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        <FormAndLineReferenceDesc>SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Rhodes Trust The Trust will make distributions to The St. Alexis Hospital Association as the successor to St. Alexis Hospital, the entity identified in the Will, in the ordinary course in accordance with the terms of the Trust and the Ohio Institutional Trust Funds Act. The income distributions shall be used by The St. Alexis Hospital Association solely for the charitable provision or funding of health care services, or healthcare related activities, including, but not limited to: medical diagnosis, care, treatment and related psychological, social and spiritual support services; rehabilitation; hospice and/or in-home care; preventative health services, such as immunizations, and health wellness programs; healthcare related education and counseling including, without limitation, preventive programs such as those directed toward reproductive health, prenatal care, and substance abuse and chemical dependency; medical equipment, supplies, medications, eye and hearing assists, and prosthetics; medical or healthcare related research and education; and the training of patients, healthcare providers and personnel. Calvary Morris Trust The income distributions from the St. Alexis share shall be used by St. Alexis solely for the charitable provision or funding of healthcare services, or healthcare related activities, within the geographical area of Cuyahoga County, including, but not limited to: medical diagnosis, care, treatment and related psychological, social and spiritual support services; rehabilitation; hospice and/or in-home care; preventative health services, such as immunizations, and health wellness programs; healthcare related education and counseling including, without limitation, preventive programs such as those directed toward reproductive health, prenatal care, and substance abuse and chemical dependency; medical equipment, supplies, medications, eye and hearing assists, and prosthetics; medical or healthcare related research and education; and the training of patients, healthcare providers and personnel.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE SOLE MEMBER, FRANCISCAN ALLIANCE, INC., ELECTS ALL DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER, FRANCISCAN ALLIANCE, INC., HAS THE SOLE VOTE ON SIGNIFICANT MATTERS PRESENTED TO IT BY THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INFORMATION TO PREPARE THE FORM 990 OF ST. ALEXIS HOSPITAL ASSOCIATION ("ST. ALEXIS") IS GATHERED BY FINANCE STAFF AND PROVIDED TO ITS ACCOUNTING FIRM WHO PREPARES THE RETURN. SENIOR MANAGEMENT THEN REVIEWS THE RETURN PRIOR TO FILING. THE FORM 990 IS ALSO MADE AVAILABLE TO ST. ALEXIS' BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION AND/OR ITS AFFILIATE REQUIRES ANNUAL CONFLICT OF INTEREST STATEMENTS FROM EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS WHICH AFFIRMS THAT THEY HAVE RECEIVED, READ AND UNDERSTAND THE CONFLICT OF INTEREST POLICY AND HAVE AGREED TO COMPLY WITH THE POLICY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST A DIRECTOR, PRINCIPAL OFFICER OR MEMBER OF A COMMITTEE WITH BOARD DESIGNATED POWERS MUST DISCLOSE THE EXISTENCE AND NATURE OF THE FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE DIRECTOR, PRINCIPAL OFFICER OR COMMITTEE MEMBER SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTE TAKEN. IN ADDITION, ONGOING REVIEWS AND ASSESSMENTS ARE MADE TO MAKE CERTAIN THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. IN CONDUCTING THE ONGOING REVIEWS AND ASSESSMENTS THE CORPORATION USES INTERNAL AND EXTERNAL ADVISORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ST. ALEXIS HOSPITAL ASSOCIATION DOES NOT COMPENSATE ANY OF ITS OFFICERS.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTION FOR OPERATIONS 104,388 CHANGE IN ASSETS WITH DONOR RESTRICTIONS (104,060) __________ TOTAL 328</ExplanationTxt>
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          <AddressLine1Txt>1623 GREENWOOD AVE</AddressLine1Txt>
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        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <AddressLine1Txt>1215 HADLEY ROAD SUITE 100</AddressLine1Txt>
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        <EIN>202256900</EIN>
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        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
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        <EIN>412116930</EIN>
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        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
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          <ZIPCd>46544</ZIPCd>
        </USAddress>
        <EIN>363593505</EIN>
        <PrimaryActivitiesTxt>HOLDING CO.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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          <AddressLine1Txt>2320 CONCORD ROAD SUITE B</AddressLine1Txt>
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        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
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        </DirectControllingEntityName>
        <EntityTypeTxt>S CORP</EntityTypeTxt>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>