePerson>
        <BaseCompensationFilingOrg>328651</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>31285</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>30373</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>402559</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SUSAN MCDONOUGH</NamePerson>
        <BaseCompensationFilingOrg>279279</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>137472</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25632</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>454633</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KENNETH FERRON</NamePerson>
        <BaseCompensationFilingOrg>266282</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>32958</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>71189</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25126</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>395555</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS LUCAS</NamePerson>
        <BaseCompensationFilingOrg>213236</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>34251</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10739</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>29440</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>287666</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID FRASER</NamePerson>
        <BaseCompensationFilingOrg>183632</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>18062</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9663</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9767</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>221124</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARY SCHAEFER</NamePerson>
        <BaseCompensationFilingOrg>130461</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1742</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6540</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>23623</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>162366</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>NANCY MULVIHILL</NamePerson>
        <BaseCompensationFilingOrg>133856</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>3667</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6785</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24641</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>168949</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ARNOLD GOLDIE</NamePerson>
        <BaseCompensationFilingOrg>127026</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1816</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6377</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24519</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>159738</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LOUISE CLOUGH</NamePerson>
        <BaseCompensationFilingOrg>126311</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>30212</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6034</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>2257</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>164814</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>$13,327 OF COMPANION TRAVEL COSTS WAS PROVIDED FOR SOME BUSINESS TRIPS DURING 2010.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>THE ORGANIZATION MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM FOR CERTAIN EXECUTIVES UNDER WHICH THE ORGANIZATION MAKES A CONTRIBUTION TO A GRANTOR TRUST FOR THE BENEFIT OF THE EXECUTIVE THAT IS INTENDED TO PROVIDE A SPECIFIED LEVEL OF RETIREMENT BENEFITS AT RETIREMENT AGE COMMENSURATE WITH RETIREMENT BENEFITS PROVIDED TO EXECUTIVES IN COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS. AMOUNTS CONTRIBUTED TO THE GRANTOR TRUST ARE HELD FOR THE BENEFIT OF THE EXECUTIVE UNTIL HE OR SHE REACHES AGE 60, AT WHICH TIME THEY ARE RELEASED TO THE EXECUTIVE. THE FULL AMOUNT PAID INTO THE GRANTOR TRUST IS TAXABLE TO THE EXECUTIVE WHEN SO PAID, AND IS INCLUDED IN THE EXECUTIVE'S REPORTED COMPENSATION. CONTRIBUTIONS MADE DURING 2010 ARE AS FOLLOWS: $295,402 WAS CONTRIBUTED TO THE GRANTOR TRUST FOR THE BENEFIT OF DAVID LINCOLN; AND $112,711 WAS CONTRIBUTED TO THE GRANTOR TRUST FOR THE BENEFIT OF SUSAN MCDONOUGH. AMOUNTS INCLUDED IN B(II) OF SCHEDULE J FOR HIGHEST COMPENSATED EMPLOYEES.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>THE ORGANIZATION MAINTAINS AN INCENTIVE COMPENSATION PLAN FOR EXECUTIVES THAT IS ADMINISTERED BY THE ORGANIZATION'S COMPENSATION COMMITTEE. THE PLAN PROVIDES EXECUTIVES WITH THE OPPORTUNITY TO EARN REASONABLE INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE INDIVIDUAL EXECUTIVE, AS MEASURED AGAINST GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR. THE ENTITLEMENT TO AWARDS FOR A PARTICULAR YEAR IS NOT DETERMINED UNTIL EARLY THE FOLLOWING YEAR. THE ORGANIZATION PAID NO INCENTIVE COMPENSATION AWARDS IN 2010 BASED ON PERFORMANCE DURING 2009. AMOUNT WOULD BE INCLUDED IN (B)(II) OF SCHEDULE J FOR HIGHEST COMPENSATED EMPLOYEES.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MA HEALTH &amp; EDUCATION AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>042456011</IssuerEIN>
        <CUSIPNumber>57586CL78</CUSIPNumber>
        <DateIssued>2002-02-14</DateIssued>
        <IssuePrice>52276161</IssuePrice>
        <DescriptionOfPurpose>CAPITAL EQUIPMENT &amp; PROJECTS PLUS REFUNDING PRIOR ISSUES</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>MA HEALTH &amp; EDUCATION AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>042456011</IssuerEIN>
        <CUSIPNumber>57586DBF9</CUSIPNumber>
