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      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1101722</Total>
        <ProgramServices>779058</ProgramServices>
        <ManagementAndGeneral>322664</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>188606</Total>
        <ProgramServices>68513</ProgramServices>
        <ManagementAndGeneral>120093</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>1580203</Total>
        <ProgramServices>1485794</ProgramServices>
        <ManagementAndGeneral>94409</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1437270</Total>
        <ProgramServices>1416249</ProgramServices>
        <ManagementAndGeneral>21021</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>34946</Total>
        <ProgramServices>26127</ProgramServices>
        <ManagementAndGeneral>8819</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>401838</Total>
        <ProgramServices>232197</ProgramServices>
        <ManagementAndGeneral>169641</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>766257</Total>
        <ProgramServices>679670</ProgramServices>
        <ManagementAndGeneral>86587</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>1015655</Total>
        <ProgramServices>1015655</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BILLING SERVICES</Description>
        <Total>893093</Total>
        <ProgramServices>893093</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ASSESSMENT FEES</Description>
        <Total>85320</Total>
        <ManagementAndGeneral>85320</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>46094</Total>
        <ProgramServices>41857</ProgramServices>
        <ManagementAndGeneral>4237</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>RECRUITING</Description>
        <Total>1049</Total>
        <ManagementAndGeneral>1049</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>26975152</Total>
        <ProgramServices>25400100</ProgramServices>
        <ManagementAndGeneral>1575052</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>87016</BOY>
        <EOY>8821</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>1369867</BOY>
        <EOY>1692402</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>290987</BOY>
        <EOY>283489</EOY>
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      <LandBuildingsEquipmentBasis>4057999</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>651129</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1370794</BOY>
        <EOY>3406870</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>583314</BOY>
        <EOY>585896</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>3701978</BOY>
        <EOY>5977478</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>385449</BOY>
        <EOY>786695</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>15035591</BOY>
        <EOY>527850</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>15421040</BOY>
        <EOY>1314545</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-11719062</BOY>
        <EOY>4662933</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-11719062</BOY>
        <EOY>4662933</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>3701978</BOY>
        <EOY>5977478</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-5685539</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>22067534</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land />
      <Buildings>
        <OtherCostOrOtherBasis>108379</OtherCostOrOtherBasis>
        <Depreciation>66091</Depreciation>
        <BookValue>42288</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>1463489</OtherCostOrOtherBasis>
        <Depreciation>585038</Depreciation>
        <BookValue>878451</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>2486131</OtherCostOrOtherBasis>
        <BookValue>2486131</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>3406870</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>INTANGIBLE ASSETS</Description>
        <BookValue>64783</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM BURLESON ST JOSEPH</Description>
        <BookValue>300113</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM MADISON ST JOSEPH</Description>
        <BookValue>221000</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>585896</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO SJHS</Description>
        <Amount>527850</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>527850</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC740-10</Identifier>
        <ReturnReference>SCHEDULE D, PART X, 2</ReturnReference>
        <Explanation>THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF DECEMBER 31, 2010 OR 2009.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>AL J HURLEY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>195997</CompBasedOnRelatedOrgs>
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        <BonusRelatedOrgs>5850</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>13900</DeferredCompRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>9937</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>225684</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LISA MCNAIR</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>267282</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>7995</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>19823</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>9059</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>304159</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANTHONY PFITZER</NamePerson>
