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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>32 Elm Place Suite 1 South</AddressLine1>
            <City>Rye</City>
            <State>NY</State>
            <ZIPCode>10580</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Wound Care Services</DescriptionOfServices>
        <Compensation>452601</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Deloitte Consulting LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>50 S 6th Street Suite 2800</AddressLine1>
            <City>Minneapolis</City>
            <State>MN</State>
            <ZIPCode>554021538</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Consultant Services</DescriptionOfServices>
        <Compensation>354489</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Intensivist Group The</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>830 West Route 22 Suite 50</AddressLine1>
            <City>Lake Zurich</City>
            <State>IL</State>
            <ZIPCode>600472349</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Contracted Physician Services</DescriptionOfServices>
        <Compensation>341699</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Onsite Neonatal PC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 1707</AddressLine1>
            <City>Voorhees</City>
            <State>NJ</State>
            <ZIPCode>080437707</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Contracted Physician Services</DescriptionOfServices>
        <Compensation>336883</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>20</NumberOfContractorsGT100K>
      <GovernmentGrants>62779</GovernmentGrants>
      <AllOtherContributions>341018</AllOtherContributions>
      <TotalContributions>403797</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Net Patient Service Re</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>116939580</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>116939580</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>116939580</TotalProgramServiceRevenue>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>300824</TotalRevenueColumn>
        <ExclusionAmount>300824</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <GrossRents>
        <Real>67639</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>67639</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>67639</TotalRevenueColumn>
        <ExclusionAmount>67639</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>450000</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>320903</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>129097</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>129097</TotalRevenueColumn>
        <ExclusionAmount>129097</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>58319</GrossIncomeFundraisingEvents>
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      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>46252</TotalRevenueColumn>
        <ExclusionAmount>46252</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
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        <Description>Miscelleneous Income</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>165140</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>165140</RelatedOrExemptFunctionIncome>
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      <OtherRevenueMisc>
        <Description>Outside Clinical Reven</Description>
        <BusinessCode>621111</BusinessCode>
        <TotalRevenueColumn>137538</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>137538</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Capitation Revenue</Description>
        <BusinessCode>621111</BusinessCode>
        <TotalRevenueColumn>59680</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>59680</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>152718</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>152718</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>515076</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>118402265</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>117454656</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>543812</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>9575</Total>
        <ProgramServices>9575</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>810233</Total>
        <ManagementAndGeneral>810233</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>38879566</Total>
        <ProgramServices>32843827</ProgramServices>
        <ManagementAndGeneral>6035739</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>2248086</Total>
        <ProgramServices>1860321</ProgramServices>
        <ManagementAndGeneral>387765</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>5260529</Total>
        <ProgramServices>4353157</ProgramServices>
        <ManagementAndGeneral>907372</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>3168193</Total>
        <ProgramServices>2621721</ProgramServices>
        <ManagementAndGeneral>546472</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>113428</Total>
        <ProgramServices>93863</ProgramServices>
        <ManagementAndGeneral>19565</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>12849</Total>
        <ManagementAndGeneral>12849</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>14415</Total>
        <ManagementAndGeneral>14415</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesOther>
        <Total>24468034</Total>
        <ProgramServices>20247618</ProgramServices>
        <ManagementAndGeneral>4220416</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>392822</Total>
        <ProgramServices>325065</ProgramServices>
        <ManagementAndGeneral>67757</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>387620</Total>
        <ProgramServices>320761</ProgramServices>
        <ManagementAndGeneral>66859</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>44531</Total>
        <ProgramServices>36850</ProgramServices>
        <ManagementAndGeneral>7681</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>2806701</Total>
        <ProgramServices>2322582</ProgramServices>
        <ManagementAndGeneral>484119</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>13838</Total>
        <ProgramServices>11451</ProgramServices>
        <ManagementAndGeneral>2387</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>80643</Total>
        <ProgramServices>66733</ProgramServices>
        <ManagementAndGeneral>13910</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>1108155</Total>
