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      <Desc>ENDEAVOR HEALTH LINDEN OAKS HOSPITAL (LINDEN OAKS) OFFERS BEHAVIORAL AND MENTAL HEALTH SERVICES, INCLUDING INPATIENT AND OUTPATIENT TREATMENT PLUS RECOVERY PROGRAMS FOR DEPRESSION, SUBSTANCE ABUSE, EATING DISORDERS AND MORE. LINDEN OAKS HOSPITAL HAS OVER 20 THERAPISTS AND PSYCHOLOGISTS CO-EMBEDDED WITHIN PRIMARY CARE AND SPECIALTY CLINICS THROUGHOUT ENDEAVOR HEALTH'S SOUTH REGION TO INTEGRATE PHYSICAL AND MENTAL HEALTH CARE AND BETTER SUPPORT OUR PATIENTS. ENDEAVOR HEALTH EMERGENCY DEPARTMENTS AND MEDICAL FLOORS ARE ALSO SUPPORTED WITH LINDEN OAKS LIASONS. LINDEN OAKS' SEVEN OUTPATIENT LOCATIONS ARE BASED IN NAPERVILLE, PLAINFIELD, ST. CHARLES, WOODRIDGE, HINSDALE, ADDISON AND MOKENA. LINDEN OAKS SERVES RESIDENTS OF THE WEST AND SOUTHWEST SUBURBS OF CHICAGO. LINDEN OAKS IS ACCREDITED BY THE JOINT COMMISSION AND HAS EARNED A REPUTATION AS A LEADER IN BEHAVIORAL HEALTH SERVICES AND INNOVATIVE PROGRAMMING. LINDEN OAKS USES A COMBINATION OF INPATIENT, PARTIAL HOSPITALIZATION, INTENSIVE OUTPATIENT AND TRADITIONAL OUTPATIENT PROGRAMS TO TREAT ADOLESCENTS, ADULTS AND OLDER ADULTS. LINDEN OAKS HAS PROGRAMS FOR ANXIETY DISORDERS, CHEMICAL DEPENDENCY, DEPRESSION, EATING DISORDERS, GERIATRIC CONDITIONS AND SELF INJURY. THE ASSESSMENT AND REFERRAL CENTER (ARC) PROVIDES INDIVIDUALS NEEDING MENTAL HEALTH SERVICES AN ASSESSMENT BY A LICENSED ASSESSMENT SPECIALISTS, AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK. INPATIENT ADULT MENTAL HEALTH FOR AGES 18 AND OLDER OFFERS PROGRAMMING FOR THOSE STRUGGLING WITH BEHAVIORAL HEALTH DISORDERS OR EMOTIONAL PROBLEMS. LINDEN OAKS STRIVES TO TEACH NEW SKILLS TO COPE WITH LIFE'S PROBLEMS, REDUCE CONFLICT, HAVE FULFILLING RELATIONSHIPS, AND LIVE A NORMAL DAILY LIFE. THIS PROGRAM USED DIALECTICAL BEHAVIOR THERAPY (DBT) AND SAFETY PLANNNING AS PART OF ITS DAILY SERVICES. SPECIAL INTENSITY UNIT IS A SAFE, STRUCTURED ENVIRONMENT DESIGNED TO HELP REDUCE EXTERNAL STIMULATION FOR THOSE EXPERIENCING ACUTE AND SEVERE PSYCHIATRIC SYMPTOMS. INPATIENT ADOLESCENT MENTAL HEALTH FOR AGES 11 THROUGH 17 OFFERS TREATMENT FOR ANXIETY, BIPOLAR DISORDER, CHEMICAL DEPENDENCY, DEPRESSION, EATING DISORDERS, PSYCHOSIS, AND SELF-INJURY. OUR PRIMARY TREATMENT MODEL IS GROUNDED IN DIALECTICAL BEHAVIOR THERAPY AND FOCUSES ON CRISIS STABILIZATION TO MITIGATE THE RISK OF HARM TO SELF AND/OR OTHERS. PATIENTS ARE EDUCATED ON SAFETY PLANNING AND WORK COLLABORATIVELY WITH THEIR FAMILIES TO DEVELOP A SAFETY PLAN TO IMPLEMENT POST HOSPITALIZATION. ADOLESCENTS ARE PROVIDED WITH TUTORING SERVICES TO STAY CURRENT WITH THEIR SCHOOL WORK/ACTIVITIES. OUTPATIENT PROGRAMS OFFER A HIGH LEVEL OF SUPPORTIVE, FOCUSED AND STRUCTURED CARE. A VARIETY OF PROGRAM TIMES ARE AVAILABLE FOR FULL DAY, HALF DAY, AND AFTER WORK OR SCHOOL. PARTIAL PROGRAMS ARE DESIGNED AS AN ALTERNATIVE TO OR A FOLLOW-UP AFTER INPATIENT TREATMENT. THIS LEVEL OF CARE PROVIDES A HIGHER LEVEL OF STRUCTURED CARE THAN THE TRADITIONAL OUTPATIENT SETTING. EATING DISORDERS PROGRAMS OFFER BOTH INPATIENT AND OUTPATIENT SERVICES TO CARE FOR ADULTS AND ADOLESCENTS AGES 12 AND OVER UTILIZING, COGNITIVE THERAPIES, EXPRESSIVE THERAPY, YOGA AND THERAPEUTIC EXERCISE, AND NUTRITION RESTORATION. USING A MULTI-DISCPLINARY APPROACH, THE EATING DISORDER PROGRAM INCORPORATES A PATIENT-CENTERED MODEL BASED ON SELF-REGULATION THEORY AND IS DESIGNED TO SUPPORT HEALTH AT EVERY SIZE AND EMPOWER PATIENTS TO TAKE OWNERSHIP OF THEIR RECOVERY. CHEMICAL DEPENDENCY PROVIDES DIALECTICAL BEHAVIORAL THERAPY, MOTIVATIONAL INTERVIEWING, 12 STEP RECOVERY GROUPS AND EVIDENCED BASED TREATMENT PRINICIPLES AS TREATMENT MODALITIES. THE DETOXIFICATION UNIT OFFERS MEDICAL STABILIZATION FOR ADDICTIONS. ADULT OUTPATIENT CHEMICAL DEPENDENCY SERVICES ARE PROVIDED APPROXIMATELY THREE MILES AWAY FROM THE MAIN CAMPUS. GENERATIONS PROGRAM PROVIDES MEN AND WOMEN AGES 55 AND OLDER WITH INPATIENT TREATMENT. OPPORTUNITIES TO ADDRESS MENTAL HEALTH PROBLEMS OCCUR IN SMALL AND INTIMATE GROUP SETTINGS. GERIATRIC PROGRAM FOR ADULTS 60 AND OLDER EXPERIENCING A RANGE OF MENTAL HEALTH ISSUES USES MEDICATION STABILIZATION AND THERAPEUTIC THEMATIC ARTS PROGRAMMING MODEL (TTAP) AS TREATMENT MODALITIES. ANXIETY PROGRAM TREATS ADULTS WITH A VARIETY OF ANXIETY ISSUES INCLUDING POST TRAUMATIC STRESS DISORDER USING THE ACCEPTANCE BASED BEHAVIORAL THERAPY (ABBT). THERE ARE ALSO TRACKS DESIGNED FOR SCHOOL REFUSAL TREATMENT FOR ADOLESCENTS WITH ASPERGER'S. LINDEN OAKS COLLABORATES WITH EDWARD HOSPITAL, ELMHURST HOSPITAL, OB/GYN PRACTICES AND PERINATOLOGIST PRACTICES TO OFFER POST PARTUM DEPRESSION SCREENINGS WHICH CONNECT MOMS NEEDING MENTAL HEALTH SERVICES TO PROGRAMS WITHIN LINDEN OAKS AND PSYCHIATRISTS IN THE COMMUNITY. LINDEN OAKS ALSO COLLABORATES WITH THE COMMUNITY ON SEVERAL INITIATIVES TO HELP EDUCATE AND PREVENT MENTAL HEALTH CRISES. LINDEN OAKS TRAINS COMMUNITY MEMBERS IN MENTAL HEALTH FIRST AID (MHFA). THIS IS AN 8 HOUR PROGRAM DESIGNED TO TEACH LAYMEN THE SIGNS AND SYMPTOMS OF MENTAL ILLNESS AND HOW TO OBTAIN HELP. LINDEN OAKS HAS A CRISIS RESPONSE TEAM WHICH PROVIDES IMMEDIATE AND PRACTICAL RESOURCES FOR THOSE IMPACTED BY TRAUMA AND SERIOUS LOSS. BY OFFERING ASSESSMENTS, INFORMATION, REFERRAL, EDUCATION, AND SUPPORT DURING A TIME OF NEED, THE TEAM DELIVERS FRONTLINE MENTAL HEALTH CARE WITH COMPASSION, DIGNITY, AND EXCELLENCE. MEMBERS REPRESENT VARIOUS DISCIPLINES, INCLUDING COUNSELING, PSYCHOLOGY, SOCIAL WORK, EDUCATION, NURSING, AND OTHER RELATED AREAS. THE CRISIS RESPONSE TEAM JOINS MENTAL HEALTH FIRST AID AND THE STUDENT INTERVENTION PROGRAM IN THE ARRAY OF PREVENTION PROGRAMS AVAILABLE THROUGH LINDEN OAKS. LINDEN OAKS ALSO OFFERS SCREENING TOOLS INCLUDING "DEPRESSION AWARE", "ADDICTION AWARE "ANXIETY AWARE" ACCESSIBLE TO THE COMMUNITY VIA THE HOSPITAL'S WEBSITE AND LINKED TO THEIR INTAKE LINE. THESE TOOLS UTILIZE EVIDENCE-BASED SURVEYS SUCH AS PHQ9 FOR DEPRESSION AND GAD7 FOR ANXIETY.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Harry Siavelis</PersonNm>
        <TitleTxt>Trustee (as of 7/1/24)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Gomez</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>44.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>48580</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael T Hoffman</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>46.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>46889</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ram Shivakumar</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ravi Nemivant</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Platt</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sasha Demos</PersonNm>
        <TitleTxt>Trustee (as of 7/1/24)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tom S Lee</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Valerie Cahill</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>6.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Walter Whang</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Douglas D Welday</PersonNm>
        <TitleTxt>System Treasurer and CFO</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>1854234</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>330386</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gerald P Gallagher</PersonNm>
        <TitleTxt>System President &amp; CEO</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>3559263</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1632363</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jason Ogden</PersonNm>
        <TitleTxt>Assistant Treasurer</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>424107</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lydia Andrasz</PersonNm>
        <TitleTxt>Assistant Secretary</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Shivani Bautista</PersonNm>
        <TitleTxt>System Chief Legal Officer/Secretary</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gina Sharp</PersonNm>
        <TitleTxt>President, Linden Oaks Hospital</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Maureen Kunz</PersonNm>
        <TitleTxt>CNO, Linden Oaks Hospital</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Isabel Cothran</PersonNm>
        <TitleTxt>Registered Nurse</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph A Malesich</PersonNm>
        <TitleTxt>Director, Pharmacy</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kelly Ryan</PersonNm>
        <TitleTxt>Dir, Mental Health Clinical and Quality Transformation</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sheryl Bates</PersonNm>
        <TitleTxt>Dir, Mental Health Crisis, Access, and Utiliz</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Victoria Freier</PersonNm>
        <TitleTxt>Dir, Mental Health Hospital Outpatient Programming</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Chris J Mollet</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Denise Chamberlain</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Lou Mastro</PersonNm>
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        <ReportableCompFromRltdOrgAmt>468372</ReportableCompFromRltdOrgAmt>
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          <BusinessName>
            <BusinessNameLine1Txt>COSGROVE CONSTRUCTION INC</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>20654 AMHERST CT</AddressLine1Txt>
            <CityNm>JOLIET</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60433</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPM MARKETING COMMUNICATIONS L</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 W HARRIS STE 2C</AddressLine1Txt>
            <CityNm>LAGRANGE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60525</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STERICYCLE INC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>PO BOX 6575</AddressLine1Txt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>138840</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>138840</RelatedOrExemptFuncIncomeAmt>
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        <ProgramServicesAmt>5273555</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>8904</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>490954</ProgramServicesAmt>
