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    <Timestamp>2011-11-11T10:00:40-05:00</Timestamp>
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      <GrossIncomeGaming>6266</GrossIncomeGaming>
      <GamingDirectExpenses>600</GamingDirectExpenses>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>5666</TotalRevenueColumn>
        <ExclusionAmount>5666</ExclusionAmount>
      </NetIncomeFromGaming>
      <OtherRevenueMisc>
        <Description>SERVICE REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>41483</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>41483</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>GAIN ON INVOL CONVERSIO</Description>
        <BusinessCode>623990</BusinessCode>
        <TotalRevenueColumn>177363</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>177363</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>218846</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>17637478</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>17493018</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>5480</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>130294</Total>
        <ManagementAndGeneral>130294</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>6769120</Total>
        <ProgramServices>6524962</ProgramServices>
        <ManagementAndGeneral>244158</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>95755</Total>
        <ProgramServices>94426</ProgramServices>
        <ManagementAndGeneral>1329</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>489573</Total>
        <ProgramServices>454850</ProgramServices>
        <ManagementAndGeneral>34723</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>814136</Total>
        <ProgramServices>769951</ProgramServices>
        <ManagementAndGeneral>44185</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>58024</Total>
        <ManagementAndGeneral>58024</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>69010</Total>
        <ManagementAndGeneral>69010</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <Advertising>
        <Total>96831</Total>
        <ProgramServices>96831</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>130683</Total>
        <ProgramServices>93916</ProgramServices>
        <ManagementAndGeneral>36767</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>2358129</Total>
        <ProgramServices>2358129</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>6713</Total>
        <ProgramServices>6713</ProgramServices>
      </Travel>
      <DepreciationDepletion>
        <Total>393639</Total>
        <ProgramServices>393639</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>117081</Total>
        <ProgramServices>117081</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>3061467</Total>
        <ProgramServices>2926358</ProgramServices>
        <ManagementAndGeneral>135109</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FOOD AND SUPPLIES</Description>
        <Total>1994701</Total>
        <ProgramServices>1987344</ProgramServices>
        <ManagementAndGeneral>7357</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>174587</Total>
        <ProgramServices>174587</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BED TAXES</Description>
        <Total>571932</Total>
        <ProgramServices>571932</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS AND MAINTENANCE</Description>
        <Total>164141</Total>
        <ProgramServices>164048</ProgramServices>
        <ManagementAndGeneral>93</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>85031</Total>
        <ProgramServices>85031</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>17580847</Total>
        <ProgramServices>16819798</ProgramServices>
        <ManagementAndGeneral>761049</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>774960</BOY>
        <EOY>312255</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>2601716</BOY>
        <EOY>2360041</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>95168</BOY>
        <EOY>126529</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3620393</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1891430</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1823877</BOY>
        <EOY>1728963</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>71</BOY>
        <EOY>71</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>5295792</BOY>
        <EOY>4527859</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1797440</BOY>
        <EOY>1415031</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>7095577</BOY>
        <EOY>6653422</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>8893017</BOY>
        <EOY>8068453</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-3597225</BOY>