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        <CompBasedOnRelatedOrgs>461925</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>12492</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>34135</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>21573</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11321</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>541446</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>L GERARD TOUSSAINT III</NamePerson>
        <BaseCompensationFilingOrg>645131</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11321</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>656452</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TODD A MARAIST</NamePerson>
        <BaseCompensationFilingOrg>688875</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11321</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>700196</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BARRY L VEAZEY</NamePerson>
        <BaseCompensationFilingOrg>676622</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>86919</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11321</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>774862</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES B WHITE</NamePerson>
        <BaseCompensationFilingOrg>982329</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8137</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>990466</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JONATHAN A FRIEDMAN</NamePerson>
        <BaseCompensationFilingOrg>1179937</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>31254</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11321</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1222512</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <Explanation>St. Jospeph Physician Associates (SJPA) employees are able to join certain health clubs at a reduced rate by receiving a stipend of $10.50 a month from the hospital. SJPA has 5 employees who receive the stipend. ANY COMPENSATED OFFICERS LISTED ARE EMPLOYEES OF ST. JOSEPH REGIONAL HEALTH CENTER (SJRHC) AND ALL COMPENSATION INFORMATION IS REPORTED UNDER EIN: 74-1282696. ST. JOSEPH PHYSICIAN ASSOCIATES (SJPA) RELIES ON SJRHC WHICH USES (A) COMPENSATION COMMITTEE, (B) WRITTEN EMPLOYMENT CONTRACT, (C) INDEPENDENT COMPENSATION CONSULTANT, (D) COMPENSATION SURVEY OR STUDY, AND (E) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT OFFICIALS. COMPENSATION FOR ALL EMPLOYEES IS PAID BY ST. JOSEPH REGIONAL HEALTH CENTER AND ALL COMPENSATION INFORMATION IS REPORTED UNDER EIN: 74-1282696.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Description of Classes of Members or Stockholders</Identifier>
        <ReturnReference>Form 990, Part VI, Question 6</ReturnReference>
        <Explanation>BYLAWS, ARTICLE 3 3.1 NUMBER, POWERS AND DUTIES. THIS CORPORATION SHALL HAVE ONE MEMBER. THE MEMBER SHALL EXERCISE SUCH RIGHTS AND PERFORM SUCH DUTIES AS REQUIRED OR PERMITTED BY LAW, THE ARTICLES OF INCORPORATION OF THE CORPORATION (THE "ARTICLES OF INCORPORATION"), OR THESE BYLAWS. 3.2 IDENTITY. THE MEMBER OF THIS CORPORATION SHALL BE: ST. JOSEPH SERVICES CORPORATION D/B/A ST. JOSEPH HEALTH SYSTEM, A TEXAS NON-PROFIT CORPORATION (THE "MEMBER") THAT IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(A) OF THE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Classes of Persons and the Nature of Their Rights</Identifier>
        <ReturnReference>Form 990, Part VI, Question 7a &amp; 7b</ReturnReference>
        <Explanation>BYLAWS, ARTICLE 3 3.5 ACTIONS RESERVED TO THE MEMBER. IN ADDITION TO, AND NOT IN LIMITATION OF, THE POWERS RESERVED TO MEMBERS OF NON-PROFIT CORPORATIONS BY LAW AND PURSUANT TO THE ARTICLES OF INCORPORATION AND OTHER PROVISIONS OF THESE BYLAWS, THE FOLLOWING MATTERS ARE RESERVED SOLELY TO THE MEMBER AND, FOLLOWING CONSULTATION WITH THE BOARD OF DIRECTORS AND APPROVAL OF FRANCISCAN SERVICES CORPORATION, THE SOLE MEMBER OF THE MEMBER WHERE REQUIRED BY THE ARTICLES OF INCORPORATION OR BYLAWS OF THE MEMBER, SHALL REQUIRE THE AFFIRMATIVE ACTION OF THE MEMBER TO BE EFFECTIVE: (A) THE ADOPTION OR CHANGE IN THE PHILOSOPHY, OBJECTIVES, PURPOSES OR ETHICAL OR RELIGIOUS STANDARDS OF THE CORPORATION AND OF ORGANIZATIONS CONTROLLED BY THE CORPORATION; (B) APPROVAL AND ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ANY BUDGET DEVIATIONS IN EXCESS OF FIVE THOUSAND DOLLARS ($5,000); (C) ANY FINANCIAL EXPENDITURE WHICH DEVIATES FROM THE CORPORATION'S ANNUAL OPERATING OR CAPITAL BUDGETS IF THE AMOUNT OF ANYONE FINANCIAL EXPENDITURE OR THE SUM OF ALL PRIOR FINANCIAL EXPENDITURES WHICH THEMSELVES DEVIATE FROM THE CORPORATION'S ANNUAL AND CAPITAL BUDGETS (COMBINED), PER FISCAL YEAR, EXCEED FIVE THOUSAND DOLLARS ($5,000.00); (D) THE SALE, LEASE, MORTGAGE, OR OTHER TRANSFER, LIEN OR ENCUMBRANCE OF THE REAL PROPERTY OF THE CORPORATION; (E) ANY SALE, LEASE, MORTGAGE OR OTHER TRANSFER OR ENCUMBRANCE (COLLECTIVELY, "TRANSFER") OF THE PERSONAL PROPERTY AND ASSETS OF THE CORPORATION IF THE AMOUNT OF SUCH TRANSFER AND THE SUM OF ALL PRIOR TRANSFERS, PER FISCAL YEAR, EXCEED FIVE THOUSAND DOLLARS ($5,000.00); (F) ANY MERGER, ACQUISITION, OR