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        <ProgramServicesAmt>267082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66380</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>14171</ProgramServicesAmt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>The significant health needs of the hospital's patients and community are identified through prioritized descriptions reflected in the Community Health Needs Assessment (CHNA).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Linden Oaks Hospital. Community Health Survey EEH developed a comprehensive online community health survey to accept input from people who represent the broad interests of the community served by the hospital. The survey, available in English and Spanish, asked participants to share their beliefs and perceptions about access to care, behavioral health, chronic disease/health issues, modifiable risk factors/behaviors and other concerns. It also asked the participants to rank their top health concern for the community. Community members who live in the hospital's service area were invited to participate in the online survey through social media, an Endeavor Health Leader Newsletter, and various emails to EEH's donors, volunteers, employees and patients. The survey link, located on Endeavor Health's website (endeavorhealth.org/survey), was open March 25 - April 8, 2024 and 2,345 people from the EEH service area responded. Key Informant Survey An additional online survey was implemented as part of the CHNA process specifically to solicit input from key informants. Key informants are defined as individuals who are considered experts in public health. Potential participants were chosen because of their ability to identify primary concerns of the community, including the medically underserved, low-income and minority populations served by the hospitals. On March 4, 2024, the hospital presidents sent an email to the key informants to explain the purpose of the survey and invite them to participate. A direct link to the survey, which remained open until March 18, 2024, was also included. A reminder email was sent on March 14, 2024 to encourage participation. The key informants were asked the same questions as the community which focused on access to care, behavioral health, chronic disease/health issues, modifiable risk factors/behaviors and social determinants of health (SDOH) and other concerns. It also asked them to rank their "top health concern" for the community. A total of 34 surveys were completed at EEH's invitation. The Key Informant Survey was modeled off of the Community Survey, with minimal variations. Through this process, input was gathered from individuals whose organizations work with low-income populations, minority populations or other medically underserved populations (including the disabled, the elderly, the homeless, Medicaid/Medicare beneficiaries, the mentally ill, pregnant teens, substance abusers, undocumented individuals, veterans and uninsured/underinsured residents). The following organizations were invited to participate in the key informant survey: - DuPage Health Coalition - Will County Health Department - City of Naperville - City of Elmhurst - Aspire Ventures - Baxter - Blazio - BPOC - Career and Networking Center - workNET DuPage - District 205 - District 204 - Elmhurst Chamber of Commerce - MidWestern University - Naperville Department Partnership - Naperville Police - Rock Island Capital - Romeoville Fire Department - Zumitin - Greater Family Health - Access DuPage - VNA Healthcare - Young Hearts for Life - Outreach Communities - Loaves and Fishes - Bridge Communities - NAMI DuPage - Little Friends - Elmhurst Yorkfield Food Pantry - Tri-Town YMCA - People's Resource Center - Outreach House - DuPage Foundation - PADS Focus Groups EEH recognized the importance of gathering opinions and feedback from under-resourced populations in the community who have some of the greatest healthcare needs. Independent moderators were identified to conduct two focus groups, one with Spanish speaking under-resourced community members and one with an English-speaking population with substance abuse background. These focus groups were held at Tri-Town YMCA in Addison and Stepping Stones in Joliet, located within the hospital's service area. Potential participants were given a short screening questionnaire to verify they lived in the hospitals' service area and to ensure that participants selected would vary in age, gender, insurance status, income and educational levels, to the extent possible. The focus groups followed a guideline which mirrored questions included in the community and key informant surveys so that the information gathered could be used to compare with the survey results. The moderator summarized the results of the focus groups which were used as one of the tools in identifying the most predominant community needs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Linden Oaks Hospital. The Community Health Needs Assessment (CHNA) conducted by Edward-Elmhurst Health (EEH) included three hospitals: Edward Hospital, Elmhurst Memorial Hospital, and Linden Oaks Hospital.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Linden Oaks Hospital. In consideration of the top health priorities identified through the CHNA process - and taking into account hospital resources and overall alignment with the hospital's mission, goals and strategic priorities - it was determined that EEH would focus the majority of its efforts on developing and/or supporting strategies and initiatives that address the following priority areas (in no particular order), with health equity and SDOH woven throughout: 1. Behavioral Health (includes mental health, substance abuse and access to care) 2. Community Health and Wellness (includes nutrition, physical activity, healthy body weight and food security) 3. Chronic Diseases (includes heart disease/high blood pressure/stroke and diabetes) 4. Cancer (includes smoking/tobacco cessation) 5. Access to Care (includes primary, specialty, screenings, diagnostics and prescription medication) Based on relationships with community partners, clinical expertise, strategic priorities and an ongoing commitment to community engagement, EEH believes it is best equipped to make an impact in the above priority needs, including focused attention within communities of greatest need. The corresponding Implementation Strategies describe programs EEH is undertaking over the coming years to address the prioritized health needs within the surrounding communities, as follows: Behavioral Health - Provide standardized behavioral health inpatient placement for individuals in crisis via the ED Crisis Teams and Care Management Center. - Offer free, confidential 24/7 telephone support to individuals needing behavioral health support and referrals (1-847-HEALING). - Expand colocation of behavioral health within primary care setting to enhance access. - Collaborate and refer patients to Community Substance Use Treatment Providers to enhance access and ongoing care. - Increase compliance with safe prescribing practices of opioids and other controlled substances via Patient Provider Pain Agreement through medical group outpatient practices. Community Health and Wellness - Offer free wellness webinars focused on health education and living a healthy lifestyle. - Offer free community events focused on health education and living a healthy lifestyle. - Provide fitness opportunities for community members and patients. - Offer physician-supervised medical weight loss program for adults and explore opportunities to expand access via alternate providers. - Conduct events to address food insecurity (food drives, hot meals for local partners, health education at food pantries, mobile food pantry, etc.). Chronic Diseases - Support controlled hypertension (HTN)levels among Endeavor Health Medical Group (MG) patients. - Support controlled levels of diabetes/A1Camong MG patients. - Use the Lens of Equity Tool to identify populations and develop targeted interventions around chronic disease management. - Develop blood pressure screening toolkits for community screenings. - Collaborate with Access DuPage to develop an abbreviated diabetes curriculum. - Partner with Young Hearts for Life to support cardiac screening for high school students to identify heart conditions and prevent sudden cardiac death. Cancer - Utilize FIT Tests (fecal immunochemical test) for Endeavor Health Medical Group (MG) patients who have been recommended a colonoscopy screening and declined. - Use Lens of Equity Tool to identify populations and develop targeted interventions around cancer screenings. - Screen mammogram patients for genetic risk factors to identify those in need of genetic screening referral. - Provide EPIC centered outreach to educate patients on new age guidelines for colon cancer screening. - Utilize awareness campaigns and outreach to promote screening for breast, prostate, colon and lung cancer. - Hire Lung and GI navigators to support newly diagnosed cancer patients. Access to Care - Deploy a team of Community Health Workers (CHW's) to provide patient support which may include finding medical homes, scheduling appointments and screenings, addressing social determinants of health and referrals to other community resources. - Increase the number of specialty care appointments to care for population at or below 250% of current FPL as referred by our FQHC partners and/or Access DuPage. - Partner with UNDUE to relieve medical debt and with Pay Zen to defer medical payments. - Bridge language access gaps via proficiency testing of multilingual team members. EEH focused on four priority health issues as a result of the previous 2022 CHNA: 1. Access to Healthcare 2. Chronic Disease (Obesity, Diabetes, Heart Disease and Cancer) 3. Behavioral Health (Mental Health/Substance Abuse) 4. Social Determinants of Health and Community Resources During 2024, the hospital took the following actions to address the key priority areas identified in the 2022 Community Health Needs Assessment: Addressing Access to Healthcare - Provider Recruitment - EEH's Physician Services Department recruited over 70 physicians increasing access throughout the community. Medicaid and Medicare visits represented over one-third of total primary care visit volume. EEH continues to recruit prioritized specialties, including psychiatry, obstetrics, primary care, oncology, and endocrinology. - Financial Assistance - Informing under- and uninsured patients about available financial assistance is key to increasing access to essential healthcare services. EEH proactively screens patients, identifies those in need and guides them to appropriate next steps based on their unique financial circumstances. EEH moved to a unified system vendor, Great Lakes, at the end of 2024. - DuPage Health Coalition Partnership - EEH's ongoing partnership