        <EOY>-3540594</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-3597225</BOY>
        <EOY>-3540594</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>5295792</BOY>
        <EOY>4527859</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>56631</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>false</FSAudited>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus3Years>6405</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6304</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>27672</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>138980</CurrentTaxYear>
        <Total>179361</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus3Years>12188968</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>16384373</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17660315</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17274172</CurrentTaxYear>
        <Total>63507828</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <CurrentTaxYearMinus3Years>113767</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>233</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>19186</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>102749</CurrentTaxYear>
        <Total>235935</Total>
      </GrossReceiptsFromNonUBI>
      <Total509>
        <CurrentTaxYearMinus3Years>12309140</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>16390910</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17707173</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17515901</CurrentTaxYear>
        <Total>63923124</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYearMinus3Years>3500</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5420</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2938</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19330</CurrentTaxYear>
        <Total>31188</Total>
      </AmtsRecdFromDisqualPersons>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus3Years>3500</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>5420</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2938</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>19330</CurrentTaxYear>
        <Total>31188</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>63891936</PublicSupportTotal509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>0</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>12309140</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>16390910</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>17707173</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>17515901</CurrentTaxYear>
        <Total>63923124</Total>
      </TotalSupportTotal>
      <First5Years509>X</First5Years509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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>
    <IRS990ScheduleD documentId="990D">
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>3620393</OtherCostOrOtherBasis>
        <Depreciation>1891430</Depreciation>
        <BookValue>1728963</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1728963</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DUE FROM RELATED</Description>
      </OtherAssets>
      <OtherAssets>
        <Description>PARTY</Description>
      </OtherAssets>
      <OtherAssets>
        <Description>MHCS REAL ESTATE HOL</Description>
        <BookValue>71</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>71</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>DUE TO RELATE PARTY</Description>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>MARYMOUNT HLTH CARE SYSTEMS</Description>
        <Amount>5980089</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEPOSITS</Description>
        <Amount>126951</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>REAL ESTATE TAXES PAYABLE</Description>
        <Amount>546382</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>6653422</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Footnote for uncertain tax position under FIN 48 Part X</Identifier>
        <Explanation>THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE REGARDING FIN 48 THE SYSTEM IS NO LONGER SUBJECT TO FEDERAL STATE OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007 WITH FEW EXCEPTIONS</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G">
      <EventsInformation>
        <NameOfEvent1>GALA</NameOfEvent1>
        <GrossReceiptsEvent1>168412</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>113412</CharitableContributionsEvent1>
        <GrossRevenueEvent1>55000</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>55186</OtherDirectExpensesEvent1>
        <NameOfEvent2>NONE</NameOfEvent2>
        <GrossReceiptsTotal>168412</GrossReceiptsTotal>