CONSOLIDATION OF THE CORPORATION OR SALE OF SUBSTANTIALLY ALL OF ITS ASSETS; (G) BORROWING OR LENDING OF MONEY OR THE CREATION OF INDEBTEDNESS THROUGH THE GUARANTY OF ANOTHER'S DEBT OR SIMILAR ACTION; (H) GIVING OR SEEKING OF GRANTS; (I) SETTLEMENT OF CLAIMS OR LITIGATION; (J) APPOINTMENT AND REMOVAL OF DIRECTORS IN ACCORDANCE WITH ARTICLE 4 OF THESE BYLAWS; (K) APPOINTMENT AND REMOVAL OF OFFICERS IN ACCORDANCE WITH ARTICLE 5 OF THESE BYLAWS, (1) CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION, WHETHER IN THE FORM OF PARTICIPATION IN A CORPORATION, PARTNERSHIP, JOINT VENTURE, CO-TENANCY OR ANY OTHER FORM OF OWNERSHIP OR CONTROL; (M) APPROVAL OF ANY STRATEGIC PLAN, BUSINESS PLAN, OR MISSION PLAN OF THE CORPORATION; (N) APPROVAL OF ANY MANAGEMENT AGREEMENT FOR ANY ASPECT OF THE CORPORATION'S ACTIVITIES WITH A PARTY OTHER THAN THE MEMBER; (O) APPROVAL OF ANY PURCHASE CONTRACT FOR SERVICES OR PERSONAL PROPERTY WITH ANY PARTY OTHER THAN MEMBER WITH A VALUE IN EXCESS OF FIVE THOUSAND DOLLARS ($5,000.00) IN ANY FISCAL YEAR OF THE CORPORATION; (P) APPROVAL OF THE ANNUAL FINANCIAL PLAN; (Q) THE DISSOLUTION OR TERMINATION OF THE EXISTENCE OF THE CORPORATION AND THE DETERMINATION OF THE DISTRIBUTION OF ASSETS UPON SUCH DISSOLUTION OR TERMINATION IN ACCORDANCE WITH THE ARTICLES OF INCORPORATION; (R) ANY ACTION NECESSARY TO CONFORM THE PURPOSES AND ACTIVITIES OF THE CORPORATION WITH THE REQUIREMENTS OF THE TRADITIONS, TEACHINGS AND CANON LAW OF THE ROMAN CATHOLIC CHURCH AS MAY BE IN EFFECT FROM TIME TO TIME; (S) THE ADDITION OR TERMINATION OF SERVICES; (T) THE APPROVAL OF THE CORPORATION'S AUDITOR; (U) CONTRACTS IN WHICH THE CORPORATION ASSUMES FINANCIAL RISK, INCLUDING BUT NOT LIMITED TO, MANAGED CARE CONTRACTS, EMPLOYMENT CONTRACTS, PHYSICIAN RECRUITMENT ASSISTANCE CONTRACTS, AND PHYSICIAN PRACTICE ACQUISITION CONTRACTS; (V) APPROVAL AND ADOPTION OF THE SALARIES, COMPENSATION AND OTHER BENEFITS TO BE PAID TO PHYSICIANS EMPLOYED BY OR CONTRACTED TO THE CORPORATION; AND (W) ANY OTHER ACT FOR WHICH MEMBER APPROVAL IS REQUIRED UNDER APPLICABLE CANON OR CIVIL LAW OR THE MEMBER'S BYLAWS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Describe Process used by Management &amp;/or Governing Body to Review 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11</ReturnReference>
        <Explanation>2010 FORM 990 AND ACCOMPANYING SCHEDULES WERE MADE AVAILABLE TO ALL TRUSTEES EITHER ELECTRONICALLY OR BY HARD COPY, DEPENDING UPON THE TRUSTEE'S PREFERENCE, BEFORE THE COMPANY FINALIZED AND SENT THE DOCUMENTS TO IRS. THIS DRAFT WAS ALSO AVAILABLE AT THE ADMINISTRATIVE OFFICES OF THE REPORTING ENTITY FOR TRUSTEE'S REVIEW BEFORE THE FINAL 2010 FORM 990 AND ACCOMPANYING SCHEDULES WERE FINALIZED AND SENT TO IRS. THE REVIEW WAS UNDER THE DIRECTION OF THE CFO AND/OR TAX RETURN PREPARERS, ERNST &amp; YOUNG, IF REQUESTED BY TRUSTEE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>IN ACCORDANCE WITH ST. JOSEPH HEALTH SYSTEM POLICY NO. 38, "CONFLICT OF INTEREST," SECTION 6: DISCLOSURE STATEMENT: "..A CONFLICT OF INTEREST STATEMENT SHALL BE EXECUTED BY ALL DESIGNATED PERSONS, WHICH WILL BE RETAINED BY THE CORPORATION IN ITS ADMINISTRATIVE OFFICE. THIS STATEMENT SHALL BE RENEWED AT LEAST ANNUALLY AT THE REQUEST OF THE CORPORATION AND AT ANY TIME THAT A CONFLICT OF INTEREST MAY ARISE." TO HELP ENSURE THAT DISCLOSURE STATEMENTS ARE COMPLETED ANNUALLY BY ALL BOARD OF TRUSTEE MEMBERS, THE CEO'S OFFICE SUMMARIZES ALL CONFLICTS OF INTEREST DISCLOSED BY EACH ENTITY'S TRUSTEES. IN 2010, THE SUMMARY WAS PRESENTED AS AN AGENDA ITEM AT EACH ENTITY'S BOARD OF TRUSTEES MEETING HELD IN APRIL 2010. THE REVIEW IS PERFORMED BY THE OFFICE OF THE CEO WHERE DISCLOSURE STATEMENTS ARE ALSO FILED FOR TRUSTEES. OTHER DESIGNATED PERSONS' DISCLOSURE STATEMENTS ARE FILED IN INDIVIDUAL PERSONNEL FILES IF EMPLOYED BY SJRHC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY</Identifier>
        <ReturnReference>Form 990, Part VI, Lines 13 and 14</ReturnReference>
        <Explanation>The organization follows the policies of the St. Joseph Health System to which it is an affiliate. The policy in that includes the whistleblower policy and the document retention and destruction policy are documented and are approved by the President and CEO of the System. The bylaws of St. Joseph Health System state: "...The President/CEO shall have all authority and responsibility necessary to operate the Corporation in all its activities and departments, subject only to such policies as may be issued by the board. The President/CEO shall act as a duly authorized representative of the Board and of the Corporation in all matters in which the Board has not formally designated some other person to act..." Therefore, the President/CEO by the authority granted to him in the above paragraph approves the policies. During the last 2011 St. Joseph Health System board meeting the two policies will be approved by the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Avail of Gov Docs, Conflict of Interest Policy, &amp; Fin Stmts to Gen Public</Identifier>
        <ReturnReference>Form 990, Part VI, Question 19</ReturnReference>
