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        <ExplanationTxt>The Internal Revenue Service (IRS) has determined that the foundation is a tax-exempt organization as defined in section 501(C)(3) of the Internal Revenue Code and is exempt from federal and state income taxes on related income. The Foundation has been classified as an organization that is not a private foundation under section 509(a) of the code. In 2012, the IRS further recognized the foundation as a public charity as described in sections 509(a)(1) and 170(b)(1)(A)(vi) of the Code. Current accounting standards require the Foundation to disclose the amount of potential benefit or obligation to be realized as a result of an examination performed by a taxing authority. For the years ended December 31, 2023 and 2022, management has determined that the Foundation does not have any tax positions that result in any uncertainties regarding the possible impact on the Foundation's financial statements. The Foundation does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Foundation recognizes interest and/or penalties related to income tax matters in income tax expense. The Foundation did not have any amounts accrued for interest and penalties at December 31, 2023 and 2022.</ExplanationTxt>
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        <ExplanationTxt>The President &amp; CEO has a social club membership provided by Eskenazi Health Foundation. The club membership is not treated as taxable compensation to the individual because it is used for business purposes.</ExplanationTxt>
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        <ExplanationTxt>ALL FORMS W-2 ARE FILED ON BEHALF OF THE ORGANIZATION BY A RELATED ORGANIZATION, HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY, INDIANA, WHICH IS ITS COMMON PAYMASTER.</ExplanationTxt>
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        <ExplanationTxt>The board of directors shall have an executive committee, which shall consist of the chair, the vice-chair, the secretary, the treasurer, the chairs of each standing committee, and other directors appointed by the board. The chair of the board of directors shall serve as the chair of the executive committee. The executive committee shall have and exercise all of the authority of the board of directors in the management of the foundation's affairs during intervals between the meetings of the board of directors except where prohibited by law. The executive committee shall be subject to the authority and supervision of the board of directors and shall cause minutes of its proceedings to be kept and filed with the minutes of the proceedings of the board of directors.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED IN DETAIL BY THE ORGANIZATION'S MANAGEMENT, THE BOARD TREASURER, AND THE BOARD CHAIR. A COPY OF THE FORM 990 PUBLIC DISCLOSURE COPY IS DISTRIBUTED TO EVERY MEMBER OF THE GOVERNING BODY BEFORE IT IS FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>A conflict of interest policy and questionnaire are distributed annually to the board of directors and officers of the organization. The responses to the questionnaires are reviewed by the governance committee. Any individuals with conflicts of interest shall refrain from voting on matters related to the conflict.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the president &amp; ceo is determined by the executive compensation committee of the board. The committee uses comparability data gathered by Human Resources to ensure compensation is reasonable. The process is documented in committee minutes. This process was last undertaken in 2023.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE COO IS DETERMINED BY THE PRESIDENT &amp; CEO. HE USES COMPARABILITY DATA TO ENSURE COMPENSATION IS REASONABLE. THE PROCESS IS DOCUMENTED IN THE EMPLOYEE'S FILE. THIS PROCESS WAS LAST UNDERTAKEN IN 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104. These documents are not available to the public at this time.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in Value of Interest in Perpetual Trust - 89302;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule B, Part I and II Donor Gifts</FormAndLineReferenceDesc>
        <ExplanationTxt>Health and Hospital Corporation of Marion County provides a generous operating grant to allow all donor gifts to be used as directed.</ExplanationTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALTH AND HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3838 N Rural St</AddressLine1Txt>
          <CityNm>INDIANAPOLIS</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46205</ZIPCd>
        </USAddress>
        <EIN>356005697</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(1)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</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>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH AND HOSPITAL CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>3414902</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTH AND HOSPITAL CORPORATION</BusinessNameLine1Txt>
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        <InvolvedAmt>2522328</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Cost</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>