with the DuPage Health Coalition is a crucial component of the Access to Healthcare strategy. Chronic Disease (Improving Early Detection, Prevention and Wellness) Obesity - Endeavor Program - This comprehensive, multidisciplinary approach to weight loss includes surgical, medical and lifestyle modifications for individuals aged 16 and older. EEH has clinics in Naperville, Elmhurst, Plainfield, Woodridge, and Hinsdale. They have been reaccredited as an MBSAQIP Comprehensive Center with Obesity Medicine Qualifications. - Jump Start Your Health - Led by a registered dietitian and trained lifestyle coach, this year-long lifestyle change program accredited by the Centers for Disease Control and Prevention helps people lose weight, increase activity and prevent disease. In 2024, 134 people participated in the class including 8 that participated in our Spanish class offered at no charge. - Healthy Driven Families - This resource is automatically included in the After Visit Summary for all at-risk pediatric patients, providing families with important guidance on available resources. - Take a Hike Challenge - In collaboration with community partners, EEH sponsored a community challenge to encourage the community to rediscover the health benefits of being active and spending time outdoors. Over 4500 community residents participated in the past three years. Diabetes - Diabetes Care Centers - EEH currently has Diabetes Center access points in Addison, Yorkville, Bolingbrook, Elmhurst, Plainfield and Naperville. - Addressing Healthcare Gaps - A pilot program in Addison embedded a diabetic educator and diabetes navigator to address demographic gaps in diabetes prevalence. The navigator has worked with close to 1000 referrals to improve diabetic-related health outcomes. The navigator has assisted primarily with medications, diabetic supplies and insurance concerns amongst other barriers. Cardiovascular Care - Young Hearts for Life (YH4L) - EEH supported and participated in this program, screening over 10,000 students and uncovering close to 100 potential conditions. - Community Education Programs - EEH provides numerous education programs focused on heart health and stroke prevention, reaching hundreds of community members annually. - Communication - Regular news, email, blog and newsletter content on heart disease and stroke prevention are provided to the community. The monthly newsletter, with a distribution of over 500,000, covered various heart healthy lifestyle topics.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 2 - Linden Oaks Hospital. Cancer Care - Camp Hope - Endeavor Health's Camp Hope is a one-week summer day camp for children ages 6 to 12 whose parent or close family member is living with cancer. The campers take part in special break-out sessions each day to address emotions surrounding illness-related changes in the family. - Wellness House Collaboration - The oncology team collaborates with the Wellness House in Hinsdale to provide programming and connection to patients diagnosed with cancer. Our clinicians are involved in speaking engagements and ongoing programming. - Online Screening Tools - EEH offers free online screening tools (BreastAware, ColonAware and LungAware) to identify at risk individuals and connect them to early detection and treatment resources. Addressing Social Drivers of Health (SDOH) During the most recent CHNA and Implementation Strategy planning process, EEH identified an opportunity to systematically identify patients with underlying SDOH to enhance the referral process to community-based organizations. An Epic module was implemented to identify patients needing community resources such as food banks and other social support. EEH is has been screening inpatients since 2023 and began screening ambulatory patients in late 2024. The North Carolina Department of Health and Human Services Screening questions were implemented across the system. In 2024, 5% of screened inpatients showed a need for food, housing, safety, transportation, or utility assistance. Connections to Community Resources EEH partners with findhelp.org (formerly known as Aunt Bertha), a social care network, to connect people with social services in their communities. Robust community partnerships allow for ongoing conversation on meeting patient needs for additional resources. Mental Health/Substance Use Access to Behavioral Health Services - Provider Recruitment - To meet a high level of need, Linden Oaks Medical Group (LOMG) added several psychiatry providers in 2024 to expand access to critical counseling and medication management services. - Virtual Visits - LOMG counselors and psychiatrists continue to offer virtual visits to ensure access to counseling and telepsychiatry/medication management treatment. - Behavioral Health Integration - This care delivery model embeds behavioral health therapists within physician offices, ensuring immediate resources for community members and appropriate follow-up care. Linden Oaks continues to expand this model to more primary care and specialty clinic locations. - Emergency Department (ED) and Medical Floor Coordination - Enhanced processes in EDs and medical floors address the rising number of patients seeking psychiatric care, including increased discharge planners, expanded virtual telepsychiatry, and Medical Director rounding. Community Outreach to Support Behavioral Health - Community Engagement - Linden Oaks leadership and staff gather input from the community to address key imperatives, hosting events to discuss mental health services. Examples include school based social worker education breakfasts and the Linden Oaks Patient Family Advisory Council, which works to enhance healthcare delivery. - Mental Health First Aid (MHFA) Program - Linden Oaks has trained over 855 community members and Endeavor staff in MHFA in 2024. 428 of these trainees were in collaboration with our community partner, KidsMatter. EEH Opioid Initiative - EEH has been a leader in fighting the opioid epidemic since launching a task force in 2016. Key initiatives include standardized treatment plans and best practice guidelines for patients on selected opioids. EEH partnered with third-party addiction treatment centers to provide follow-up care for ED patients, ensuring expedited care by having substance abuse specialists present in EDs. We also have implemented a patient-provider agreement for patients prescribed opioids and are tracking the compliance on our system scorecard. In addition, we have implemented system-wide "Our Practice Alerts" which provides real time warnings for prescribing practices. In acknowledging the wide range of priority health issues that emerged from the CHNA process, EEH determined that it could only effectively focus on those which it deemed most pressing, most under-addressed and most within its ability to influence. EEH worked with key stakeholders to develop strategies, tactics and metrics for the majority of the top 50% prioritized needs identified in the CHNA. The remaining needs in the top 50% are addressed as noted below. - HIV/AIDS/STDs - Our internal employee resource group (True North) is also working on educational resources for the LGBTQI+ population. EEH continues to partner with organizations including the ALIVE Center, 360 Youth, Outreach Communities, FQHCs and school districts to raise awareness about these issues, however due to resource constraints and lower priority, this need was not selected for further prioritized attention. - Older Adults Aging in Place - This need is addressed and integrated into the SDOH screening assessment. EEH social workers have referral links and work to navigate older adults to necessary resources based on identified needs. We continue to work with our community partners to provide transport (Ride Assist), home improvement (Habitat for Humanity) and adult day care (Riverwalk). We will continue to uncover potential collaborations with park districts and coalitions. - Housing - Other local community organizations with who EEH partners including PADS, Bridge Communities, 360 Youth and Outreach Communities are addressing this need, and we will continue to partner where appropriate. At this time, EEH lacks the expertise to effectively address this need. - Audiology - We have an audiology department to refer community members to and are working with our Language Line services to better serve patients who are deaf or hard of hearing. We will continue to partner with our educational partners such as Elmhurst University, Midwestern University and North Central. EEH sponsors the Lions Club to assist in their ability to provide screenings for our underserved population. - Financial Instability - We work with our finance team to help our patients apply for insurance coverage. In addition, Access DuPage is working to align insurance coverage and alleviate medical debt and SSIP is working on the Medicaid redeterminations. We also partner and fund our local FQHCs to provide care for patients that are uninsured including Greater Family Health, VNA, MAPP and Access DuPage.