        <ProgramServices>917013</ProgramServices>
        <ManagementAndGeneral>191142</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>4689243</Total>
        <ProgramServices>3880410</ProgramServices>
        <ManagementAndGeneral>808833</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>2076710</Total>
        <ProgramServices>1718505</ProgramServices>
        <ManagementAndGeneral>358205</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Patient Supplies</Description>
        <Total>13724111</Total>
        <ProgramServices>13724111</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Provision for Bad Debts</Description>
        <Total>11094985</Total>
        <ProgramServices>11094985</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Affiliate Subsidized Ph</Description>
        <Total>6751848</Total>
        <ProgramServices>5587243</ProgramServices>
        <ManagementAndGeneral>1164605</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Non-Medical Supplies &amp;</Description>
        <Total>705406</Total>
        <ProgramServices>583733</ProgramServices>
        <ManagementAndGeneral>121673</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Telecommunications</Description>
        <Total>193360</Total>
        <ProgramServices>160008</ProgramServices>
        <ManagementAndGeneral>33352</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>498847</Total>
        <ProgramServices>424731</ProgramServices>
        <ManagementAndGeneral>74116</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>119553728</Total>
        <ProgramServices>103204263</ProgramServices>
        <ManagementAndGeneral>16349465</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>21127289</BOY>
        <EOY>18251933</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
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        <EOY>11727905</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
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        <EOY>2290784</EOY>
      </InventoriesForSaleOrUse>
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        <BOY>637175</BOY>
        <EOY>420736</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>79959597</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>40694494</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>41723420</BOY>
        <EOY>39265103</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>211327</BOY>
        <EOY>262167</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>1670258</BOY>
        <EOY>1558964</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>184362</BOY>
        <EOY>325233</EOY>
      </InvestmentsProgramRelated>
      <OtherAssetsTotal>
        <BOY>225883</BOY>
        <EOY>6233734</EOY>
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      <TotalAssets>
        <BOY>78718063</BOY>
        <EOY>80336559</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>7798362</BOY>
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      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
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        <EOY>32096880</EOY>
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      <MortNotesPyblSecuredInvestProp>
        <BOY>1000000</BOY>
        <EOY>1000000</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>18667016</BOY>
        <EOY>26336597</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>59448323</BOY>
        <EOY>66773620</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>19024345</BOY>
        <EOY>13416915</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>245395</BOY>
        <EOY>146024</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>19269740</BOY>
        <EOY>13562939</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>78718063</BOY>
        <EOY>80336559</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-1151463</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-4555338</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>0</FSAudited>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <PaidStaffOrManagement>1</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>1</DirectContactLegislators>
      <DirectContactLegislatorsAmount>14415</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>14415</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>3950000</OtherCostOrOtherBasis>
        <BookValue>3950000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>44643533</OtherCostOrOtherBasis>
        <Depreciation>17327729</Depreciation>
        <BookValue>27315804</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>125000</OtherCostOrOtherBasis>
        <Depreciation>12500</Depreciation>
        <BookValue>112500</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>30477872</OtherCostOrOtherBasis>
        <Depreciation>23233536</Depreciation>
        <BookValue>7244336</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>763192</OtherCostOrOtherBasis>
        <Depreciation>120729</Depreciation>
        <BookValue>642463</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>39265103</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Interest Receivable</Description>
        <BookValue>19784</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other Receivables</Description>
        <BookValue>213084</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Unamortized Financing Costs</Description>
        <BookValue>274312</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Intercompany Receivable</Description>
        <BookValue>5726554</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>6233734</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Estimated Third Party Payables</Description>
        <Amount>6677030</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Current Liabilities</Description>
        <Amount>2355373</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Pension Liabilities</Description>
        <Amount>15010723</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Reserves</Description>
        <Amount>2293471</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>26336597</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>Golf Outing</NameOfEvent1>
        <GrossReceiptsEvent1>58319</GrossReceiptsEvent1>
        <GrossRevenueEvent1>58319</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>9670</RentFacilityCostsEvent1>
