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        <BeginningYearBalanceAmt>4796665</BeginningYearBalanceAmt>
        <ContributionsAmt>20252500</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>468276</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>156832</OtherExpendituresAmt>
        <EndYearBalanceAmt>25360609</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>0.852</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.0981</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.0499</TermEndowmentBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
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        <Desc>Federal Income Taxes</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Other Payable</Desc>
        <Amt>61424</Amt>
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      <TotalLiabilityAmt>61424</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>0</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>0</TotalRevenuePerForm990Amt>
      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>0</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>0</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4 Intended uses of endowment funds</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENT FUNDS ARE CREATED ACCORDING TO HOSPITAL NEEDS AND DESIGNATION OR PREFERENCES OF THE DONOR(S) SUPPORTING THE ENDOWMENT FUND. SCHOLARSHIP FUNDS, CONTINUED EDUCATION, OR FUNDS FOR PATIENT CARE IN A HOSPITAL DEPARTMENT DESIGNATED BY THE ENDOWMENT FUND ARE EXAMPLES OF FUND USES. THE ENDOWMENT FUNDS REPORTED ON THE FOUNDATION'S 990 ARE ALSO REPORTED ON NORTHWEST COMMUNITY HOSPITAL'S FORM 990, SCHEDULE D. SUBSTANTIALLY ALL RESTRICTED CONTRIBUTIONS BENEFITING HOSPITAL ARE INITIALLY RECEIVED BY FOUNDATION. WHEN A DONOR RESTRICTION IS MET, FOUNDATION TRANSFERS THE TEMPORARILY RESTRICTED GIFT TO HEALTHCARE OR HOSPITAL AT WHICH TIME THE RELATED NET ASSETS ARE RELEASED FROM RESTRICTION IN THE CONSOLIDATED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The affiliates and subsidiaries of the System are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3), and their related income is exempt from federal income tax. Accordingly, there is no material provision for income tax for these entities. Some of the income received by exempt entities is subject to taxation as unrelated business income. The System files federal income tax returns and returns for various states in the U.S.ASC 740-10, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it can be recognized in the consolidated financial statements. Furthermore, this interpretation prescribes the benefit to be recorded in the consolidated financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the year ended December 31, 2024. At year-end December 31, 2024, the System has a net operating loss carryforward of $416,494, which generated deferred tax assets of $121,678. These assets are offset by a valuation allowance of $112,623.</ExplanationTxt>
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          <BusinessNameLine1Txt>NORTHWEST COMMUNITY HOSPITAL</BusinessNameLine1Txt>
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          <AddressLine1Txt>3040 W SALT CREEK LANE</AddressLine1Txt>
          <CityNm>ARLINGTON HEIGHTS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
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        <RecipientEIN>362340313</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1469937</CashGrantAmt>
        <PurposeOfGrantTxt>PROGRAM SUPPORT</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS IN SUPPORT OF NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) MISSION ARE MONITORED BY NORTHWEST COMMUNITY'S FINANCE COMMITTEE AND BOARD OF DIRECTORS AS PART OF THE MONTHLY REVIEW OF HOSPITAL'S FINANCIAL RESULTS. SIGNIFICANT GRANTS TO UNRELATED 501(C)(3) OR GOVERNMENTAL ORGANIZATIONS ARE APPROVED BY HOSPITAL'S COMMUNITY SERVICES DEPARTMENT AND ARE MONITORED THROUGH ONGOING INTERACTIONS WITH OFFICIALS OF THOSE RECIPIENTS REGARDING PROGRAM SERVICES PROVIDED IN HOSPITAL'S SERVICE AREA.</ExplanationTxt>
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        <PersonNm>Michael C Hartke</PersonNm>
        <TitleTxt>President</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>681438</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>251371</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>5206</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>193017</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>28396</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1159428</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>David K Ungurean</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>222984</CompensationBasedOnRltdOrgsAmt>
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        <PersonNm>Michele Wells</PersonNm>
