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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <SupportedOrgInformationGrp>
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          <BusinessNameLine1Txt>ILLINOIS HEALTH AND HOSPITAL ASSOCIATION</BusinessNameLine1Txt>
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        <OrganizationTypeCd>10</OrganizationTypeCd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>WHILE THE MIDWEST ALLICANCE FOR PATIENT SAFETY'S (MAPS) ARTICLES OF INCORPORATION DO NOT SPECIFY ILLINOIS HEALTH AND HOSPITAL ASSOCIATION (IHA) BY NAME AS ITS SUPPORTED ORGANIZATION, MAPS' ACTIVITIES SUPPORT ITS CHARITABLE PURPOSE OF IMPROVING, SUSTAINING AND PROTECTING PATIENT SAFETY AND HEALTHCARE DELIVERY, WHICH IS WITHIN THE MISSION OF IHA TO ADVOCATE FOR HOSPITALS AND HEALTH SYSTEMS AND TO PROMOTE HEALTHCARE COMMUNITIES. FURTHER, IHA AND MAPS SHARE A CONTINUING AND HISTORICAL RELATIONSHIP, IN THAT IHA PARTICIPATED IN THE FORMATION OF MAPS, BECAME THE SOLE MEMBER OF MAPS IN 2014 AND HAS CONTROLLED APPOINTMENTS TO THE MAPS BOARD AND SET ITS STRATEGIC AND OPERATIONAL PRIORITIES.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MAPS PROVIDES SUPPORT TO IHA, AN IRC 501(C)(6) ORGANIZATION. TREASURY REGULATION 1.509(A)-4(K)(1) PROVIDES, IN PERTINENT PART, THAT FOR PURPOSES OF IRC 509(A)(3), AN ORGANIZATION WHICH IS OPERATED IN CONJUNCTION WITH AN ORGANIZATION DESCRIBED IN IRS 501(C)(6) SHALL, IF IT OTHERWISE MEETS THE REQUIREMENTS OF IRC 509(A)(3), BE CONSIDERED AN ORGANIZATION DESCRIBED IN IRS 509(A)(3) IF SUCH IRC 501(C)(6) ORGANIZATION WOULD BE DESCRIBED IN IRC 509(A)(2) IF IT WERE AN ORGANIZATION DESCRIBED IN IRC 501(C)(3). THE IRC 501(C)(6) ORGANIZATION, WHICH THE SUPPORTING ORGANIZATION IS OPERATING IN CONJUNCTION WITH, MUST THEREFORE, MEET THE ONE THIRD TESTS OF A PUBLICLY SUPPORTED ORGANIZATION SET FORTH IN IRC 509(A)(2).</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>TREASURY REGULATION 1.509(A)-4(K)(1) PROVIDES, IN PERTINENT PART, THAT FOR PURPOSES OF IRC 509(A)(3), AN ORGANIZATION WHICH IS OPERATED IN CONJUNCTION WITH AN ORGANIZATION DESCRIBED IN IRS 501(C)(6) SHALL, IF IT OTHERWISE MEETS THE REQUIREMENTS OF IRC 509(A)(3), BE CONSIDERED AN ORGANIZATION DESCRIBED IN IRS 509(A)(3) IF SUCH IRC 501(C)(6) ORGANIZATION WOULD BE DESCRIBED IN IRC 509(A)(2) IF IT WERE AN ORGANIZATION DESCRIBED IN IRC 501(C)(3). THE IRC 501(C)(6) ORGANIZATION, WHICH THE SUPPORTING ORGANIZATION IS OPERATING IN CONJUNCTION WITH, MUST THEREFORE, MEET THE ONE THIRD TESTS OF A PUBLICLY SUPPORTED ORGANIZATION SET FORTH IN IRC 509(A)(2). MAPS PROVIDES SUPPORT TO IHA, AN IRC 501(C)(6) ORGANIZATION. MAPS IS OPERATED, SUPERVISED AND CONTROLLED BY IHA AND, AS A RESULT OF THIS RELATIONSHIP, MAPS WAS ABLE TO CONFIRM THAT IHA MET THE IRC 509(A)(2) TEST IN 2024. THIS CALCULATION IS PERFORMED ON AN ANNUAL BASIS TO CONFIRM THAT IHA RECEIVES AT LEAST 33 1/3 PERCENT OF PUBLIC SUPPORT.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>MAPS IS OPERATED, SUPERVISED AND CONTROLLED BY IHA. TREASURY REGULATION 1.509(A)-4(E) STATES THAT A SUPPORTING ORGANIZATION WILL BE REGARDED AS "OPERATED EXCLUSIVELY" TO SUPPORT ONE OR MORE SPECIFIED PUBLICLY SUPPORTED ORGANIZATIONS ONLY IF IT ENGAGES SOLELY IN ACTIVITIES WHICH SUPPORT OR BENEFIT THE SPECIFIED PUBLICLY SUPPORTED ORGANIZATIONS. THE SUPPORT THAT MAPS PROVIDES TO IHA INCLUDES EDUCATING PROVIDERS ON STRATEGIES TO IMPROVE PATIENT SAFETY AND REDUCE HARM AND PROVIDING A PLATFORM FOR REPORTING SAFETY ISSUES UNDER A GOVERNMENT PROGRAM. THESE ACTIVITIES HELP TO SUPPORT IHA'S STATED MISSION TO ADVOCATE FOR AND SUPPORT HOSPITAL OPERATIONS FOR THE SUPPORT OF HEALTHIER COMMUNITIES. THEREFORE, IT IS ABLE TO CONFIRM