        <DateIssued>2007-10-30</DateIssued>
        <IssuePrice>24646225</IssuePrice>
        <DescriptionOfPurpose>YOUVILLE PLACE ACQUISITION &amp; REFUNDING PRIOR ISSUES</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>40445000</TotalProceeds>
        <AmountInReserveFund>4372316</AmountInReserveFund>
        <IssuanceCostsFromProceeds>900158</IssuanceCostsFromProceeds>
        <CapitalExpenditures>4000000</CapitalExpenditures>
        <YearOfSubstCompletion>2004</YearOfSubstCompletion>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>11605000</TotalProceeds>
        <AmountInReserveFund>1198863</AmountInReserveFund>
        <RefundingEscrow>11226315</RefundingEscrow>
        <IssuanceCostsFromProceeds>383111</IssuanceCostsFromProceeds>
        <CapitalExpenditures>11505784</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>0</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>0</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>0</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>0</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>THE DIRECTORS OF THE ORGANIZATION ARE ELECTED BY THE MEMBERS OF COVENANT HEALTH SYSTEMS, A PUBLIC JURIDIC PERSON OF PONTIFICAL RIGHT UNDER THE LAWS OF THE ROMAN CATHOLIC CHURCH (THE "CHS PUBLIC JURIDIC PERSON").</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>ANY CHANGE IN THE WRITTEN STATEMENTS OF PHILOSOPHY OR MISSION OF THE ORGANIZATION MUST BE APPROVED BY THE CHS PUBLIC JURIDIC PERSON BEFORE SUCH CHANGE BECOMES EFFECTIVE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE 990 RETURN IS PRESENTED TO THE BOARD OF DIRECTORS. THEY REVIEW IT PRIOR TO SUBMISSION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION HAS A FULL-TIME DESIGNATED ORGANIZATIONAL INTEGRITY OFFICER THAT MONITORS OPERATIONS TO DETECT AND/OR RESOLVE CONFLICT OF INTEREST ISSUES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEMS BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THIS ANALYSIS ARE TO: - ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM. - DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS. - ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>POLICIES AND GOVERNING DOCUMENTS ARE AVAILABLE AT THE HOME OFFICE UPON REQUEST.</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: 3,863,337. INTERCOMPANY TRANSFERS: 4,959,873. INVESTMENT GAINS TEMPORARILY RESTRICTED NET ASSETS: 34,390. ROUNDING 180. GAAP ACQUISITION ADJUSTMENT 9,780,621. TOTAL TO FORM 990, PART XI, LINE 5: 18,638,401.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>PART XI, LINE 5</ReturnReference>
        <Explanation>ON JULY 29, 2010, CHS ACQUIRED ST. JOSEPH HEALTHCARE FOUNDATION WHICH SERVES THE GREATER BANGOR MAINE AREA. CHS BECAME THE SOLE CORPORATE MEMBER OF THE FOUNDATION. THE TRANSACTION WAS ACCOUNTED FOR IN ACCORDANCE WITH ACCOUNTING STANDARD ASU 2010-07 WHICH REQUIRES THE ASSETS AND LIABILITIES OF THE FOUNDATION TO BE ACCOUNTED FOR AT FAIR MARKET VALUE AS OF THE DATE OF ACQUISITION. FOR PURPOSES OF COMPLETING THIS FORM 990, THE NET ASSETS OF THE FOUNDATION ARE RECORDED AS AN INCREASE TO THE UNRESTRICTED NET ASSETS OF CHS. THE AMOUNT RECORDED AS OF DECEMBER 31, 2010 EQUALS $9,780,621. IN CONJUNCTION WITH THE ACQUISITION CHS AGREED TO A CHARITABLE PLEDGE AGREEMENT WITH THE FELECIAN SISTERS OF NORTH AMERICA. THE NET AMOUNT OF THE PLEDGE EQUALS $8,100,000 AND IS REPORTED ON SCHEDULE I.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>YOUVILLE LIFECARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1575 CAMBRIDGE STREET</AddressLine1>
          <City>CAMBRIDGE</City>
          <State>MA</State>
          <ZIPCode>02138</ZIPCode>
        </AddressUS>
        <EIN>042103582</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MANOR HEALTH CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>215 THATCHER STREET</AddressLine1>
          <City>BROCKTON</City>
          <State>MA</State>
          <ZIPCode>02302</ZIPCode>
        </AddressUS>
        <EIN>042565937</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 7291</AddressLine1>
          <City>LEWISTON</City>
          <State>ME</State>
          <ZIPCode>04243</ZIPCode>
        </AddressUS>
        <EIN>222504349</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH'S HOSPITAL OF NASHUANH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>172 KINSLEY STREET</AddressLine1>
          <City>NASHUA</City>
          <State>NH</State>
          <ZIPCode>03061</ZIPCode>
        </AddressUS>
        <EIN>020222215</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>YOUVILLE PLACE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10 PELHAM ROAD</AddressLine1>
          <City>LEXINGTON</City>
          <State>MA</State>
          <ZIPCode>02421</ZIPCode>
        </AddressUS>
        <EIN>043297834</EIN>
        <PrimaryActivities>ASSISTED LIVING</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S VILLA NURSING HOME INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>675 ST MARYS VILLA ROAD</AddressLine1>
          <City>MOSCOW</City>
          <State>PA</State>
          <ZIPCode>18444</ZIPCode>
        </AddressUS>
        <EIN>232057177</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHS OF WALTHAM INC DBA MARISTHILL NURING &amp; REHABILIATION CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>66 NEWTON STREET</AddressLine1>
          <City>WALTHAM</City>
          <State>MA</State>
          <ZIPCode>02453</ZIPCode>
        </AddressUS>