        <Explanation>Not made available to public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other changes in Net Assets</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>Adjustment to Beginning Net Assets $14,667,669 Equity Transfer 7,567,136 Change in Accounting for Goodwill (167,271) ----------- Total - Line 5 $22,067,534</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:AL J HURLEY TITLE:PRESIDENT HOURS:1</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:LISA MCNAIR TITLE:TREASURER HOURS:40</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:ANTHONY PFITZER TITLE:PRESIDENT &amp; CEO SJHS HOURS:40</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742455161</EIN>
        <PrimaryActivities>GOVERNANCE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH REGIONAL HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
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        <EIN>741282696</EIN>
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        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BURLESON ST JOSEPH HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
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        <EIN>742759890</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MADISON ST JOSEPH HEALTH CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742761145</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH MANOR</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742847594</EIN>
        <PrimaryActivities>NURSING CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BURLESON ST JOSEPH MANOR</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742913931</EIN>
        <PrimaryActivities>NURSING CARE</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOSEPH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742351158</EIN>
        <PrimaryActivities>FUND RAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SJSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN SERVICES CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>341412964</EIN>
        <PrimaryActivities>CHURCH ORG</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN CARE CENTER SYLVANIA</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4111 HOLLAND SYLVANIA RD</AddressLine1>
          <City>TOLEDO</City>
          <State>OH</State>
          <ZIPCode>43623</ZIPCode>
        </AddressUS>
        <EIN>341931806</EIN>
        <PrimaryActivities>LT CARE FCLT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN LIVING COMMUNITIES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>341892096</EIN>
        <PrimaryActivities>MGT SUPPORT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>FRANCISCAN PROPERTIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
        <EIN>341412966</EIN>
        <PrimaryActivities>SR HOUSING</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MADONNA MANOR</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2344 AMSTERDAM RD</AddressLine1>
          <City>VILLA HILLS</City>
          <State>KY</State>
          <ZIPCode>41017</ZIPCode>
        </AddressUS>
        <EIN>610654635</EIN>
        <PrimaryActivities>LT CARE FCLT</PrimaryActivities>
        <LegalDomicileState>KY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROVIDENCE CARE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2025 HAYES AVE</AddressLine1>
          <City>SANDUSKY</City>
          <State>OH</State>
          <ZIPCode>44870</ZIPCode>
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        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROVIDENCE RESIDENTIAL COMM CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5055 PROVIDENCE DR</AddressLine1>
          <City>SANDUSKY</City>
          <State>OH</State>
          <ZIPCode>44870</ZIPCode>
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        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>PCC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE COMMONS OF PROVIDENCE</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>5000 PROVIDENCE DR</AddressLine1>
          <City>SANDUSKY</City>
          <State>OH</State>
          <ZIPCode>44870</ZIPCode>
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        <EIN>341826097</EIN>
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        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>PCC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROSARY CARE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>LT CARE FCLT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
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          <BusinessNameLine1>FLC</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>ST LEONARD</BusinessNameLine1>
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          <City>CENTERVILLE</City>
          <State>OH</State>
          <ZIPCode>45458</ZIPCode>
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        <PrimaryActivities>LT CARE FCLT</PrimaryActivities>
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          <BusinessNameLine1>FLC</BusinessNameLine1>
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          <AddressLine1>8100 CLYO RD</AddressLine1>
          <City>CENTERVILLE</City>
          <State>OH</State>
          <ZIPCode>45458</ZIPCode>
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          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
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          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
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          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