THAT THE SUPPORT PROVIDED TO IHA WAS USED EXCLUSIVELY FOR IRC 170(C)(2)(B) PURPOSES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MIDWEST ALLIANCE FOR PATIENT SAFETY (MAPS) HAS RECEIVED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) STATING THAT IT IS EXEMPT FROM TAXATION ON INCOME RELATED TO THEIR EXEMPT PURPOSES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). AS AN EXEMPT ORGANIZATION, MAPS IS SUBJECT TO FEDERAL AND STATE INCOME TAXES ON INCOME DETERMINED TO BE UNRELATED BUSINESS TAXABLE INCOME. MAPS ACCOUNTS FOR INCOME TAXES USING THE PROVISIONS OF ASC 740, INCOME TAXES. UNDER ASC 740, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES, OPERATING LOSS, AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES AND LAWS EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN INCOME IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. A VALUATION ALLOWANCE IS PROVIDED WHEN IT IS MORE LIKELY THAN NOT THAT SOME PORTION OF DEFERRED TAX ASSETS WILL NOT BE REALIZED. AS OF DECEMBER 31, 2024 AND 2023, MAPS DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1617058</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>267203</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN HARRIS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>498705</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRI L ALLEN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HELGA BRAKE</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>240717</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARRIE PINASCO</PersonNm>
        <TitleTxt>SENIOR DIRECTOR QUALITY &amp; SAFETY</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>126273</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>160613</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ILLINOIS HEALTH AND HOSPITAL ASSOCIATION, A RELATED ENTITY, USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION FOR THE ORGANIZATION'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING AMOUNTS WERE CONTRIBUTED TO A NONQUALIFIED RETIREMENT PLAN: ARTHUR J. WILHELMI: $235,972 THE FOLLOWING AMOUNTS WERE DISTRIBUTED DURING THE YEAR FROM THE NONQUALIFIED RETIREMENT PLAN (CODA): ARTHUR J. WILHELMI: $267,203 PART II: ALL COMPENSATION LISTED IN SCHEDULE J, PART II IS FROM THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. NO TRUSTEE RECEIVED COMPENSATION FROM THE FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ILLINOIS HEALTH AND HOSPITAL ASSOCIATION, A RELATED ENTITY, IS THE EMPLOYER OF THE FOLLOWING OFFICERS AND DIRECTORS OF THE ENTITY: TERRI L. ALLEN, HELGA BRAKE, KAREN HARRIS, AND ARTHUR J. WILHELMI. THE ENTITY'S BOARD IS COMPRISED OF INDIVIDUALS WHO ARE NOT EMPLOYED BY THE ENTITY, BUT WHO ARE EMPLOYED BY AND/OR HOLD A BOARD AND/OR OFFICER POSITION WITH AN ILLINOIS HOSPITAL THAT CONDUCTS A TRANSACTION(S) WITH THE HOSPITAL'S BUSINESS ON THE SAME TERMS AS ARE GENERALLY OFFERED TO OTHER MEMBERS OF THE ENTITY'S PARENT, IHA. THE ENTITY'S BOARD IS COMPRISED OF INDIVIDUALS WHO ARE ALSO ON THE BOARD(S) OR AN OFFICER OF ONE OR MORE RELATED ORGANIZATIONS: ARTHUR J. WILHELMI. THE ENTITY'S FOLLOWING OFFICERS ARE INDIVIDUALS WHO ARE ALSO ON THE BOARD(S) OR AN OFFICER OF ONE OR MORE RELATED ORGANIZATIONS: TERRI L. ALLEN, HELGA BRAKE, KAREN HARRIS, AND ARTHUR J. WILHELMI.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MIDWEST ALLIANCE FOR PATIENT SAFETY HAS ONE MEMBER, THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION (IHA).