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 3 - Linden Oaks Hospital. Summarized below is a list of health priorities by Will and DuPage County that will not be directly addressed by the FY2022-2024 EEH Implementation Strategy. Note that, while not directly driving initiatives around these priorities, EEH will support many of them by participating in task forces, community collaborative forums, coalition building activities, and distributions through the EEH Community Investment Program. - Education: This was identified as a priority area within both Counties as higher education has been linked to positive health outcomes. Specifically, disparities are noted among certain races/ethnicities. As EEH's core competency is health care delivery and not education, support will be provided through community partnerships and collaboration around job training and other initiatives as appropriate. Funding for educational programs related to workforce development focused on disadvantaged populations is within the scope of the EEH Community Investment Fund and may be supported through that vehicle. - Transportation: Within the Counties there is consensus around lack of a true transportation system, limited public transit routes and long commutes to work. Support from EEH will be provided through collaborative partnerships and involvement with community coalitions. Further, as EEH aims to address transportation barriers for patients, the System already provides transportation vouchers to low-income individuals on an as-needed basis, as well as a discounted ride services in the Elmhurst region. - Food Access: Food access, both insecurity and uncertainty, was identified in the most recent CHNAs of both Will and DuPage Counties. As EEH's core competency is healthcare delivery, support will continue to be provided through community partnerships and collaboration. - Workforce Development: This was identified within Will County and the County Investment Board has targeted seven key industry sectors: Healthcare and Social Assistance, Wholesale Trade, Professional and Technical Services, Finance and Insurance, Information Technology, Manufacturing, and Transportation and Warehouse. As one of the largest employers in the region, EEH is a major provider of jobs and attracts a diverse workforce. Continued growth of the organization and active involvement in regional economic development coalitions will ensure an ongoing positive contribution. Funding for educational programs related to workforce development focused on disadvantaged populations is within the scope of the EEH Community Investment Fund and may be supported through that vehicle. - Oral Health: This was identified within Will County, which they aim to address through expansion of telehealth/mobile response (mobile dental van). As EEH does not provide dental care services, this is out of scope and will be addressed at the county level. - Maternal/Child Health: This was identified within Will County during the CHNA assessment process. While not directly prioritized in the FY2022-2024 EEH implementation strategy, the Hospital is a major contributor to Maternal and Child Health through its obstetrics and pediatric service lines, which provide a full range of preventive and treatment services for women and children in the region.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - LINDEN OAKS HOSPITAL. In addition to individuals that can demonstrate that they are below 200% of the federal poverty guidelines, presumed eligible patients receive 100% financial assistance for the account balance. Presumptive Eligibility Criteria is demonstrated by enrollment in one of the following programs: a) Women, Infants and Children Nutrition Program (WIC) b) Supplemental Nutrition Assistance Program (SNAP) c) Illinois Free Lunch and Breakfast Program d) Low Income Home Energy Assistance Program (LIHEAP) e) Temporary Assistance for Needy Families (TANF) f) Illinois Housing Development Authority's Rental Housing Support Program g) Organized community-based program or charitable health program providing medical care that assesses and documents low income financial status as criteria h) Medicaid eligibility, but not eligible on date of service or for non-covered service Presumptive Eligibility Criteria can also be demonstrated by the following life circumstances: a) Receipt of grant assistance for medical services b) Homelessness c) Deceased with no estate d) Mental incapacitation with no one to act on patient's behalf e) Recent personal bankruptcy f) Incarceration in a penal institution g) Affiliation with a religious order and vow of poverty h) Evidence from an independent third-party reporting agency indicating family income is less than two times FPL For patients with income between 200% and 600% of Federal poverty guidelines discounted care is available on a sliding scale. The financial assistance program looks at the current income and then calculates the potential benefit. Certain discounts are only available to Illinois residents.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>5</FacilityNum>
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          <BusinessName>
            <BusinessNameLine1Txt>Mill Street Medical Building</BusinessNameLine1Txt>
          </BusinessName>
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            <AddressLine1Txt>1335 Mill St</AddressLine1Txt>
            <CityNm>Naperville</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60563</ZIPCd>
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          <FacilityTxt>Behavioral Health</FacilityTxt>
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          <BusinessName>
            <BusinessNameLine1Txt>Endeavor Health Center - Mokena</BusinessNameLine1Txt>
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            <AddressLine1Txt>9697 W 191st St</AddressLine1Txt>
            <CityNm>Mokena</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60448</ZIPCd>
          </USAddress>
          <FacilityTxt>Behavioral Health</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Plainfield-Main Campus MOB</BusinessNameLine1Txt>
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            <AddressLine1Txt>24600 W 127th Street 100</AddressLine1Txt>
            <CityNm>Plainfield</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60585</ZIPCd>
          </USAddress>
          <FacilityTxt>Behavioral Health</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Hinsdale Health Center and Immediate Care</BusinessNameLine1Txt>
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            <AddressLine1Txt>8 Salt Creek Lane</AddressLine1Txt>
            <CityNm>Hinsdale</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60521</ZIPCd>
          </USAddress>
          <FacilityTxt>Behavioral Health</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Endeavor Health Center - St Charles</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>3805 Main St</AddressLine1Txt>
            <CityNm>St Charles</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60174</ZIPCd>
          </USAddress>
          <FacilityTxt>Behavioral Health</FacilityTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c Other Factors Used to Determine Eligibility for Financial Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the Federal Poverty Guidelines, the hospital uses the following factors to determine eligibility for financial assistance: medical indigency, insurance status, underinsurance status, and residency. Please see Schedule H Part V, Section B, Line 13h narrative for more detail.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g DESCRIBE SUBSIDIZED HEALTH SERVICE COSTS FROM PHYSICIAN CLINIC</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization did not include as subsidized health services any costs attributable to physician clinics in line 7g.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Explanation of costing methodology used for calculating line 7 table</FormAndLineReferenceDesc>
        <ExplanationTxt>The costs entered for lines 7a and 7b were calculated using a cost-to-charge ratio derived from worksheet 2. The costs entered in the subsidized health services (7g) section were calculated using a cost accounting system and addressed all patient segments. The costs entered in lines 7e,7f, 7h and 7i were calculated using a cost accounting system or were the actual costs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY</FormAndLineReferenceDesc>
        <ExplanationTxt>Employees are encouraged to serve on community boards and participate in programs and on committees that address economic development, community support, coalition building, community health improvement advocacy, and workforce development. Examples of these programs and the benefit they provide are highlighted below. Community support includes educational and mentoring programs for vulnerable populations, community support groups, violence prevention programs and public health activities. Linden Oaks Hospital's active participation in high school resource fairs, presentations at community partner events and local high schools, as well as its involvement in professional and strategic forums such as the National Association for Behavioral Health Conference, the Behavioral Health Business Summit, 708 Board strategic planning sessions, and the Illinois Hospital Association's Transformative Initiative, demonstrates a deep commitment to community advocacy. Through these engagements, Endeavor Health strengthens partnerships, promotes mental health awareness, and ensures that community voices are represented in broader policy and system-level discussions. By engaging directly with youth, educators, community organizations, and healthcare leaders, Endeavor Health helps bridge gaps between behavioral health services and the people who need them most-advancing education, prevention, and access to care across the continuum of community health. Our leaders work with Choose DuPage, a key economic development coalition in DuPage County and have been asked to consult on the Crisis Recovery Center development team and have been guest speakers on the Business Beat podcast. Coalition building includes participation in community coalitions and collaborative efforts to address health and safety issues. This includes programs such as the DuPage County specifically working on the Crisis Recovery Center that will open in 2025, This is a key resource and first line of care for the patients presenting with a mental health crisis and the DuPage County Mental Health Summit. Our team also engaged with Choose DuPage, a supportive ecosystem for businesses, DuPage Community Network, National Alliance for Behavioral Health and resource fairs for many local school systems including Mokena, Plainfield, Naperville, Elmhurst, New Lenox and Joliet. Linden Oaks partners with our community partners to encourage healthcare pipeline building and exposure. These partnerships include clinical opportunities for students and working closely with upper education on and high school workforce development coalitions and advisory committees. Many of the students that we work with are trained in Mental Health First Aid and are able to be a conduit in the adolescent community for more comprehensive mental health support amongst their peers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT OF BAD DEBT EXPENSE IS OBTAINED BY TAKING THE NET AMOUNT PLACED IN BAD DEBT LESS THE PAYMENTS AND ADJUSTMENTS RECEIVED. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS REDUCE THE ORGNIZATION'S BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS UNABLE TO ESTIMATE ACCURATELY THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY. ALTHOUGH A PORTION OF BAD DEBT EXPENSES MAY RELATE TO PATIENTS WHO WOULD QUALIFY FOR CHARITY CARE, A REPORTABLE FIGURE CANNOT BE REASONABLY ESTIMATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>See pages 9 and 14-18 of the audited financial statements for footnotes describing accounts receivable and bad debt expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>IF NAPERVILLE PSYCHIATRIC VENTURES DISCONTINUED UNPROFITABLE SERVICES, IT WOULD BECOME THE RESPONSIBILITY OF ANOTHER PROVIDER OR THE GOVERNMENT TO CARE FOR THE MEDICARE PATIENT POPULATION. THIS WOULD, ULTIMATELY, RESULT IN ACCESS ISSUES AND NEGATIVELY IMPACT QUALITY OF CARE AND HEALTH OUTCOMES. THEREFORE THE SHORTFALL INCURRED BY CONTINUING TO PROVIDE THESE SERVICES IS CONSIDERED A COMMUNITY BENEFIT. A COST-TO-CHARGE RATIO WAS USED TO DETERMINE THE REPORTED AMOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>IF THE PATIENT HAS NO INSURANCE COVERAGE, NAPERVILLE PSYCHIATRIC VENTURES WILL PROVIDE FINANCIAL COUNSELING SERVICES TO ASSIST THE PATIENT OR GUARANTOR (PARENT OR GUARDIAN RESPONSIBLE FOR PAYMENT OF SERVICES) IN APPLYING FOR VARIOUS PROGRAMS THAT MAY HELP RESOLVE THE PATIENT OR GUARANTOR'S BILL. FINANCIAL COUNSELORS ASSIST PATIENTS IN APPLYING FOR GOVERNMENT-SPONSORED HEALTH INSURANCE OR OTHER THIRD-PARTY INSURANCE (SUCH AS ADDING BABY TO POLICY), ESTABLISHING A PAYMENT ARRANGEMENT, AND APPLYING FOR FINANCIAL ASSISTANCE. BEFORE RECEIVING A BILL, PATIENTS WITHOUT INSURANCE COVERAGE WILL RECEIVE A LETTER INFORMING THEM OF OUR FINANCIAL ASSISTANCE PROGRAM AND THE OPTION OF PAYMENT PLANS. IF A PATIENT IS APPROVED FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNTS ARE DISCOUNTED BY THE % APPROVED. IN CASES WHERE A BALANCE REMAINS, NORMAL COLLECTION PRACTICES ARE FOLLOWED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- LINDEN OAKS HOSPITAL: Line 16a URL: endeavorhealth.org/patients-visitors/billing-insurance/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- LINDEN OAKS HOSPITAL: Line 16b URL: endeavorhealth.org/patients-visitors/billing-insurance/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- LINDEN OAKS HOSPITAL: Line 16c URL: endeavorhealth.org/patients-visitors/billing-insurance/financial-assistance;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Endeavor Health screens adult patients in many care settings for social drivers of health (SDOH) to identify patients in need and connect them to resources. Collecting SDOH information deepens our understanding of the challenges patients face and guides navigation to critical services. EndeavorHealth screens for five key areas: food insecurity, housing instability, transportation barriers, interpersonal safety and utility difficulties. This data helps us understand patient needs and connect them to essential resources like food pantries. We have launched a Community Health Worker Program to address gaps in cancer screening rates, 30-day readmissions, and chronic disease outcomes, while also strengthening SDOH navigation and connections to community resources. Endeavor Health has a dedicated Community Impact and Engagement team made up of professionals across the system who are committed to strengthening our community's health and wellbeing. Strategic priorities and commitments include: - Community Health Needs Assessment - Identifying and addressing community health needs. - Community Engagement - Convening and connecting people for collective impact. - Community Health and Wellness - Promoting health and wellness through education and outreach. - Community Investment Fund - Investing in local organizations committed to community health and wellbeing. - Anchor Strategy - Leveraging organizational resources to support community health and economic growth. - Community Benefit - Demonstrating community impact. The hospital convenes a semiannual Community Advisory Committee (CAC), to ensure accountability to the local communities. These committees advise hospital administration on services and initiatives from a community perspective and identify community resources to improve the overall health of families across the service area. The CAC is primarily comprised of community members, along with hospital administrative and professional staff. The hospital strives for diverse membership to include business, faith community, social services and civic organizations. The CAC helps to identify gaps in healthcare services within the community and seek opportunities for partnerships between the hospitals and community organizations. In addition, the CAC assists the hospital with the community health needs assessment process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Informing our patients that financial assistance is available is an important part of EEH's financial assistance program. Financial assistance is available to the under-insured as well as the uninsured. Information about our financial assistance program and the application is available on EEH website in English and Spanish. Patient statements also include information on how to obtain a financial assistance application. Uninsured inpatients are screened for eligibility for governmental programs. Patients who do not qualify for such programs are given a financial assistance application. Signage is posted at all registration areas including the emergency department. A notice on our consent to treat highlights that financial assistance is available. Also, our customer service department and financial counselors are available to assist patients who are having difficulty paying their bill and the need for financial assistance. Lastly, EEH leverages a presumptive eligibility tool that provides additional screening for financial assistance prior to the statements being sent. For uninsured patients the statement reflects any discounts the patient was eligible for under our financial assistance policy. EEH partners with Great Lakes Medicaid with the goal to provide under insured and uninsured patients with insurance coverage through various Medicaid programs. The service is offered to patients receiving care as an inpatient, in the emergency department and in various outpatient departments, and is tailored to guide the patient through a complex application process for applicable federal, state, and community benefit programs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>The EEH service area is composed of 74 ZIP codes, with a total population of nearly 2 million. This service area crosses three counties - DuPage, Cook and Will Counties. The highest utilizers of health care services are patients 65 and over, and this age group is expected to grow 13.4% over the next five years. The number of residents in all other age groups is expected to decrease 1.0% to 6.0%. The female population in EEH service area is slightly higher than the male population and is projected to grow slightly more than the male population over the next five years. The EEH service area is primarily Non- Hispanic/Latino White (54.0%), but also has substantial Hispanic/Latino population (25.0%). The Hispanic/Latino population is projected to grow nearly 11.0% over the next five years, while Non-Hispanic/Latinos will decrease 3.0% driven by White Alone Non-Hispanic/Latinos. There is a small growth projected in nearly all education levels within the service area over the next five years. The unemployment rate in the EEH service area is about 1.0% less than Illinois and about the same as Endeavor Health service area. Unemployment rates are projected to grow about 1.0% by 2027 in the EEH service area, Endeavor Health service area and Illinois. The number of households in upper income brackets ($100,000+ annual income), is projected to increase while all lower income brackets are projected to decrease. The average household income in the EEH service area is $133,718 while the median household income is $97,470. Household income levels in the EEH service area are exceeding Illinois for households making $100,000 or more and are projected to continue to exceed Illinois over the next five years. EEH service area has a higher proportion of households above the $100,000 level when compared to the state level. However, when looking at individual Zip codes, almost one-quarter of our Zip codes have a higher percentage of their population living below 200% of the poverty level than the Illinois average of 26.2%. Residents within the EEH service area living below 200% of the poverty level are less than the Endeavor Health service area as well as Illinois overall. However, some ZIP codes in the EEH service area are as high as 43.0% of residents living below 200% of the poverty level. The percentage of uninsured residents in the EEH service area is almost equivalent to the Illinois average with some ZIP codes as high as 28%, an indicator of the disparities that exist within the communities we serve. The percentage of residents in the EEH service area with limited English proficiency is higher than the Illinois average, with some ZIP codes as high as 24% down to 0% which is an indicator of the disparities that exist within the communities we serve. Other hospitals serving the EEH community include: - Acute-Care Hospitals/Emergency Departments - Northwestern Medicine Central DuPage - Ascension Alexian Brothers - UChicago Medicine Advent Health Hinsdale -Advocate Good Samaritan -Rush Copley Aurora - Ascension Mercy Aurora - Silver Cross Federally Qualified Health Centers and Other Safety Net Providers serving the EEH community include: - Greater Family Health - Access DuPage - Hamdard Health Alliance - VNA Health Care WITHIN EEH'S SERVICE AREA, THERE IS ONE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital furthers its exempt purpose by promoting the health of its community in many ways as follows: 1. A majority of the governing body of the hospital is comprised of persons who reside in the primary service area and are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community for all departments. As a Not-For-Profit Organizations, the hospital reinvests earnings in the organization to maintain and enhance services that benefit the community served by the hospital. The organization develops and updates a strategic plan on a regular basis to identify needs and opportunities to deploy excess funds. Projects are evaluated based on organizational objectives and community needs, and are prioritized by senior management and the board of trustees. 