        <EIN>043333609</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHS OF WORCESTER INC DBA ST MARY CARE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>39 QUEEN STREET</AddressLine1>
          <City>WORCHESTER</City>
          <State>MA</State>
          <ZIPCode>01610</ZIPCode>
        </AddressUS>
        <EIN>043419625</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FANNY ALLEN HOLDINGS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>790 COLLEGE PARKWAY</AddressLine1>
          <City>COLCHESTER</City>
          <State>VT</State>
          <ZIPCode>05446</ZIPCode>
        </AddressUS>
        <EIN>030181052</EIN>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>VT</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST ANDRE HEALTH CARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>407 POOL STREET</AddressLine1>
          <City>BIDDEFORD</City>
          <State>ME</State>
          <ZIPCode>04005</ZIPCode>
        </AddressUS>
        <EIN>010342399</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MI NURSING RESTORATIVE CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>172 LAWRENCE STREET</AddressLine1>
          <City>LAWRENCE</City>
          <State>MA</State>
          <ZIPCode>01841</ZIPCode>
        </AddressUS>
        <EIN>042104851</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HELPING HANDS OF ST MARGUERITE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>799 CONCORD AVENUE</AddressLine1>
          <City>CAMBRIDGE</City>
          <State>MA</State>
          <ZIPCode>02138</ZIPCode>
        </AddressUS>
        <EIN>800199674</EIN>
        <PrimaryActivities>PRIVATE HOME-CARE</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROVIDENTIA PRIMA TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>420 BEDFORD STREET</AddressLine1>
          <City>LEXINGTON</City>
          <State>MA</State>
          <ZIPCode>02420</ZIPCode>
        </AddressUS>
        <EIN>046835128</EIN>
        <PrimaryActivities>INVESTMENT TRUST</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FANNY ALLEN CORPORATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>790 COLLEGE PARKWAY</AddressLine1>
          <City>COLCHESTER</City>
          <State>VT</State>
          <ZIPCode>05446</ZIPCode>
        </AddressUS>
        <EIN>222495808</EIN>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>VT</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FANNY ALLEN HOLDING INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>YOUVILLE HOUSE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1573 CAMBRIDGE STREET</AddressLine1>
          <City>CAMBRIDGE</City>
          <State>MA</State>
          <ZIPCode>02138</ZIPCode>
        </AddressUS>
        <EIN>043239593</EIN>
        <PrimaryActivities>ASSISTED LIVING</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>YOUVILLE LIFECARE INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>YOUVILLE HOSPITAL AND REHABILITATION CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1575 CAMBRIDGE STREET</AddressLine1>
          <City>CAMBRIDGE</City>
          <State>MA</State>
          <ZIPCode>02138</ZIPCode>
        </AddressUS>
        <EIN>043239563</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>YOUVILLE LIFECARE INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 7291</AddressLine1>
          <City>LEWISTON</City>
          <State>ME</State>
          <ZIPCode>04243</ZIPCode>
        </AddressUS>
        <EIN>010211551</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST MARY'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COMMUNITY CLINICAL SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 7291</AddressLine1>
          <City>LEWISTON</City>
          <State>ME</State>
          <ZIPCode>04243</ZIPCode>
        </AddressUS>
        <EIN>010409788</EIN>
        <PrimaryActivities>PHYSICIAN PRATICE</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST MARY'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S D'YOUVILLE PAVILION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 7291</AddressLine1>
          <City>LEWISTON</City>
          <State>ME</State>
          <ZIPCode>04243</ZIPCode>
        </AddressUS>
        <EIN>010211558</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST MARY'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST MARY'S RESIDENCES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 7291</AddressLine1>
          <City>LEWISTON</City>
          <State>ME</State>
          <ZIPCode>04243</ZIPCode>
        </AddressUS>
        <EIN>222504356</EIN>
        <PrimaryActivities>LOW INCOME HOUSING</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST MARY'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NEIGHBORHOOD HOUSING INITIATIVE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 7291</AddressLine1>
          <City>LEWISTON</City>
          <State>ME</State>
          <ZIPCode>04243</ZIPCode>
        </AddressUS>
        <EIN>010539730</EIN>
        <PrimaryActivities>AFFORDABLE HOUSING</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST MARY'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOUHEGAN NURSING ASSOCIATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>24 NORTH RIVER ROAD</AddressLine1>
          <City>MILFORD</City>
          <State>NH</State>
          <ZIPCode>03055</ZIPCode>
        </AddressUS>
        <EIN>020222795</EIN>
        <PrimaryActivities>HOME HEATH &amp; HOSPICE</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOSEPH HOSPITAL OF NASHUA NH INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE SURGICENTER AT ST JOSEPH HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>172 KINSLEY STREET</AddressLine1>