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        <BonusRelatedOrganizationsAmt>57004</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>19476</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>1442</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rich Casey</PersonNm>
        <TitleTxt>Director (until 12/31/24)</TitleTxt>
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        <PersonNm>Christine Erdmann</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>343088</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>10425</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>471448</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gerald P Gallagher</PersonNm>
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        <OtherCompensationRltdOrgsAmt>50517</OtherCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Douglas D Welday</PersonNm>
        <TitleTxt>System Treasurer and CFO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>976106</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>A detailed compensation review of the top executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Endeavor Health legal counsel. Market data for base and variable compensation is assessed annually for integrated delivery systems and academic medical centers that are similar in size and complexity. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Endeavor Health Compensation Committee, in session with legal counsel present, in advance of implementation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>An NCH SERP plan was created and was effective on January 1, 2014. Benefits under the SERP vest in the amount credited to his or her account balance on January 1 of the fifth plan year following the year for which a contribution was credited to the participant's account. However, participant will automatically vest in his or her account balance in the event of involuntary separation from service or his or her attainment of age 65 while still employed by NCH. Participants who voluntarily resign or are terminated with cause before the vesting period are no longer eligible for the amount accrued. An Endeavor Health Defined Contribution supplemental executive retirement plan (SERP) was created and effective in 2024. The following individuals participated in the supplemental nonqualified retirement plan and accrued the following benefits: Michael C. Hartke - $123,276 The following individuals participated in a supplemental nonqualified retirement plan and below are the increases to the plan balances during 2024: Gerald P. Gallagher - $757,674 The following individuals received payments from a supplemental nonqualified retirement plan reported as taxable compensation: Douglas D. Welday - $465,005</ExplanationTxt>
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        <ContributionCnt>6</ContributionCnt>
        <NoncashContributionsRptF990Amt>653075</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
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        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Securities - Publicly traded - SIX GIFTS OF PUBLICLY TRADED SECURITIES WERE CONTRIBUTED TO THE FOUNDATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 A &amp; B - PROCESS FOR DETERMINING COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>A detailed compensation review of the top executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Endeavor Health legal counsel. Market data for base and variable compensation is assessed annually for integrated delivery systems and academic medical centers that are similar in size and complexity. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Endeavor Health Compensation Committee, in session with legal counsel present, in advance of implementation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwest Community Healthcare is the sole corporate member of Northwest Community Hospital Foundation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwest Community Healthcare, as the sole corporate member of Northwest Community Hospital Foundation, and Endeavor Health, as the sole corporate member of Northwest Community Healthcare, have the power to appoint and approve board members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwest Community Healthcare has certain reserved powers as the sole corporate member including the reserved powers of Endeavor Health. The following matters must be approved by Northwest Community Healthcare: - Any voluntary dissolution, merger, or consolidation, or the sale or transfer of 10% or more of the Foundation's assets; - Any sale of the Foundation's real property or any interest therein; - Creation of a subsidiary or affiliated corporation of the Foundation; - All annual and long-term capital and operating budgets; - Amendment, alteration or repeal of the Articles of Incorporation or Bylaws of the Foundation; - Selection