        <OtherDirectExpensesEvent1>2397</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>58319</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>58319</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>9670</RentFacilityCostsTotalEvents>
        <OtherDirectExpensesTotalEvents>2397</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>12067</DirectExpenseSummaryEvents>
        <NetIncomeSummary>46252</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>188959</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13322</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>175637</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00160</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>12060096</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9407170</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2652926</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02450</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>12249055</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9420492</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2828563</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02610</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>774172</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>774172</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00710</PercentOfTotalExpense>
      </CommunityHealthServices>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>2498247</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2498247</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02300</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>130881</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>130881</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>3403300</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>3403300</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03130</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>15652355</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>6231863</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05740</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1794106</BadDebtExpenseAmount>
      <AmountAttributableTo>987061</AmountAttributableTo>
      <AmountReimbursedByMedicare>28396225</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>27659220</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>737005</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>1 East Norriton Medical Associates</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>Medical Office Building</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.12560</OrganizationProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.23920</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Mercy Suburban Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2701 DeKalb Pike</AddressLine1>
          <City>East Norriton</City>
          <State>PA</State>
          <ZIPCode>194011820</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>NOT APPLICABLE</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 6a: The annual community benefit report for Catholic Health East (CHE) includes Mercy Suburban Hospital.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses (excluding bad debt expense) by total gross patient charges.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, L7 Col(f): The amount of bad debt the organization included on Form 990, part IX, line 25, column (a), but subtracted for purposes of calculating the percentage in schedule H, Part 1, line 7, column (f) $11,094,985.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: The figures were calculated based on the cost-to-charge ratio. The cost-to-charge ratio was derived by dividing total operating expenses (excluding bad debt expense) by total gross patient charges. The cost-to-charge ratio was applied to total bad debt write-offs to calculate the costs for line 2.While we make all reasonable efforts to identify patients eligible for charity care prior to billing, such pre-billing identification is not always possible. This problem arises largely with patients treated in our Emergency Department ("ED") on an outpatient basis. Frequently, these patients do not complete an application for financial assistance therefore making a definitive determination difficult. The estimated amount for patients who likely would qualify for financial assistance is calculated for line 3 based on a review of bad debt write-offs to include only bad debt for uninsured patients, and estimating the amount of that cost that could be charity based on a review of applications for financial assistance. A reasonable estimate based on the percentage of patients whose applications do not meet the criteria for financial assistance is used to estimate the amount that could qualify for financial assistance. For financial reporting, an allowance for doubtful accounts is recorded for estimated losses resulting from the unwillingness of patients to make payments for services. The allowance is determined by analyzing historical data and trends. Accounts receivable are written off against the allowance for doubtful accounts when management determines that recovery is unlikely and collection efforts cease.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: Mercy Suburban Hospital has reported a surplus on providing Medicare services of $737,005 on Part III, Line 7 of Schedule H. This surplus agrees to the amount disclosed in the 2010 Cost Report. Mercy Suburban Hospital also incurred unpaid costs of Medicare programs of $4,642,769 during 2010. These unpaid costs relate to the following: 1) The cost and reimbursement for fee-schedule reimbursed services are not considered in the Medicare cost report. 2) The cost-to-charge ratio methodology used in the cost report differs from the methodology that Mercy Suburban Hospital uses to calculate the unpaid cost of Medicare services 3) The cost report does not include unpaid costs of Medicare Advantage plans. 4) The cost report numbers do not include revenues and costs of graduate direct medical education. This $4,642,769 amount represents the costs of services provided to Medicare patients by the Hospital for which no payment is expected or received. Medicare services are provided to eligible patients regardless of their ability to pay, and therefore any shortfall is considered to be a community benefit provided by the Hospital. When considering the total unpaid cost of Medicare for the Hospital for all services, including those which are not reported on the 2010 cost report, the total unpaid cost of Medicare services for Mercy Suburban Hospital is $3,905,764.