          <City>NASHUA</City>
          <State>NH</State>
          <ZIPCode>03061</ZIPCode>
        </AddressUS>
        <EIN>020222215</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOSEPH HOSPITAL OF NASHUA NH INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DH FAMILY MEDICINE OF NASHUA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>172 KINSLEY STREET</AddressLine1>
          <City>NASHUA</City>
          <State>NH</State>
          <ZIPCode>03061</ZIPCode>
        </AddressUS>
        <EIN>208404257</EIN>
        <PrimaryActivities>PHYSICIAN SERVICES</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOSEPH HOSPITAL OF NASHUA NH INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MI MANAGEMENT INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>172 LAWRENCE STREET</AddressLine1>
          <City>LAWRENCE</City>
          <State>MA</State>
          <ZIPCode>01841</ZIPCode>
        </AddressUS>
        <EIN>042857794</EIN>
        <PrimaryActivities>ASSISTED LIVING</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MI ADULT DAY HEALTH CARE CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>189 MAPLE STREET</AddressLine1>
          <City>LAWRENCE</City>
          <State>MA</State>
          <ZIPCode>01841</ZIPCode>
        </AddressUS>
        <EIN>042921888</EIN>
        <PrimaryActivities>ADULT DAY CARE</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MI RESIDENTIAL COMMUNITY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>189 MAPLE STREET</AddressLine1>
          <City>LAWRENCE</City>
          <State>MA</State>
          <ZIPCode>01841</ZIPCode>
        </AddressUS>
        <EIN>042647207</EIN>
        <PrimaryActivities>HUD LOW INCOME HOUSING</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MI RESIDENTIAL COMMUNITY II INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>189 MAPLE STREET</AddressLine1>
          <City>LAWRENCE</City>
          <State>MA</State>
          <ZIPCode>01841</ZIPCode>
        </AddressUS>
        <EIN>042679954</EIN>
        <PrimaryActivities>HUD LOW INCOME HOUSING</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MI RESIDENTIAL COMMUNITY III INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>189 MAPLE STREET</AddressLine1>
          <City>LAWRENCE</City>
          <State>MA</State>
          <ZIPCode>01841</ZIPCode>
        </AddressUS>
        <EIN>042186043</EIN>
        <PrimaryActivities>HUD LOW INCOME HOUSING</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MI TRANSPORTATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>189 MAPLE STREET</AddressLine1>
          <City>LAWRENCE</City>
          <State>MA</State>
          <ZIPCode>01841</ZIPCode>
        </AddressUS>
        <EIN>042921889</EIN>
        <PrimaryActivities>ELDERLY TRANSPORTATION SERVICE</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 BROADWAY</AddressLine1>
          <City>BANGOR</City>
          <State>ME</State>
          <ZIPCode>04402</ZIPCode>
        </AddressUS>
        <EIN>222480149</EIN>
        <PrimaryActivities>HEALTHCARE FOUNDATION</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 BROADWAY</AddressLine1>
          <City>BANGOR</City>
          <State>ME</State>
          <ZIPCode>04402</ZIPCode>
        </AddressUS>
        <EIN>010212435</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOSEPH HEALTHCARE FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>M &amp; J COMPANY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 BROADWAY</AddressLine1>
          <City>BANGOR</City>
          <State>ME</State>
          <ZIPCode>04402</ZIPCode>
        </AddressUS>
        <EIN>222480150</EIN>
        <PrimaryActivities>LEASE HOLDING COMPANY</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 2</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOSEPH HEALTHCARE FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH AMBULATORY CARE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 BROADWAY</AddressLine1>
          <City>BANGOR</City>
          <State>ME</State>
          <ZIPCode>04402</ZIPCode>
        </AddressUS>
        <EIN>222480373</EIN>
        <PrimaryActivities>PHYSICIAN PRATICE</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOSEPH HEALTHCARE FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ATERNATIVE HEALTH SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>360 BROADWAY</AddressLine1>
          <City>BANGOR</City>
          <State>ME</State>
          <ZIPCode>04402</ZIPCode>
        </AddressUS>
        <EIN>010422885</EIN>
        <PrimaryActivities>HOME HEALTH AND HOSPICE</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(C) 3</ExemptCodeSection>
        <PublicCharityStatus>509(A)(1)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOSEPH HEALTHCARE FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>1</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>COVENANT HEALTH SYSTEMS INSURANCE LTD</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressForeign>
          <AddressLine1>720 WEST BAY ROAD</AddressLine1>
          <City>GEORGETOWN</City>
          <Country>CJ</Country>
        </AddressForeign>
        <EIN>043360127</EIN>
        <PrimaryActivity>INSURANCE COMPANY</PrimaryActivity>
        <LegalDomicileForeignCountry>CJ</LegalDomicileForeignCountry>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>877620</ShareOfTotalIncome>