2. The Endeavor Health Community Investment Fund is a dedicated resource aimed at fostering health and wellness, addressing social drivers of health (SDOH) and improving access to quality healthcare within our community. By strategically allocating these funds, we support local initiatives, partnerships and non-profit organizations that respond to priority community health needs. Whether it's funding for preventive health programs, grants for community health education or resources for mental health initiatives, our goal is to provide the supportive framework that helps community members thrive. During 2024, CIF partnerships in the communities served by the hospital included: - KidsMatter - 76 teens participated in healthcare exploration opportunities including 6 sessions at Endeavor Health. The organization also provided Mental Health First Aid training to 102 students and 197 adults. - Easterseals DuPage &amp; Fox Valley - Supported mental health of children with disabilities and their families. Grew Mental Health &amp; Family Services Team from 2 PT staff to 11 FT staff to support children and their families and build a strong foundation for improved rehabilitation and overall health outcomes. Clients served went from 91 to 750. - Outreach - Supported access to affordable mental health services. Received Behavioral Health Clinic Certification (January 2024) serving Medicaid behavioral health clients with Medicaid reimbursement rate was at 100% following certification. - NAMI DuPage - Trained 33 Certified Recovery Support Specialist (CRSS) and Certified Peer Recovery Specialists with 61% working in the field withing 12 months of graduation. - Haymarket Center - 40 referrals to behavioral health and substance use disorder services for uninsured and underinsured patients because of integration of Haymarket staff into acute care settings. - 360 Youth Services - 177 youth experiencing homelessness were provided housing. Additionally, the organization, is building a sustainable development program and expanding the volunteer program to support programming and services. - Alive Center - 84% of teens reported increased self-confidence as a result of the teen-led programming that enhances confidence, belonging, vitality, coping, and leadership skills. In 2024 - 13,386 teen visits to ALIVE centers. 3. The System Office of Community Health Equity &amp; Engagement (SOCHEE) is the governing body that provides thought leadership and shares best practices to inspire and drive equity and inclusion internally and externally. The hospitals senior executives are part of SOCHEE and help support this important work. The three key components of SOCHEE are Community Impact and Engagement (focused on our community), Health Equity (focused on our patients) and Diversity, Equity and Inclusion (focused on our team members). 4. Endeavor Health is a member of the Healthcare Anchor Network which catalyzes health systems individually and collectively to leverage their hiring, purchasing, investing, and other key institutional assets to create stronger local economies that sustain healthy communities. This intentional commitment creates partnership with the community for mutual benefit. 5. The hospitals competent and committed professional nursing staff provides their time and expertise to serve as clinical preceptors for nursing students who come to the organization to complete their clinical practicum requirements. The hospital remains committed to these efforts and strategic programs because they are inextricably linked to supporting the ever-growing need for nurses, which in turn improves access to healthcare for the patients and families served. The hospital is also a clinical rotation site for interns in many other healthcare areas such as radiology, lab, physical therapy, pharmacy and more. Clinical preceptors provide one-on-one teaching with student(s) assigned to them during the clinical practicum. The preceptors develop plans and teaching techniques for each student to achieve an environment conducive for learning. 6. The hospital operates an emergency department that is open 24 hours a day, seven days a week and serves all persons regardless of their ability to pay. 7. Community Education is provided free of charge to the community at large with the aim of promoting wellness, enhancing understanding of disease prevention and management, to minimize related complications and improve quality of life. 8. EEH staff provide screenings, such as blood pressure, and stroke awareness education, at a variety of community health fairs. The ED also provides education at many community fairs on trauma prevention, dog bite safety, and bicycle safety.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>Linden Oaks Hospital is part of Endeavor Health. The core mission of Endeavor Health is to "help everyone in our communities be their best." Endeavor Health is a Chicagoland-based integrated health system driven by our mission to help everyone in our communities be their best. As Illinois' third-largest health system and third-largest medical group, we proudly serve an area of more than 4.2 million residents across seven northeast Illinois counties. Our more than 27,600 team members, including more than 1,700 employed physicians, are the heart of our organization, delivering seamless access to personalized, pioneering, world-class patient care across more than 300 ambulatory locations and nine hospitals, including eight Magnet-recognized acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie and NorthShore (Chicago) and Linden Oaks Behavioral Health Hospital (Naperville). The Endeavor Health service area is composed of 171 ZIP codes across nearly 75 miles, with a total population of nearly 4.2 million. In 2024, Edward-Elmhurst Healthcare conducted a comprehensive Community Health Needs Assessment (CHNA) to identify and prioritize key health issues of the surrounding communities. Endeavor Health conducted this CHNA as part of a simultaneous, system-wide approach to our four CHNAs across the Endeavor Health service area. The insights gained through this assessment guide the development of an implementation strategy to address priority concerns from 2025-2027. The 2024 CHNA serves as a tool toward reaching three basic goals: - To improve residents' health status, increase their life spans and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. - To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at prioritizing these individuals may then be developed to address some of the socio-economic factors which have historically had a negative impact on residents' health. - To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>IL</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING OF THE USE OF GRANT FUNDS IS ACHIEVED THROUGH VARIOUS MEANS, INCLUDING ACTIVE PARTICIPATION IN PROGRAM IMPLEMENTATION, WRITTEN CONTRIBUTION AGREEMENTS, AND/OR PERFORMANCE REPORTS.</ExplanationTxt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>19569</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>546735</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Walter Whang</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>555571</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>7353</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20700</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>28568</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>612192</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Denise Chamberlain</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>1</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>246583</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>634382</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>246269</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1127235</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Lou Mastro</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>468372</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>468372</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Chris J Mollet</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>68717</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>607714</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>151925</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>828356</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lydia Andrasz</PersonNm>
        <TitleTxt>Assistant Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>248102</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>47488</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>7365</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>18177</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>31183</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>352315</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shivani Bautista</PersonNm>
        <TitleTxt>System Chief Legal Officer/Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>571083</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>230380</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1561</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>388155</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>33444</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1224623</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gerald P Gallagher</PersonNm>
        <TitleTxt>System President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>2140745</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>1368001</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>50517</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>1594714</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>37649</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>5191626</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>823637</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jason Ogden</PersonNm>
        <TitleTxt>Assistant Treasurer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>329051</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>93519</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1537</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>20700</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>26294</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>471101</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Douglas D Welday</PersonNm>
        <TitleTxt>System Treasurer and CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>976106</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>398335</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>479793</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>303146</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>27240</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>2184620</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>367572</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Maureen Kunz</PersonNm>
        <TitleTxt>CNO, Linden Oaks Hospital</TitleTxt>