        <CharitableContributionsTotal>113412</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>55000</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>55186</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>55186</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-186</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="990J">
      <CompensationCommittee>X</CompensationCommittee>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <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>ANTHONY M COURY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SUZANNE NALL</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>01 Unrelated organization compensation Part II - officer info</Identifier>
        <Explanation>CREATIVE HEALTHCARE CONSUTLING INC PROVIDED A BASE COMPENSATION OF 75000 TO ANTHONY M COURY FOR SERVICES RENDERED TO VILLAGE OF MARYMOUNT IN HIS CAPACITY AS DIRECTOR OF OPERATIONS IN 2010 &amp; 2009 CREATIVE HEALTHCARE CONSULTING INC PROVIDED A BASE COMPENSATION OF 80000 TO SUZANNE NALL FOR SERVICES RENDERED TO VILLAGE AT MARYMOUNT IN HER CAPACITY AS EXECUTIVE DIRECTOR IN 2010 &amp; 2009 CREATIVE HEALTHCARE CONSUTLING INC PROVIDED A BASE COMPENSATION OF 100000 TO ANTHONY M COURY FOR SERVICES RENDERED TO VILLAGE OF MARYMOUNT IN HIS CAPACITY AS DIRECTOR OF OPERATIONS IN 2008</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="990L">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ANTHONY M COURY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>ENTITY 35 OWNED BY</Relationship>
        <AmountOfTransaction>1568598</AmountOfTransaction>
        <DescriptionOfTransaction>SEE SCHEDULE O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DAVID COURY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAM MEM OF A M COURY</Relationship>
        <DescriptionOfTransaction>SEE SCHEDULE O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARY COOPER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAM MEM OF A M COURY</Relationship>
        <DescriptionOfTransaction>SEE SCHEDULE O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DEBBIE MCDONALD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAM MEM OF A M COURY</Relationship>
        <DescriptionOfTransaction>SEE SCHEDULE O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JANE ABOU-CHEDID</NamePerson>
        </NameOfInterestedPerson>
        <DescriptionOfTransaction>SEE SCHEDULE O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BERNIE FADDOULL</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAM MEM OF A M COURY</Relationship>
        <DescriptionOfTransaction>SEE SCHEDULE O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="990O">
      <GeneralExplanation>
        <Identifier>01. Officer, directors, etc. family relationship (Part VI, line 2)</Identifier>
        <Explanation>BUSINESS RELATIONSHIP</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>02. Management duties delegation (Part VI, line 3)</Identifier>
        <Explanation>VILLAGE OF MARYMOUNT HAS DELEGATED THE MANAGEMENT OF PATIENT CARE OPERATIONS TO CREATIVE HEALTHCARE CONSULTING INC CREATIVE HEALTHCARE CONSULTING INC PROVIDES AND SEPARATELY COMPENSATES THE DIRECTOR OF OPERATIONS AND THE EXECUTIVE DIRECTOR OF VILLAGE OF MARYMOUNT</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>03. Form 990 governing body review (Part VI, line 11)</Identifier>
        <Explanation>THE CHIEF OPERATING OFFICER COO RECEIVES A COPY OF THE FORM 990 FROM THE RETURN PREPARER AND CONDUCTS A REVIEW OF THE RETURN FOR COMPLETENESS AND ACCURACY ONCE HE IS SATISFIED THAT THE RETURN IS READY TO BE FILED HE FORWARDS AN ELECTRONIC COPY TO EACH BOARD MEMBER WITH HIS RECOMMENDATION TO FILE THE RETURN AS DELIVERED HOWEVER NO BOARD MEMBER UNDERTAKES ANY REVIEW OF THE FORM EITHER BEFORE OR AFTER FILING</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>04. Conflict of interest policy compliance (Part VI, line 12c)</Identifier>
        <Explanation>ALL OFFICERS DIRECTORS TRUSTEES &amp; KEY EMPLOYEES AT LEAST ANNUALLY ARE REQUIRED TO DISCLOSE OR UPDATE THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST ONCE ANNUALLY EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED WITH A COPY OF THE CONFLICT OF INTEREST POLICY AND IS REQUIRED TO REVIEW THE DOCUMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS FOR ALL OTHER TIMES DURING THE YEAR ALL OFFICERS DIRECTORS TRUSTEES &amp; KEY EMPLOYEES ARE EXPECTED TO NOTIFY THE BOARD IF THEY DETERMINE THAT A CONFLICT HAS ARISEN ALL CONFLICTS OF INTEREST ARE DETERMINED AND REVIEWED AT THE BOARD OF DIRECTORS LEVEL RESTRICTIONS IMPOSED ON ANYONE WITH A CONFLICT INCLUDE PROHIBITING THEM FROM PARTICIPATING IN THE GOVERNING BODYS DELIBERATIONS AND DECISIONS IN THE TRANSACTION</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>05. CEO, executive director, top management comp (Part VI, line 15a)</Identifier>