of the Foundation's auditors; and - Appointment, removal and evaluation of the Board of Trustees of the Foundation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 was reviewed by executive management and an outside accounting firm. The Form 990 was then provided to the Board of Trustees of the health system parent, Endeavor Health, for review and the ability to ask questions of management prior to filing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO REPORT POTENTIAL CONFLICTS OF INTEREST TO THE COMPLIANCE OFFICER WHEN HIS/HER CIRCUMSTANCES COULD CREATE A CONFLICT OF INTEREST, OR PRIOR TO THEIR ARISING, SO THAT THE HEALTH SYSTEM CAN PROACTIVELY REVIEW THE REPORT TO IDENTIFY ACTUAL AND POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, ON AN ANNUAL BASIS, MEMBERS OF THE BOARD OF DIRECTORS, CORPORATE OFFICERS, AND OTHER KEY EMPLOYEES WILL BE PROVIDED WITH A CONFLICT OF INTEREST QUESTIONNAIRE, WHICH IS USED FOR PURPOSES OF REPORTING POTENTIAL CONFLICTS OF INTEREST. SUBSEQUENT TO REPORTING, AND DEPENDING ON THE NATURE OF THE MATTER, THE COMPLIANCE OFFICER WILL REVIEW THE REPORTED INFORMATION AND ARRIVE AT A DETERMINATION REGARDING THE MATTER BASED UPON HIS/HER KNOWLEDGE OF THE ORGANIZATION AND/OR IN CONSULTATION WITH OTHER MEMBERS OF MANAGEMENT. DETERMINATIONS WILL BE REVIEWED WITH THE EXECUTIVE LEADERSHIP TEAM OR DESIGNEE FOR MEMBERS OF MANAGEMENT, ALL CATEGORIES OF PHYSICIANS, AND THE BOARD OF DIRECTORS. DETERMINATIONS WILL BE REVIEWED WITH THE BOARD OF DIRECTORS FOR SENIOR MANAGEMENT AND MEMBERS OF THE BOARD OF DIRECTORS. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, APPROPRIATE MITIGATING OR REMEDIAL MEASURES MAY BE TAKEN THROUGH A MANAGEMENT PLAN. IF A MANAGEMENT PLAN HAS YET TO BE DEVELOPED AND THE INDIVIDUAL IS INVOLVED IN DISCUSSION RELATED TO HIS/HER CONFLICT, THE INDIVIDUAL MUST DISCLOSE THE CONFLICT OF INTEREST TO THOSE INVOLVED IN THE CONVERSATION AND MUST RECUSE HIM/HERSELF FROM PARTICIPATING IN THE CONVERSATION AND MAKING A DECISION ON BEHALF OF THE HEALTH SYSTEM. IF THIS CONVERSATION TAKES PLACE AT A BOARD MEETING, THE MINUTES OF THE MEETING SHOULD REFLECT THE FACT THAT THE CONFLICT OF INTEREST HAS BEEN DISCLOSED AND THE INDIVIDUAL HAS RECUSED HIM/HERSELF. IF THE ISSUE OR CIRCUMSTANCES CANNOT BE ADEQUATELY ADDRESSED THROUGH A MANAGEMENT PLAN OR IF THE PROPOSED OR ACTUAL ARRANGEMENT IS INCONSISTENT WITH THE HEALTH SYSTEM'S GUIDING PRINCIPLES FOR CONFLICTS OF INTEREST, THE CONFLICT WILL BE ELIMINATED. DISCLOSURE OF THE MANAGEMENT PLAN MAY BE MADE TO APPROPRIATE INDIVIDUALS OR COMMITTEES, WHICH MAY INCLUDE PATIENTS, STUDENTS, A DEPARTMENT, GROUP, OR OTHERS AS NECESSARY. MONITORING AND OVERSIGHT OF CONFLICTS OF INTEREST AND MANAGEMENT PLANS WILL BE CONDUCTED BY THE EXECUTIVE LEADERSHIP TEAM. IN THE EVENT THAT AN INDIVIDUAL ENGAGES IN PROHIBITED ACTIVITIES OR DOES NOT PROVIDE PROMPT OR TRANSPARENT REPORTING IN COMPLIANCE WITH THIS POLICY OR DOES NOT COMPLY WITH A DETERMINATION AND/OR MANAGEMENT PLAN, A REVIEW WILL BE PERFORMED AND APPROPRIATE CORRECTIVE ACTION MAY BE TAKEN, INCLUDING RETRAINING, REFERRAL FOR FURTHER ACTION, TERMINATION OF EMPLOYMENT, TERMINATION OF THE AGREEMENT WITH THE HEALTH SYSTEM, OR REMOVAL FROM THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwest Community Hospital Foundation governing documents, conflict of interest policy, and financial statements are available to the public upon request. The Endeavor Health annual audit report and financial statements are also available to the public through GuideStar as part of the Form 990 filings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES - Total Expense: 334710, Program Service Expense: , Management and General Expenses: , Fundraising Expenses: 334710;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRIBUTION DISCOUNT TO PRESENT VALUE - -558356; Loss on uncollectible pledges - -610000; Total - -1168356;</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>Elmhurst Memorial Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Midwest Endoscopy LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1243 Rickert Drive</AddressLine1Txt>
          <CityNm>Naperville</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60540</ZIPCd>
        </USAddress>
        <EIN>208292570</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward Health Ventures</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RHHI Holdco LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>400 Northpoint Circle</AddressLine1Txt>
          <AddressLine2Txt>Suite 203</AddressLine2Txt>
          <CityNm>Seven Fields</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16046</ZIPCd>
        </USAddress>
        <EIN>873745286</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Residential Home Health Illinois LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5440 Corporate Drive</AddressLine1Txt>