        <ShareOfEOYAssets>35027512</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CAMPUS HOLDING</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 7291</AddressLine1>
          <City>LEWISTON</City>
          <State>ME</State>
          <ZIPCode>04240</ZIPCode>
        </AddressUS>
        <EIN>010406049</EIN>
        <PrimaryActivity>HOLDING COMPANY</PrimaryActivity>
        <LegalDomicileState>ME</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST MARY'S HEALTH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH CORPORATE SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>172 KINSLEY STREET</AddressLine1>
          <City>NASHUA</City>
          <State>NH</State>
          <ZIPCode>03060</ZIPCode>
        </AddressUS>
        <EIN>020405197</EIN>
        <PrimaryActivity>HOLDING COMPANY</PrimaryActivity>
        <LegalDomicileState>NH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOSEPH'S HOSPITAL OF NASHUA NH INC</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>-11991000</ShareOfTotalIncome>
        <ShareOfEOYAssets>27474000</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>STRAUSS INCORPORATED</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>360 BROADWAY</AddressLine1>
          <City>BANGOR</City>
          <State>ME</State>
          <ZIPCode>04402</ZIPCode>
        </AddressUS>
        <EIN>010391369</EIN>
        <LegalDomicileState>ME</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOSEPH HEALTHCARE FOUNDATION</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfEOYAssets>127000</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LOAN FROM - ST JOSEPH HOSPITAL OF NASHUA</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>16739133</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DUE TO AFFILIATE - ST MARY'S HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>8846640</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DUE TO AFFILIATE - YOUVILLE HOUSE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>5049147</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DUE TO AFFILIATE - ST ANDRE'S HEALTH CARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>483100</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>DUE TO AFFILIATE - YOUVILLE HOUSE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>E</TransactionType>
        <AmountInvolved>210968</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LOAN TO ST ANDRE'S HEALTH CARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>494313</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LOAN TO ST MARY'S HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>22145228</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LOAN TO ST JOSEPH HEALTH CARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>7612421</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LOAN TO YOUVILLE HOUSE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>1341280</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>INVESTMENTS HELD BY PROVIDENTIA PRIMA TRUST</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>28502842</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>INTER-COMPANY TRANSFERS - HELPING HANDS OF ST MARGUERITE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>40000</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>INTER-COMPANY TRANSFERS - YOUVILLE LIFECARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>5000000</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - MARISTHILL NURSING &amp; REHABILIATION CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>166824</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - ST JOSEPH HOSPITAL OF NASHUA</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>2553792</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - YOUVILLE LIFECARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>142123</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - MARY IMMACULATE NURSING RESTORATIVE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>356868</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - FANNY ALLEN FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>197904</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - YOUVILLE PLACE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>89962</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - ST MARY CARE CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>142128</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - ST MARY'S HEALTH SYSTEM</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>2052072</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - COVENANT HEALTH SYSTEM INSURANCE LTD</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>80004</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - ST JOSEPH MANOR HEALTH CARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>168804</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - ST ANDRE HEALTH CARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>131816</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - ST MARY'S VILLA</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>126348</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - YOUVILLE HOUSE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>60204</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - ST JOSEPH HOSPITAL OF BANGOR</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>174423</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMBERSHIP FEE - HELPING HANDS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>1764</AmountInvolved>
        <MethodOfAmtDetermination>ACCRUAL</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>