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: Self-Pay balances are transferred to professional collection agencies when the accounts complete a patient statement billing cycle (e.g., 120 days) with no payment from the patient or proof of eligibility for Charity Care or other programs. Accounts with applications pending for Charity Care or other assistance programs are held until a decision is made. A pending application is defined as an application that has been fully completed by the patient, submitted and is in the process of being determined for eligibility.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, line 7, The list of states in which CHE's community benefit report is filed are: Alabama, Connecticut, Delaware, Florida, Georgia, Massachusetts, Maine, New Jersey, North Carolina and Pennsylvania.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: The organization conducts a Community Health Needs Assessment at the acute care operating unit level. This is to be conducted every three years with an annual update. The assessment includes an Annual Improvement Plan for the identified community health needs priorities. The needs are assessed by conducting and analyzing primary and secondary research. Primary research includes surveying key community organizations in each service area with the purpose of identifying key health care needs and issues faced by the community. Secondary research is publicly reported information including demographic data, socio-economic data, and vital health statistics.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: The organization is deeply committed to caring for the health care needs of persons who are poor or are who experiencing extreme financial burdens. As a general matter, our charity care policy is predominately displayed in our ED and Business office. More specifically, the organization has established respectful and effective procedures for addressing the needs of those persons who are unable to pay for all or most of their care. In order to preserve the dignity of these persons and to facilitate the process of securing necessary information, the organization will perform financial screening upon scheduling, admission or registration (discharge processing in the ED) as part of the overall Financial Counseling process as described in the Key Performance Indicator System Policies. Patients who represent increased financial risk as a result of the amount they are expected to owe out-of-pocket will be referred to a Financial Counselor for assistance in applying for alternative payment programs (e.g., Medical Assistance) determining Charity Care eligibility, establishing payment plans or other financing arrangements. Financial Counseling services will be made available to all elective, urgent and emergent patients. Patients with insurance other than that afforded low income individuals will not have their patient liability unpaid balance, coinsurance, deductible or non-covered services written-off to Charity Care unless financial hardship can be proven.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: Mercy Suburban Hospital (MSH) is located in Norristown (19403), Montgomery County. Its primary and secondary service area comprises 9 zip codes across central Montgomery County. This is primarily an affluent community with the exception of Norristown (19401) which is a diverse community that has been designated by the state and federal government as a medically underserved population (MUP). The total service area population is projected to increase by 1.7% while the female population of child bearing age (15-44) is projected to decrease by 4.1%. The overall service area is affluent with an average household income of $97,135 and unemployment at 3.9%.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6:</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: Our community benefit activities include going directly into underserved communities/populations and providing health screenings, immunizations and health care education. Our community benefit programs also ensure establishing primary care physician offices in medically underserved areas. In addition, we maintain a 24-hour emergency room, an open medical staff and a board comprised largely of independent members of the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 7: The organization is a member of the Mercy Health System of Southeastern Pennsylvania. The System operates four hospital facilities -- Mercy Fitzgerald, Mercy Philadelphia, Mercy Suburban, and Nazareth that are dedicated to addressing the specific medical needs of the community served. In addition, the System sponsors two programs that are designed to improve the quality of life for senior citizens. These programs are operated by Mercy Home Health and Mercy LIFE. Finally, the System offers comprehensive managed care programs for Medicaid enrollees through three partnerships. All of the services provided by the System attempt to serve the needs of the community at-large with a special emphasis on the poor and disadvantaged.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: Mercy Health System of SEPA, and its subsidiaries, grant money to established organizations that support ministries that are consistent with Mercy Health System's own mission.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <Form990ScheduleJPartII>
        <NamePerson>Jeffrey E Snyder</NamePerson>
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        <NamePerson>H Ray Welch Jr</NamePerson>
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        <NamePerson>Joseph H Bradley</NamePerson>
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        <NamePerson>Mark Bullock</NamePerson>
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        <NamePerson>Peter B Kenniff</NamePerson>
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        <BonusFilingOrg>23550</BonusFilingOrg>
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        <NamePerson>Carol Fluegge</NamePerson>
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        <BonusFilingOrg>19125</BonusFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>Nate Guyton</NamePerson>
        <BaseCompensationFilingOrg>148335</BaseCompensationFilingOrg>
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        <NamePerson>Wayne Miller</NamePerson>
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        <NamePerson>Leslie Tupchong</NamePerson>
        <BaseCompensationFilingOrg>230289</BaseCompensationFilingOrg>
