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          <BusinessNameLine1Txt>WAMEGO HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
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        <FormAndLineReferenceDesc>Schedule A, Part IV, Section B, Line 1 POWER TO APPOINT DIRECTORS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASCENSION SPONSOR (THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING RELIGIOUS SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH) DETERMINES THE PHILOSOPHY, MISSION, VISION, VALUES AND EXPECTATIONS OF THE SYSTEM, AND APPOINTS THE BOARD FOR ASCENSION HEALTH ALLIANCE, DELEGATING THAT APPOINTMENT POWER WITHIN THE SYSTEM, WITH THE ASCENSION SPONSOR RETAINING ULTIMATE CONTROL OVER GOVERNANCE MATTERS. THE FILING ORGANIZATION CARRIES OUT THE PURPOSES OF THE ASCENSION SPONSOR BY SUPPORTING THE ASCENSION SPONSOR AND ASCENSION HEALTH MINISTRY ENTITIES THAT PROVIDE CARE AND HEALING IN THEIR RESPECTIVE COMMUNITIES.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section B, Line 2 CONTROL BY SUPPORTED ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASCENSION SPONSOR (THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING RELIGIOUS SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH) DETERMINES THE PHILOSOPHY, MISSION, VISION, VALUES AND EXPECTATIONS OF THE SYSTEM, AND, AS APPLIED WITHIN A FRAMEWORK OF DELEGATION, RETAINS ULTIMATE CONTROL OF GOVERNANCE WITHIN THE SYSTEM. THE FILING ORGANIZATION CARRIES OUT THE PURPOSES OF THE ASCENSION SPONSOR BY SUPPORTING THE ASCENSION SPONSOR AND ASCENSION HEALTH MINISTRY ENTITIES THAT PROVIDE CARE AND HEALING IN THEIR RESPECTIVE COMMUNITIES. IN ANSWERING "NO" TO PART IV, SECTION B, LINE 2, THE ORGANIZATION IS CONSIDERING THE ASCENSION SPONSOR'S DIRECT CONTROL AS WELL AS ITS ULTIMATE CONTROL OVER THE OTHER SUPPORTED ORGANIZATIONS THROUGHOUT THE SYSTEM.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF ASCENSION SPONSOR AND SUCH OTHER OF ITS SUBSIDIARY ORGANIZATIONS THAT QUALIFY UNDER SECTION 501(C)(3) AND UNDER SECTION 509(A)(1) OR SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE. THE CORPORATION'S PURPOSES SHALL BE CONSISTENT WITH AND SUPPORTIVE OF THE CORPORATE PURPOSES OF ASCENSION HEALTH AND ASCENSION HEALTH ALLIANCE.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2)</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPORTED ORGANIZATIONS NOT REQUIRED TO OBTAIN A SEPARATE IRS DETERMINATION OF STATUS ARE EITHER CONSIDERED AN INSTRUMENTALITY OF THE CATHOLIC CHURCH OR ARE INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AND HAVE BEEN VERIFIED TO BE DESCRIBED IN EITHER 509(A)(1) OR 509 (A)(2) ACCORDING TO THEIR MOST RECENT FORM 990 FILING. IN ADDITION, SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN IS A 501(c)(4), BUT SATISFIES THE PUBLIC SUPPORT TESTS UNDER SECTION 509(a)(2).</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 3b Qualified Under 501C(4)(5) Or (6)</FormAndLineReferenceDesc>
        <ExplanationTxt>STARTING IN TAX YEAR 2014 (FISCAL YEAR ENDING JUNE 30, 2015) THE SUPPORT TEST FOR ORGANIZATIONS DESCRIBED IN 509(A)(2) AS REPORTED IN FORM 990, SCHEDULE A, PART III HAS BEEN COMPLETED TO CONFIRM THAT SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN SATISFIES THE PUBLIC SUPPORT TESTS UNDER SECTION 509(A)(2).</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 3c Support To Org. Used Exclusively Sec. 170(c)(2)(B) Purposes</FormAndLineReferenceDesc>