        <Explanation>A COMPENSATION COMMITTEE CONDUCTS A REVIEW OF THE COMPENSATION OF THE TOP MANAGEMENTFINANCIAL OFFICIAL THERE IS NO CEO &amp; THERE IS NO EXECUTIVE DIRECTOR COMPENSATED BY VAMIN DETERMINING THE FAIR COMPENSATION FOR THAT POSITION THE COMMITTEE IDENTIFIES COMPENSATION GUIDELINES THROUGH PROFESSIONAL INDUSTRY AND TRADE ORGANIZATIONS AND OTHER NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>06. Other officer or key employee compensation (Part VI, line 15b</Identifier>
        <Explanation>A COMPENSATION COMMITTEE CONDUCTS A REVIEW OF THE COMPENSATION OF OTHER OFFICERS WHERE APPLICABLE AND KEY MANAGEMENT POSITIONS IN DETERMINING THE FAIR COMPENSATION FOR THOSE PARTICULAR POSITIONS THE COMMITTEE IDENTIFIES COMPENSATION GUIDELINES THROUGH PROFESSIONAL INDUSTRY AND TRADE ORGANIZATIONS AND OTHER NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>07. Governing documents, etc, available to public (Part VI, line 19)</Identifier>
        <Explanation>ALL ORGANIZATION GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY CONSOLIDATED FINANCIAL STATEMENTS AND THE ANNUAL FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST THE ANNUAL FORM 990 ALSO IS POSTED TO THE GUIDESTAR WEBSITE FOR PUBLIC ACCESS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>08. Audited by an independent accountant (Part XII, line 2b)</Identifier>
        <Explanation>THE ORGANIZATIONS FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS BY AN INDEPENDENT ACCOUNTANT</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>09. General explanation attachment</Identifier>
        <Explanation>FORM 990 PART IV LINE 12 - THE ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT ALONG WITH MARYMOUNT HEALTH CARE SYSTEMS AND MHCS REAL ESTATE HOLDING COMPANY &amp; DOES NOT RECEIVE SEPARATELY AUDITED FINANCIAL STATEMENTS FORM 990 PART V QUESTIONS 7G AND 7H - THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF INTELLECTUAL PROPERTY OR ANY VEHICLES WHICH WOULD REQUIRE FILING FORM 8899 OR FORM 1098-C FORM 990 PART VII COLUMN B - ESTIMATE OF AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS BY SECRETARY 42 TRUSTEE EHASZ 42 TRUSTEE KECKAN 41 TRUSTEE KILARSKI 42 TRUSTEE KENNEY 1 TRUSTEE BLABOLIL 41 TRUSTEE MAHER 2 TRUSTEE MASLANKA 41 &amp; COO 4 SCH L PT IV - ADDITIONAL INFO ANTHONY M COURY DIR OF OPERATIONS A DIRECTOR OF VILLAGE OF MARYMOUNT VAM HAS AN INDIRECT BUS RELATIONSHIP WITH VAM THROUGH OWNERSHIP OF MORE THAN 35 OF CREATIVE HEALTHCARE CONSULTING INC CHC &amp; OWNERSHIP OF MORE THAN 35 OF PHARMACY MANAGEMENT GROUP INC PMG WITH FAMILY MEMBERS HE IS ALSO AN OFFICER OF EACH CORP THE AMT &amp; DESCRIPTION OF THE TRANSACTION WITH EACH CORP FOLLOWS CHC - ENTITY MORE THAN 35 OWNED BY A M COURY - AMT OF TRANSACTION 425501 - DESC OF TRANSACTION PROVIDES OPERATIONS MGMT SERVICES TO VAM PMG - ENTITY MORE THAN 35 OWNED BY A M COURY WITH FAMILY MEMBERS AS LISTED ON SCH L PT IV - AMT OF TRANSACTION 1143097 - DESC OF TRANSACTION PHARMACY MGMT SERVICES &amp; PHARMACY INVENTORY SALES TO VAM</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SISTERS OF ST JOSEPH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 305</AddressLine1>
          <City>STEVENS POINT</City>
          <State>WI</State>
          <ZIPCode>54481</ZIPCode>
        </AddressUS>
        <EIN>350873343</EIN>
        <PrimaryActivities>RELIGIOUS ORDER</PrimaryActivities>
        <LegalDomicileState>WI</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>1</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>MARYMOUNT HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>12300 MCCRACKEN RD</AddressLine1>
          <City>GARFIELD HTS</City>
          <State>OH</State>
          <ZIPCode>44125</ZIPCode>
        </AddressUS>
        <EIN>340714458</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MARYMOUNT HEALTH CARE SYSTEMS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5200 MARYMOUNT VILLAGE RD</AddressLine1>
          <City>GARFILED HTS</City>
          <State>OH</State>
          <ZIPCode>44125</ZIPCode>
        </AddressUS>
        <EIN>341408846</EIN>
        <PrimaryActivities>HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MHCS REAL ESTATE HOLDING CO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>5200 MARYMOUNT VILLAGE DR</AddressLine1>
          <City>GARFIELD HTS</City>
          <State>OH</State>
          <ZIPCode>44125</ZIPCode>
        </AddressUS>
        <EIN>341817079</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>OH</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11 II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</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>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>