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      </Form990ScheduleJPartII>
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        <NamePerson>Elaine G Pendrak</NamePerson>
        <BaseCompensationFilingOrg>148854</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      </Form990ScheduleJPartII>
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        <NamePerson>Lynne Mulholland</NamePerson>
        <BaseCompensationFilingOrg>148854</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 3: The organization relied on a related organization that used one or more of the methods described below to establish the top management official's compensation: - Compensation committee - Independent compensation committee - Written employment contract - Compensation survey or study - Approval by the board or compensation committee.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Montgomery County Higher Education &amp; Health Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232447147</IssuerEIN>
        <CUSIPNumber>613603PV5</CUSIPNumber>
        <DateIssued>2004-12-14</DateIssued>
        <IssuePrice>18533876</IssuePrice>
        <DescriptionOfPurpose>Finance certain capital projects</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Montgomery County Higher Education &amp; Health Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232447147</IssuerEIN>
        <CUSIPNumber>613603SA8</CUSIPNumber>
        <DateIssued>2007-04-19</DateIssued>
        <IssuePrice>17135000</IssuePrice>
        <DescriptionOfPurpose>Refinance existing debt and finance certain capital projects</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
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      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Montgomery County Higher Education &amp; Health Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>232447147</IssuerEIN>
        <CUSIPNumber>613603SH3</CUSIPNumber>
        <DateIssued>2009-03-19</DateIssued>
        <IssuePrice>5396661</IssuePrice>
        <DescriptionOfPurpose>Refinance existing debt and finance certain capital projects</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
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      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Saint Mary Hospital Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>231913910</IssuerEIN>
        <CUSIPNumber>85230MCN2</CUSIPNumber>
        <DateIssued>2010-04-07</DateIssued>
        <IssuePrice>6611717</IssuePrice>
        <DescriptionOfPurpose>Refinance existing debt</DescriptionOfPurpose>
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      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
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      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
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        <YearOfSubstCompletion>2007</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
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        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
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        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
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        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>1</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>AIG Matched Funding</BusinessNameLine1>
          <BusinessNameLine2>Corp</BusinessNameLine2>
        </NameOfGICProvider>
        <TermOfGIC>1.800000000000</TermOfGIC>
        <RegulatorySafeHarborSatisfied>1</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>1</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>1</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Merrill Lynch</BusinessNameLine1>
          <BusinessNameLine2>Capital Services</BusinessNameLine2>
        </NameOfHedgeProvider>
        <TermOfHedge>21.600000000000</TermOfHedge>
        <SuperintegratedHedge>0</SuperintegratedHedge>
        <HedgeTerminated>0</HedgeTerminated>
        <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>1</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part II, Column C, Line 11:</Identifier>
        <Explanation>This amount includes $1,334,790 of proceeds which were used to terminate an integrated swap.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part III, Line 3a:</Identifier>
        <Explanation>The organization has entered into various management and service contracts. Collectively, these contracts do not constitute an amount of private business use that exceeds the prescribed percentage.</Explanation>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <Identifier>Schedule K, Part IV, Col A, Line 5:</Identifier>
        <Explanation>Proceeds maintained in refunding escrow were invested in yield-restricted investments.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Organization Mission Statement</Identifier>
        <ReturnReference>Form 990, Part I, Line 1</ReturnReference>
        <Explanation>Mercy Suburban Hospital is a member of Mercy Health System of Southeastern PA ("SEPA"). Our mission is to be a partner in the healing ministry of the Catholic Church in the spirit of the Sisters of Mercy and Hope Ministries. To fulfill that mission, we strive to create an environment that is caring and compassionate within our hospital system and in our service to the community. We are dedicated to being a transforming, healing presence that supports healthy communities, addresses the diverse health needs of our neighbors at every stage of life, and is accessible to all, including the often forgotten poor and disadvantaged. Through innovative medicine and compassionate care, our hospitals work together to nurture our patients and their families through the healing process with superior services and spiritual support. SEPA is a member of Catholic Health East ("CHE").</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Organization Mission Statement</Identifier>
        <ReturnReference>Form 990, Part III, Line 1</ReturnReference>