        <ExplanationTxt>SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, RELIGIOUS, EDUCATIONAL AND SCIENTIFIC PURPOSES AND ITS PURPOSES ARE CONSISTENT WITH AND SUPPORTIVE OF THE CORPORATE PURPOSES OF ASCENSION HEALTH AND ASCENSION HEALTH ALLIANCE. IN FURTHERANCE OF ITS MISSION AND IN AN EFFORT TO REDUCE THE GOVERNMENT'S FINANCIAL BURDEN, SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN PROVIDES ESSENTIAL HEALTH CARE SERVICES, SUCH AS PRIMARY CARE, SPECIALTY CARE AND DIAGNOSTIC IMAGING FACILITIES THAT SERVE LOW-INCOME PATIENTS AS WELL AS COMMUNITY SERVICES. A REVIEW IS DONE ANNUALLY TO CONFIRM THAT THE ACTIVITIES OF SETON HEALTHCARE CORPORATION OF SOUTHEAST MICHIGAN ARE IN LINE WITH THEIR MISSION AND THAT SUPPORT PROVIDED IS USED SOLELY FOR CHARITABLE PURPOSES. AS PART OF THIS REVIEW, REVENUE STREAMS AND EXPENSES ARE REVIEWED AND THE SUPPORT TEST FOR ORGANIZATIONS DESCRIBED IN 509(A)(2) IS CALCULATED TO CONFIRM THAT THIS TEST IS SATISFIED.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org.</FormAndLineReferenceDesc>
        <ExplanationTxt>(I)/(II) THE ORGANIZATION REMOVED SUPPORTED ORGANIZATIONS, AS FOLLOWS: ST. VINCENT JENNINGS HOSPITAL FOUNDATION, INC., EIN 84-1703732, DISSOLVED 03/23 MEDICARE VALUE PARTNERS, EIN 36-3495969, DISSOLVED 06/23 (III)/(IV) THE ORGANIZING/GOVERNING DOCUMENTS OF THE ORGANIZATION PROVIDE THAT THE ORGANIZATION IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF THE ASCENSION AND FOUNDING RELIGIOUS SPONSORS, IN SUPPORT OF THOSE ORGANIZATIONS AND AFFILIATED ORGANIZATIONS CLASSIFIED AS PUBLIC CHARITIES UNDER SECTIONS 509(A)(1) OR 509(A)(2) OF THE CODE. THAT DIRECTION PROVIDES THE AUTHORITY FOR THE CHANGES DESCRIBED ABOVE, WHICH WERE ACCOMPLISHED ACCORDING TO THE FORM OF TRANSACTION THAT EITHER ADDED THE ORGANIZATION TO THE ASCENSION SYSTEM OR CAUSED ITS REMOVAL OR ANY CHANGES THAT AFFECT AN ENTITY'S REPORTING STATUS FOR THIS PURPOSE.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990-EZ, Part II, Line 26b Total Liabilities</FormAndLineReferenceDesc>
        <ExplanationTxt>Estimated 3rd Party Payor Settlement - BOY:468428,EOY:468428;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part III, Exempt Purpose PRIMARY EXEMPT PURPOSE</FormAndLineReferenceDesc>
        <ExplanationTxt>To improve the health and well-being of all people in the communities we serve.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990EZ, Part III, Line 28 DESCRIPTION OF OTHER PROGRAM SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. AS A MEMBER OF ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC HEALTHCARE SYSTEM, OUR LADY OF LOURDES HOSPITAL AT PASCO CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES AND SOCIETY AS A WHOLE. THE GOAL OF OUR LADY OF LOURDES HOSPITAL AT PASCO IS TO PERPETUATE THE HEALING MISSION OF THE CHURCH. OUR LADY OF LOURDES HOSPITAL AT PASCO SOLD THEIR ASSETS ON SEPTEMBER 1, 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part IV, Column (b) Related Entities</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization utilizes an affiliate as the common pay agent. Employees reported in Part IV may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>Lobbying expenses represent the portion of dues paid to national and state hospital associations that are specially allocable to lobbying. Our Lady of Lourdes Hospital at Pasco does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>