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          <BusinessNameLine1>FSC</BusinessNameLine1>
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          <BusinessNameLine1>SISTERS OF ST FRANCIS</BusinessNameLine1>
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          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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          <BusinessNameLine1>FRANCISCAN SERVICES CORP SELF INSURANCE</BusinessNameLine1>
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          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
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        <LegalDomicileState>OH</LegalDomicileState>
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        <DirectControllingEntityName>
          <BusinessNameLine1>FSC</BusinessNameLine1>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST CLARE COMMONS</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>6832 CONVENT BLVD</AddressLine1>
          <City>SYLVANIA</City>
          <State>OH</State>
          <ZIPCode>43560</ZIPCode>
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        <EIN>270163752</EIN>
        <PrimaryActivities>LT CARE FCLT</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>FLC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 MEDICAL PARKWAY</AddressLine1>
          <City>BRENHAM</City>
          <State>TX</State>
          <ZIPCode>77833</ZIPCode>
        </AddressUS>
        <EIN>742605157</EIN>
        <PrimaryActivities>HOLDING COMP</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11-TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>THS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY COMMUNITY MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 MEDICAL PARKWAY</AddressLine1>
          <City>BRENHAM</City>
          <State>TX</State>
          <ZIPCode>77833</ZIPCode>
        </AddressUS>
        <EIN>742519752</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>THSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY CARE CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 MEDICAL CENTER PARKWAY</AddressLine1>
          <City>BRENHAM</City>
          <State>TX</State>
          <ZIPCode>77833</ZIPCode>
        </AddressUS>
        <EIN>742663229</EIN>
        <PrimaryActivities>LT CARE FCLT</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>THSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TRINITY HEALTH SERVICES FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 MEDICAL PARKWAY</AddressLine1>
          <City>BRENHAM</City>
          <State>TX</State>
          <ZIPCode>77833</ZIPCode>
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        <EIN>742460815</EIN>
        <PrimaryActivities>FUND RAISING</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>THSC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LEONARD CTR LIM</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>88 E BROAD ST</AddressLine1>
          <City>COLUMBUS</City>
          <State>OH</State>
          <ZIPCode>43204</ZIPCode>
        </AddressUS>
        <EIN>311481761</EIN>
        <PrimaryActivity>LOW INCOME RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>INVESTMENT</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>TAU ENTERPRISES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742544009</EIN>
        <PrimaryActivity>OFFICE RENTAL</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>CORPORATION</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST JOSEPH PHYSICIAN NETWORK</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742764039</EIN>
        <PrimaryActivity>PHYS HOSP ORG</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>CORPORATION</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ALLIANCE HEALTH PROVIDERS</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2801 FRANCISCAN DRIVE</AddressLine1>
          <City>BRYAN</City>
          <State>TX</State>
          <ZIPCode>77802</ZIPCode>
        </AddressUS>
        <EIN>742466914</EIN>
        <PrimaryActivity>COORD INSURANCE</PrimaryActivity>
        <LegalDomicileState>TX</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>CORPORATION</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ST LEONARD CENTER 1 INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>8100 CLYO RD</AddressLine1>
          <City>CENTERVILLE</City>
          <State>OH</State>
          <ZIPCode>45458</ZIPCode>
        </AddressUS>
        <EIN>311481764</EIN>
        <PrimaryActivity>LOW INCOME RENTAL</PrimaryActivity>
        <LegalDomicileState>OH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>CORPORATION</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ST JOSEPH REGIONAL HEALTH CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>17141205</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MADISON ST JOSEPH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>221000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>BURLESON ST JOSEPH</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>300113</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ST JOSEPH REGIONAL HEALTH CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>7567136</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ST JOSEPH REGIONAL HEALTH CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>93600</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>