        <Explanation>Mercy Suburban Hospital is a member of Mercy Health System of Southeastern PA ("SEPA"). Our mission is to be a partner in the healing ministry of the Catholic Church in the spirit of the Sisters of Mercy and Hope Ministries. To fulfill that mission, we strive to create an environment that is caring and compassionate within our hospital system and in our service to the community. We are dedicated to being a transforming, healing presence that supports healthy communities, addresses the diverse health needs of our neighbors at every stage of life, and is accessible to all, including the often forgotten poor and disadvantaged. Through innovative medicine and compassionate care, our hospitals work together to nurture our patients and their families through the healing process with superior services and spiritual support. SEPA is a member of Catholic Health East ("CHE").</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Program Service Statement</Identifier>
        <ReturnReference>Form 990, Part III, Line 4a</ReturnReference>
        <Explanation>Mercy Suburban Hospital provides free care, subsidizes the care of Medicare and Medicaid patients where the government reimbursement is below costs, and sponsors health programs and activities for the community. These programs include wellness programs, community education programs, special programs for the elderly, handicapped, medically underserved and a variety of broad community support activities. Mercy Suburban Hospital serviced 5,982 discharges providing 29,421 patient days of which: Patients covered under the Medicare program were 2,686 discharges and 15,496 patient days. Patients covered under the Medicaid program were 801 discharges and 3,714 patient days. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. To the extent that reimbursement from Medicaid is below cost, Mercy Suburban Hospital recognizes these amounts as charity care in meeting its mission to the community. The unreimbursed value of providing care to these patients was $2,652,926 for the twelve-month period ended December 31, 2010. Charity care is also provided through many reduced price services and free programs offered throughout the year based upon the activities and services which Mercy Suburban Hospital believes will serve a bona fide community health need. These include: (1)Benefits for the Broader Community: (a) Care of the Poor Programs-$702,149. (b)Community Benefit Programs- $180,480. (c) Partially Reimbursed Programs - $2,498,247 (d)Volunteer Services Programs-$22,424. Total Benefits for the Broader Community - $3,403,300. These also include (2)Benefits to the Poor: (a)Traditional Charity Care Costs-$175,637. (b)Unpaid Costs of Medicaid-$2,625,926. Total Benefit to the Poor - $2,828,563. The total expense incurred to Mercy Suburban Hospital for program services for the twelve month period ending December 31, 2010 was $103,204,263 (82,846 Patients).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Catholic Health East is the sole corporate member of Mercy Health System of Southeastern PA ("SEPA"). SEPA is the sole corporate member of Mercy Suburban Hospital.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The Board of Directors for SEPA has the authority to appoint members of the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>The governing body can make recommendations for certain types of actions that require approval by the Board of Directors of SEPA. Some examples include appointing or removing members of the governing body, amending articles of incorporation and amending by-laws.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The organization took steps to educate management, members of the Board and members of appropriate subcommittees of the Board on the compliance requirements mandated by the Form 990. The Form 990 will be reviewed by management and the SEPA Audit &amp; Compliance Committee, which is a subcommittee of the Mercy Health System Board of Trustees. The full Board is appraised of the committee's findings from their review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The organization has adopted SEPA's Policy 96-04-09 which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving the organization and affiliates in a position to affect business decisions, including directors, officers, members of a Board designated committee, and key employees and physicians, receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by SEPA's Board or senior management as defined in the policy. The determination of whether a disclosure constitutes a conflict of interest is made by SEPA's Board or an appropriate committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The organization has adopted SEPA's process for determining compensation which includes the following: SEPA's Board has an independent committee to review and approve all elements of remuneration. SEPA's Board and the independent committee have established a compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>Organizational Articles of Incorporation, Corporate Bylaws, governance policies believed to be of interest to the public, conflict of interest policy and IRS Form 990 are available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII, Section A:</ReturnReference>
        <Explanation>Individuals compensated by a related organization have responsibilities and perform services for several related organizations including the filing organization. The amount of compensation appearing in Columns (E) and (F) reflect the services performed for this organization and its affiliates.</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: 67,597. Restructuring Costs -1,153,372. Loss on Extinguishment of Debt -64,781. Transfers from Affiliates 21,932. Pension Adjustment -3,474,538. Temporarily Restricted Contributions 162,717. Net Assets Released from Restriction -262,088. Other 147,195. Total to Form 990, Part XI, Line 5: -4,555,338.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Mercy Health System of Maine</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>144 State Street</AddressLine1>
          <City>Portland</City>
          <State>ME</State>
          <ZIPCode>04101</ZIPCode>
        </AddressUS>
        <EIN>010484074</EIN>
        <PrimaryActivities>Management &amp; Support Services</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11c, III-FI</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Catholic Health East</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Mercy Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>144 State Street</AddressLine1>
          <City>Portland</City>
          <State>ME</State>
          <ZIPCode>04101</ZIPCode>
        </AddressUS>
        <EIN>010211534</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy Health System of Maine</BusinessNameLine1>
        </DirectControllingEntityName>