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER HAS THE POWER TO APPOINT ALL DIRECTORS OF THE ORGANIZATION AND THE POWER TO REMOVE OFFICERS AND DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER SHALL HAVE THE FOLLOWING RIGHTS AND OBLIGATIONS: (A) TO APPROVE ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; (B) TO APPOINT AND REMOVE THE DIRECTORS OF THE CORPORATION; (C) TO TAKE ACTION WITH REGARD TO EACH ANNUAL OPERATING AND CAPITAL BUDGET OF THE CORPORATION BEFORE EXPENDITURES MAY BE MADE FROM THE OPERATING AND CAPITAL BUDGET; (D) TO APPROVE EACH LONG-RANGE PLAN OF THE CORPORATION BEFORE EXPENDITURES MAY BE MADE; (E) TO APPROVE ANY INDEBTEDNESS OF THE CORPORATION WHICH WAS NOT INCLUDED IN AN ANNUAL BUDGET AND WHICH EXCEEDS 10% OF THE APPROVED BUDGET; (F) TO APPROVE ANY EXPENDITURE OR INVESTMENT OF THE CORPORATION WHICH EXCEEDS 10% OF THE APPROVED BUDGET; (G) TO APPROVE ANY PLAN OF MERGER OR CONSOLIDATION; (H) TO APPROVE A VOLUNTARY PARTIAL OR TOTAL DISSOLUTION OF THE CORPORATION; (I) TO APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION; (J) TO APPROVE THE CREATION OF CONTROLLED OR OWNED SUBSIDIARIES OR AFFILIATES BY THE CORPORATION; (K) TO APPROVE, INITIATE, OR IMPLEMENT THE SELECTION OR USE OF AUDITORS AND/OR LEGAL COUNSEL, ACCOUNTING POLICIES, AND COMPENSATION POLICIES; AND (L) TO ESTABLISH COMPENSATION, IF ANY, OF DIRECTORS AND OFFICERS FOR SERVICES TO THE CORPORATION AS DIRECTORS AND OFFICERS, IRRESPECTIVE OF ANY PERSONAL INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>WITH ASSISTANCE FROM THE LEGAL DEPARTMENT OF IHA, THE INFORMATION NEEDED TO PREPARE THE MIDWEST ALLIANCE FOR PATIENT SAFETY'S (MAPS) FORM 990 IS PREPARED BY THE FINANCE STAFF OF THE MAPS PARENT, ILLINOIS HEALTH AND HOSPITAL ASSOCIATION (IHA). THE FORM IS THEN PREPARED AND REVIEWED BY THE ASSOCIATION'S OUTSIDE TAX ADVISORS, RSM US LLP. AFTER RSM'S REVIEW, THE FORM IS THE FURTHER REVIEWED BY THE ASSOCIATION'S CHIEF ACCOUNTING OFFICER. EACH BOARD MEMBER RECEIVES A COPY OF THE FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST DISCLOSURE FORMS ARE REVIEWED, COMPLETED AND SIGNED BY BOARD MEMBERS AND OFFICERS OF THE ENTITY. THESE ARE REVIEWED BY HUMAN RESOURCES STAFF AND SENIOR MANAGEMENT. WHEN A DIRECTOR OR OFFICER IS AWARE OF A CONFLICT OR POTENTIAL CONFLICT OF INTEREST FOR HIMSELF/HERSELF OR A FAMILY MEMBER, THE DIRECTOR OR OFFICER MUST DISCLOSE IT TO THE BOARD OR THE COMPLIANCE OFFICER OF ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST, THE REMAINING BOARD MEMBERS OR OFFICERS, AS THE CASE MAY BE, WOULD DECIDE IF A CONFLICT EXISTS. IF A CONFLICT IS DEEMED TO EXIST, THAT BOARD MEMBER OR OFFICER, AS THE CASE MAY BE, IS NOT ALLOWED TO VOTE ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE OF ILLINOIS HEALTH AND HOSPITAL ASSOCIATION, A RELATED ENTITY, COMPRISED OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION OF THE CEO, OTHER OFFICERS AND KEY EMPLOYEES. AN INDEPENDENT COMPENSATION CONSULTANT, AS WELL AS COMPENSATION STUDIES OF OTHER SIMILAR ORGANIZATIONS ARE UTILIZED IN THE PROCESS. THE COMPENSATION COMMITTEE DOCUMENTS ALL COMPENSATION DECISIONS ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MIDWEST ALLIANCE FOR PATIENT SAFETY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HIGHEST COMPENSATED EMPLOYEE (HCE) LISTED ON PART VII DEDICATES 100% OF THEIR TIME TO MAPS, BUT ARE CONSIDERED EMPLOYEES OF IHA WHO THE HCE REPORTS TO, WHO DIRECTS THE HCE'S DAY TO DAY ACTIVITIES, AND WHO SETS THE HCE'S COMPENSATION AND BENEFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MIDWEST ALLIANCE FOR PATIENT SAFETY'S FINANCIAL STATEMENTS ARE AUDITED AS PART OF THE ANNUAL AUDIT OF THE ASSOCIATION'S CONSOLIDATED FINANCIAL STATEMENTS. THE ASSOCIATION'S FINANCE AND AUDIT COMMITTEE MEETS WITH THE OUTSIDE AUDITORS, RSM US LLP, TO REVIEW THE FINDINGS OF THE ANNUAL AUDIT.</ExplanationTxt>
      </SupplementalInformationDetail>
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  </ReturnData>
</Return>