        <BaseCompensationFilingOrgAmt>221971</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>66652</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>7734</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17781</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>37482</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>351620</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gina Sharp</PersonNm>
        <TitleTxt>President, Linden Oaks Hospital</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>373545</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>147831</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1703</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>148835</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>30108</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>702022</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sheryl Bates</PersonNm>
        <TitleTxt>Dir, Mental Health Crisis, Access, and Utiliz</TitleTxt>
        <BaseCompensationFilingOrgAmt>149942</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25572</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10971</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11189</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17554</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>215228</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Isabel Cothran</PersonNm>
        <TitleTxt>Registered Nurse</TitleTxt>
        <BaseCompensationFilingOrgAmt>232024</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9011</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14732</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18599</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>278866</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Victoria Freier</PersonNm>
        <TitleTxt>Dir, Mental Health Hospital Outpatient Programming</TitleTxt>
        <BaseCompensationFilingOrgAmt>146633</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28706</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>832</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10570</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28182</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>214923</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph A Malesich</PersonNm>
        <TitleTxt>Director, Pharmacy</TitleTxt>
        <BaseCompensationFilingOrgAmt>197089</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>39360</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>798</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14235</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29534</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>281016</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kelly Ryan</PersonNm>
        <TitleTxt>Dir, Mental Health Clinical and Quality Transformation</TitleTxt>
        <BaseCompensationFilingOrgAmt>161697</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29235</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>135</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11464</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9078</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211609</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individual received a severance payment based upon mutually agreed-upon separation agreement entered into with the organization: Denise Chamberlain - $634,382 Mary Lou Mastro - $468,372 Chris Mollet - $607,714</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>An Endeavor Health Defined Contribution Supplemental Executive Retirement Plan (DC SERP) was created and effective in 2024. A participant generally becomes vested in their deferred compensation for a year on the last day of the fifth calendar year after the year of the deferred compensation. A participant may become vested in their deferred compensation under the DC SERP upon death, disability, or attainment of age 62. A participant who has attained age 62 receives a payment of their DC SERP benefit each year after attaining age 62. Participants who voluntarily resign or are terminated with cause forfeit any amounts that are not vested. The following individuals participated in a supplemental nonqualified retirement plan and below is the deferred compensation as defined in the instructions for 2024: Shivani Bautista - $248,338 Joseph Dant - $175,908 Gina Sharp - $67,874 Gerald P. Gallagher - $757,674 The following individual participated in a supplemental nonqualified retirement plan and received the following payment reported as taxable compensation: Douglas D. Welday - $465,005</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Endeavor Health Compensation Committee of the Board of Directors.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <BusTrInvolveInterestedPrsnGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>Kelsey Kunz</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family Member - Maureen Kunz, Key Employee</RelationshipDescriptionTxt>
        <TransactionAmt>47527</TransactionAmt>
        <TransactionDesc>Employment</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1 ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>NAPERVILLE PSYCHIATRIC VENTURES FOLLOWS THE MISSION OF ENDEAVOR HEALTH (F/K/A NS-EE HOLDINGS). THE MISSION OF ENDEAVOR HEALTH IS TO "HELP EVERYONE IN OUR COMMUNITIES BE THEIR BEST." CENTRAL TO THIS MISSION IS A COMMITMENT TO PROVIDING CLINICAL PROGRAMS AND SERVICES THAT MEET COMMUNITY HEALTH NEEDS, WHILE ALSO PURSUING CONTINUOUS IMPROVEMENT TO IDENTIFY AND UNDERSTAND FUTURE NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 Process to Establish Compensation of CEO and Other Employees</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 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>JOSEPH DANT, JASON OGDEN, LYDIA ANDRASZ, SHIVANI BAUTISTA - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>NAPERVILLE PSYCHIATRIC VENTURES D/B/A LINDEN OAKS HOSPITAL IS AN ILLINOIS GENERAL PARTNERSHIP THE PARTNERS OF WHICH ARE EDWARD HEALTH VENTURES, AN ILLINOIS NOT FOR PROFIT CORPORATION (WHICH OWNS A 99% EQUITY INTEREST) AND EDWARD-ELMHURST HEALTHCARE, AN ILLINOIS NOT FOR PROFIT CORPORATION (WHICH OWNS A 1% EQUITY INTEREST).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors is identical to the number and composition of the Board of Trustees for Edward-Elmhurst Healthcare. The Board of Trustees of the system parent, Endeavor Health, elects individuals to fill the offices of the directors whose terms of office are due to expire at the end of the fiscal year during their annual meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Endeavor Health, through action of the Endeavor Health Board of Trustees or President &amp; CEO, holds the following reserved powers over Naperville Psychiatric Ventures: - Develop, approve and modify annual operating and capital budgets and strategic plans for the Corporation and its Affiliate Entities - Determine all material changes in the clinical programs and services to be provided by the Corporation and its Affiliate Entities, including the establishment, expansion, reconfiguration, reduction or discontinuation of clinical programs and services - Any discontinuation of a "category of service" (as defined by the Illinois Health Facilities Services Review Board) and any closure or permanent repurposing of any material licensed health care facility owned or operated by the Corporation and its Affiliate Entities - Initiate and/or approve amendments or restatements of the governing documents of the Corporation and its Affiliate Entities - Establish or change existing medical education programs - Approve indebtedness and unbudgeted capital expenditures above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Establish, amend or terminate third-party payor relationships of the Corporation and its Affiliate Entities - Approve ordinary course of business contractual relationships between the Corporation and/or its Affiliate Entities and a third party involving: (1) consideration in excess of a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time, (2) a restrictive covenant applicable to the Corporation and/or its Affiliate Entities; or (3) a term in excess of three (3) years that cannot be terminated without cause - Approve any changes to any of the Corporation's or Affiliate Entities' employee benefit or compensation plans or executive agreements - Approve any agreement involving the licensing of trademarks or intellectual property to or from a third party - Hire, terminate and evaluate the terms of employment for the Corporation's President and Chief Executive Officer and the President and Chief Executive Officer of the Affiliate Entities, as applicable - Approve any real property acquisitions, dispositions or lease transactions of the Corporation and its Affiliate Entities above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time, as well as any mortgage or encumbrance of real property of the Corporation and its Affiliate Entities above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Evaluate and approve any acquisition, affiliation, joint venture, merger, corporate consolidation or restructuring, sale of all or substantially all of the assets or similar transaction by or involving the Corporation and/or its Affiliate Entities, as well as any dissolution, liquidation or termination of any affiliation or joint venture by or involving the Corporation and/or its Affiliate Entities - Select the auditor for, and approval of all audits of, the Corporation and its Affiliate Entities - Select outside legal counsel and approve any waiver, settlement or compromise of any legal proceeding, suit, claim, regulatory or other action involving the Corporation and/or its Affiliate Entities if the amount in controversy is in excess of a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Approve the filing of any petition for bankruptcy of the Corporation and/or any of its Affiliate Entities. - Approve the nomination and/or remove with cause any member of the board of directors of the Corporation or its Affiliate Entities - Establish and ensure implementation of system-wide quality standards that protect and enhance the Corporation's and Affiliate Entities' brands - Establish and ensure implementation of financial goals and standards that protect and enhance the operations of the Corporation and its Affiliate Entities, and - Determine the extent to which and the manner in which the powers described in this section which are reserved to the System Parent with respect to the Corporation and its Affiliate Entities are to be exercised by the System Parent.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 Endeavor Health's Board of Trustees for review for the ability to ask questions of management prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>CURRENTLY, THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. IF A REQUEST IS RECEIVED FOR THIS INFORMATION, IT IS FORWARDED ON TO EITHER THE LEGAL DEPARTMENT OR THE FINANCE DEPARTMENT, AND THE MATERIALS WOULD THEN BE PROVIDED TO THE REQUESTOR. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS) WEBSITE AT WWW.EMMA.MSRB.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: 152061, Related or Exempt Function Revenue: 152061, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Net asset transfers to affiliates - 273305; CHANGE IN TEMPORARILY RESTRICTED NET ASSETS EDWARD FOUNDATION - -140065; Total - 133240;</ExplanationTxt>