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      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Care for Kids Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>310 South Manning Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>141717564</EIN>
        <PrimaryActivities>Day care center</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
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      </Form990ScheduleRPartII>
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          <BusinessNameLine1>Our Lady of Mercy Life Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2 Mercycare Lane</AddressLine1>
          <City>Guilderland</City>
          <State>NY</State>
          <ZIPCode>12084</ZIPCode>
        </AddressUS>
        <EIN>141743506</EIN>
        <PrimaryActivities>Nursing Home Facility</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
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          <BusinessNameLine1>St Peter's Auxiliary</BusinessNameLine1>
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          <AddressLine1>315 South Manning Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>01228</ZIPCode>
        </AddressUS>
        <EIN>222843206</EIN>
        <PrimaryActivities>Auxiliary</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11a, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>315 South Manning Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>222702507</EIN>
        <PrimaryActivities>Management &amp; Support Services</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Catholic Health East</BusinessNameLine1>
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        <ControlledOrg>0</ControlledOrg>
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          <BusinessNameLine1>St Peter's Hospital</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>315 South Manning Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>141348692</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Peter's Hospital Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>319 South Manning Blvd Suite 309</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>222262982</EIN>
        <PrimaryActivities>Fundraising &amp; Public Relations</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Peter's Licensed Home Care Agency</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>159 Wolf Road</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12205</ZIPCode>
        </AddressUS>
        <EIN>141818568</EIN>
        <PrimaryActivities>Home Health</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>The Community Hospice Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>295 Valley View Blvd</AddressLine1>
          <City>Rensselaer</City>
          <State>NY</State>
          <ZIPCode>12144</ZIPCode>
        </AddressUS>
        <EIN>222692940</EIN>
        <PrimaryActivities>Fundraising &amp; Public Relations</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>The Community Hospice Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>295 Valley View Blvd</AddressLine1>
          <City>Rensselaer</City>
          <State>NY</State>
          <ZIPCode>12144</ZIPCode>
        </AddressUS>
        <EIN>141608921</EIN>
        <PrimaryActivities>Serving seriously ill people &amp; their families</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
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          <BusinessNameLine1>Villa Mary Immaculate</BusinessNameLine1>
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          <AddressLine1>301 Hackett Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>141438749</EIN>
        <PrimaryActivities>Nursing Home &amp; Physical Rehab</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
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          <BusinessNameLine1>Warde Service Corporation Inc</BusinessNameLine1>
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          <AddressLine1>159 Wolf Road 3rd Floor</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12205</ZIPCode>
        </AddressUS>
        <EIN>141732097</EIN>
        <PrimaryActivities>Supporting &amp; strengthing the ministries of rel. sr. mercy</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Peter's Health Care Services</BusinessNameLine1>
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          <BusinessNameLine1>Brightside Inc</BusinessNameLine1>
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          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
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        <EIN>042182395</EIN>
        <PrimaryActivities>Behavioral Care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Sisters of Providence Health System Inc</BusinessNameLine1>
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          <BusinessNameLine1>Farren Care Center Inc</BusinessNameLine1>
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          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
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        <EIN>042501711</EIN>
        <PrimaryActivities>Long Term Care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Sisters of Providence Health System Inc</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Hospital Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
        </AddressUS>
        <EIN>043398280</EIN>
        <PrimaryActivities>Acute Care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
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        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Sisters of Providence Health System Inc</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Specialist Physicians Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street No 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
        </AddressUS>
        <EIN>264033168</EIN>
        <PrimaryActivities>Neurosurgery Medical Services</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
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        <PublicCharityStatus>Line 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Sisters of Providence Health System Inc</BusinessNameLine1>
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          <BusinessNameLine1>Sisters of Providence Care Centers Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
        </AddressUS>
        <EIN>222541103</EIN>
        <PrimaryActivities>Long Term Care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
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          <AddressLine1>3805 West Chester Pike Suite 100</AddressLine1>