          <AddressLine2Txt>Suite 400</AddressLine2Txt>
          <CityNm>Troy</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48098</ZIPCd>
        </USAddress>
        <EIN>270179825</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Swedish Covenant Management Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5145 N California Avenue</AddressLine1Txt>
          <AddressLine2Txt>N/A</AddressLine2Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60625</ZIPCd>
        </USAddress>
        <EIN>364073303</EIN>
        <PrimaryActivitiesTxt>Physician Practice Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Swedish Covenant Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Swedish Covenant Physician Partners Ltd</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5145 N California Avenue</AddressLine1Txt>
          <AddressLine2Txt>N/A</AddressLine2Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60625</ZIPCd>
        </USAddress>
        <EIN>363120220</EIN>
        <PrimaryActivitiesTxt>Managed Healthcare Provider</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Swedish Covenant Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NorthShore Legacy NPA Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1301 Central Street</AddressLine1Txt>
          <AddressLine2Txt>N/A</AddressLine2Txt>
          <CityNm>Evanston</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60201</ZIPCd>
        </USAddress>
        <EIN>363648026</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ENDEAVOR HEALTH MEDICAL GROUP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NorthShore Physician Associates Value Based Care LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1301 Central Street</AddressLine1Txt>
          <AddressLine2Txt>N/A</AddressLine2Txt>
          <CityNm>Evanston</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60201</ZIPCd>
        </USAddress>
        <EIN>822268872</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Endeavor Health Physician Partners LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NorthShore University HealthSystem Insurance International</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>Governors Square</AddressLine1Txt>
          <AddressLine2Txt>Building 4</AddressLine2Txt>
          <CityNm>Grand Cayman</CityNm>
          <ProvinceOrStateNm>N/A</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <EIN>980419452</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ENDEAVOR HEALTH CLINICAL OPERATIONS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Northwest Community Health Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>800 West Central Road</AddressLine1Txt>
          <AddressLine2Txt>N/A</AddressLine2Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>363312906</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northwest Community Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EEH SPC - Segregated Portfolio A</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>Governors Square</AddressLine1Txt>
          <AddressLine2Txt>Building 4 Floor 2</AddressLine2Txt>
          <CityNm>Grand Cayman</CityNm>
          <ProvinceOrStateNm>N/A</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <EIN>981238485</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EEH SPC - Segregated Portfolio B</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>Governors Square</AddressLine1Txt>
          <AddressLine2Txt>Building 4 Floor 2</AddressLine2Txt>
          <CityNm>Grand Cayman</CityNm>
          <ProvinceOrStateNm>N/A</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <EIN>981185160</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Elmhurst Memorial Health Technologies LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>855 North Church Court</AddressLine1Txt>
          <CityNm>Elmhurst</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60126</ZIPCd>
        </USAddress>
        <EIN>363229839</EIN>
        <PrimaryActivitiesTxt>Practice Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Elmhurst Memorial Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EEH SPC - Segregated Portfolio D</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>Governors Square</AddressLine1Txt>
          <AddressLine2Txt>Building 4 Floor 2</AddressLine2Txt>
          <CityNm>Grand Cayman</CityNm>
          <ProvinceOrStateNm>N/A</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DUPAGE MEDICAL GROUP PORTFOLIO INSURANCE COMPANY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 1051</AddressLine1Txt>
          <AddressLine2Txt>N/A</AddressLine2Txt>
          <CityNm>Grand Cayman</CityNm>
          <ProvinceOrStateNm>N/A</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1102</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</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>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>