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          <BusinessNameLine1Txt>EDWARD-ELMHURST HEALTHCARE</BusinessNameLine1Txt>
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          <AddressLine1Txt>4201 Winfield Road</AddressLine1Txt>
          <CityNm>Warrenville</CityNm>
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          <BusinessNameLine1Txt>EDWARD HOSPITAL</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>EDWARD FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>801 SOUTH WASHINGTON STREET</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>EDWARD HEALTH &amp; FITNESS CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>801 SOUTH WASHINGTON STREET</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60540</ZIPCd>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>EDWARD HEALTH VENTURES</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>EDWARD HEALTH VENTURES</BusinessNameLine1Txt>
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          <AddressLine1Txt>801 SOUTH WASHINGTON STREET</AddressLine1Txt>
          <CityNm>NAPERVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60540</ZIPCd>
        </USAddress>
        <EIN>581672987</EIN>
        <PrimaryActivitiesTxt>SUPPORTING ORG</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EDWARD ELMHURST HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EDWARD AMBULANCE SERVICES LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>801 SOUTH WASHINGTON STREET</AddressLine1Txt>
          <CityNm>NAPERVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60540</ZIPCd>
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        <EIN>452389060</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>EDWARD HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ELMHURST MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>155 E BRUSH HILL ROAD</AddressLine1Txt>
          <CityNm>ELMHURST</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60126</ZIPCd>
        </USAddress>
        <EIN>362167784</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>ELMHURST MEMORIAL HEALTHCARE</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ELMHURST MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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          <BusinessNameLine1Txt>ELMHURST MEMORIAL HOSPITAL</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>ELMHURST MEMORIAL HEALTHCARE</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>EEH</BusinessNameLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>RADIATION MEDICINE INSTITUTE</BusinessNameLine1Txt>
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          <AddressLine1Txt>3040 W SALT CREEK LANE</AddressLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ENDEAVOR HEALTH CLINICAL OPERATIONS</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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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ENDEAVOR HEALTH MEDICAL GROUP</BusinessNameLine1Txt>
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          <ZIPCd>60005</ZIPCd>
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        <EIN>363738206</EIN>
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          <BusinessNameLine1Txt>ENDEAVOR HEALTH CLINICAL OPERATIONS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>SWEDISH COVENANT HEALTH</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ENDEAVOR HEALTH CLINICAL OPERATIONS</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>NORTHWEST COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3040 SALT CREEK LANE</AddressLine1Txt>
          <CityNm>ARLINGTON HEIGHTS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>362340313</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NORTHWEST COMMUNITY HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>NORTHWEST COMMUNITY HOSPITAL FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3040 SALT CREEK LANE</AddressLine1Txt>
          <CityNm>ARLINGTON HEIGHTS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>363125193</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NORTHWEST COMMUNITY HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Endeavor Health</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1301 CENTRAL STREET</AddressLine1Txt>
          <CityNm>EVANSTON</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60201</ZIPCd>
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        <EIN>874520691</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SYSTEM PARENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ELMHURST OUTPATIENT SURGERY CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1200 S YORK ROAD SUIT 1400</AddressLine1Txt>
          <CityNm>ELMHURST</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60126</ZIPCd>
        </USAddress>
        <EIN>364150045</EIN>
        <PrimaryActivitiesTxt>SURGERY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Elmhurst Memorial Healthcare</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>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RESIDENTIAL HOME HEALTH ILLINOIS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5440 CORPORATE DRIVE SUITE 400</AddressLine1Txt>
          <CityNm>TROY</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48098</ZIPCd>
        </USAddress>
        <EIN>270179825</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>RHHI Holdco LLC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RAVINE WAY SURGERY CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2401 RAVINE WAY</AddressLine1Txt>
          <CityNm>GLENVIEW</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60025</ZIPCd>
        </USAddress>
        <EIN>201245279</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ENDEAVOR HEALTH CLINICAL OPERATIONS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NWC DAY SURGERY CENTER II LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3040 SALT CREEK LANE</AddressLine1Txt>
          <CityNm>ARLINGTON HEIGHTS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>300798249</EIN>
        <PrimaryActivitiesTxt>OUTPATIENT CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NORTHWEST COMMUNITY HEALTHCARE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHWEST ENDO CENTER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3040 SALT CREEK LANE</AddressLine1Txt>
          <CityNm>ARLINGTON HEIGHTS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>812338623</EIN>
        <PrimaryActivitiesTxt>SURGICAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NWC HEALTH SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ENVISION MEDICAL IMAGING</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>8930 WAUKEGAN ROAD</AddressLine1Txt>
          <CityNm>MORTON GROVE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60053</ZIPCd>
        </USAddress>
        <EIN>822067179</EIN>
        <PrimaryActivitiesTxt>IMAGING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NWC HEALTH SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RHHI Holdco LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <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>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ELMHURST MEMORIAL HEALTH TECHNOLOGIES LLC</BusinessNameLine1Txt>
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        <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 A</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>GOVERNORS SQUARE BLDG 4 FLOOR 2</AddressLine1Txt>
          <CityNm>LIME TREE BAY</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY11002</ForeignPostalCd>
        </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 BLDG 4 FLOOR 2</AddressLine1Txt>
          <CityNm>LIME TREE BAY</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY11002</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981185160</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHSHORE LEGACY NPA INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1301 CENTRAL STREET</AddressLine1Txt>
          <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>
          <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 SQ</AddressLine1Txt>
          <AddressLine2Txt>BLDG 4</AddressLine2Txt>
          <CityNm>LIME TREE BAY</CityNm>
          <ProvinceOrStateNm>GRAND CAYMAN</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>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SWEDISH COVENANT MANAGEMENT SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5145 N CALIFORNIA AVENUE</AddressLine1Txt>
          <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 AVE</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60625</ZIPCd>
        </USAddress>
        <EIN>363120220</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN PRACTICE MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SWEDISH COVENANT HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NORTHWEST COMMUNITY HEALTH SERVICES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>800 WEST CENTRAL ROAD</AddressLine1Txt>
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          <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 D</BusinessNameLine1Txt>
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        <ForeignAddress>
          <AddressLine1Txt>Governors Square 23 Lime Tree Bay</AddressLine1Txt>
          <AddressLine2Txt>Building 4 Floor 2</AddressLine2Txt>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY11002</ForeignPostalCd>
        </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>
          <CityNm>GRAND CAYMAN</CityNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1102</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>EDWARD-ELMHURST HEALTHCARE</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>