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          <State>PA</State>
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          <BusinessNameLine1>Mercy Jeanette Hospital Foundation</BusinessNameLine1>
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          <AddressLine1>600 Jefferson Avenue</AddressLine1>
          <City>Jeannette</City>
          <State>PA</State>
          <ZIPCode>15644</ZIPCode>
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          <City>South Portland</City>
          <State>ME</State>
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          <AddressLine1>5 Gamelin Street</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>01040</ZIPCode>
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          <State>PA</State>
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          <AddressLine1>3663 South Miami Avenue</AddressLine1>
          <City>Miami</City>
          <State>FL</State>
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          <BusinessNameLine1>Catherine Horan Building Limited Partnership</BusinessNameLine1>
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          <AddressLine1>1221 Main Street Room 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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          <BusinessNameLine1>AmeriHealth Mercy Health Plan</BusinessNameLine1>
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          <AddressLine1>200 Stevens Drive Suite 350</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19113</ZIPCode>
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          <AddressLine1>200 Stevens Drive Suite 350</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
          <ZIPCode>19113</ZIPCode>
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          <State>PA</State>
          <ZIPCode>19401</ZIPCode>
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          <State>PA</State>
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          <AddressLine1>300 Grant Street</AddressLine1>
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          <State>PA</State>
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          <AddressLine1>100 Stevens Drive</AddressLine1>
          <City>Philadelphia</City>
          <State>PA</State>
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          <BusinessNameLine1>Langhorne MOB Partners LP</BusinessNameLine1>
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          <AddressLine1>1201 Langhorne-Newtown Road</AddressLine1>
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          <State>PA</State>
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          <AddressLine1>1201 Langhorne-Newtown Road</AddressLine1>
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          <State>PA</State>
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          <BusinessNameLine1>MercyManor Partnership</BusinessNameLine1>
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          <State>OH</State>
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          <AddressLine1>c/o Nazareth Hospital 2601 Holme Av</AddressLine1>
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          <AddressLine1>c/o Nazareth Hospital 2601 Holme Av</AddressLine1>
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          <City>Philadelphia</City>
          <State>PA</State>
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          <AddressLine1>1900 S Broad Street</AddressLine1>
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          <State>GA</State>
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          <State>GA</State>
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          <AddressLine1>10720 Sikes Places Ste 300</AddressLine1>
          <City>Charlotte</City>
          <State>NC</State>
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          <BusinessNameLine1>Physicians Outpatient Surgery Center LLC</BusinessNameLine1>
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          <AddressLine1>1000 NE 56th</AddressLine1>
          <City>Oakland Park</City>
          <State>FL</State>
          <ZIPCode>33334</ZIPCode>
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          <AddressLine1>3641 South Miami Avenue</AddressLine1>
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          <State>FL</State>
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          <City>Mount Laurel</City>
          <State>NJ</State>
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          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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          <BusinessNameLine1>Mercy Inpatient Medical Associates Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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        <PrimaryActivity>Medical Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
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          <BusinessNameLine1>Providence Home Care Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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        <PrimaryActivity>Health Care Services</PrimaryActivity>
        <LegalDomicileState>MA</LegalDomicileState>
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          <BusinessNameLine1>System Coordinated Services Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>c/o SPHS 1221 Main Street Suite 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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        <EIN>042938181</EIN>
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        <LegalDomicileState>MA</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Physicians Medical Office Building Condominium Trust</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1221 Main Street Room 108</AddressLine1>
          <City>Holyoke</City>
          <State>MA</State>
          <ZIPCode>010400000</ZIPCode>
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        <EIN>046608649</EIN>
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        <LegalDomicileState>MA</LegalDomicileState>
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          <AddressLine1>411 Canisteo Street</AddressLine1>
          <City>Hornell</City>
          <State>NY</State>
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          <BusinessNameLine1>Langhorne Services II Inc</BusinessNameLine1>
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</Return>