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        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Amber Lipe</PersonNm>
        <TitleTxt>CFO until June 2025</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>796317</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>7600</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>124315</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>24</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Deaconess Health Systems</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>600 Mary Street</AddressLine1Txt>
            <CityNm>Evansville</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>47747</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Administrative and other fees</ServicesDesc>
        <CompensationAmt>4917240</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HHS Culinary &amp; Nutrition</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 734364</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75373</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Food Service, Staff &amp; Mgmt</ServicesDesc>
        <CompensationAmt>615316</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HHS Environmental Services</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12495 Silver Creek Rd</AddressLine1Txt>
            <CityNm>Dripping Springs</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78620</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EVS Staff &amp; Mant.</ServicesDesc>
        <CompensationAmt>558710</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Psychiatric Medical Care</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 73406</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75373</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OP Psych-Staff &amp; Mgmt</ServicesDesc>
        <CompensationAmt>482469</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>G&amp;G Anesthesia</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2023 Vadalabene Dr</AddressLine1Txt>
            <CityNm>Maryville</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>62062</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Anesthesia Services</ServicesDesc>
        <CompensationAmt>275407</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>12337</GovernmentGrantsAmt>
      <TotalContributionsAmt>12337</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Revenue</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>36920689</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36920689</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Cafeteria Revenue</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>89967</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>89967</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Pharmacy Sales</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>109</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>109</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>6649</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6649</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>37017414</TotalProgramServiceRevenueAmt>
      <GrossRentsGrp>
        <RealAmt>120501</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>120501</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>120501</TotalRevenueColumnAmt>
        <ExclusionAmt>120501</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>2235</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-2235</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-2235</TotalRevenueColumnAmt>
        <ExclusionAmt>-2235</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>37148017</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37017414</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>118266</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>14192</TotalAmt>
        <ProgramServicesAmt>14192</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>11114813</TotalAmt>
        <ProgramServicesAmt>8887969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2226844</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>228181</TotalAmt>
        <ProgramServicesAmt>182465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45716</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1723795</TotalAmt>
        <ProgramServicesAmt>1353816</ProgramServicesAmt>
        <ManagementAndGeneralAmt>369979</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>962220</TotalAmt>
        <ProgramServicesAmt>793781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>168439</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>6243539</TotalAmt>
        <ManagementAndGeneralAmt>6243539</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>96483</TotalAmt>
        <ManagementAndGeneralAmt>96483</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>4557</TotalAmt>
        <ManagementAndGeneralAmt>4557</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>7618386</TotalAmt>
        <ProgramServicesAmt>3954109</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3664277</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>25528</TotalAmt>
        <ProgramServicesAmt>2600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22928</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>761241</TotalAmt>
        <ProgramServicesAmt>688437</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72804</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>124053</TotalAmt>
        <ProgramServicesAmt>82120</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41933</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>888269</TotalAmt>
        <ProgramServicesAmt>519964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>368305</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>10466</TotalAmt>
        <ProgramServicesAmt>6522</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3944</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>130943</TotalAmt>
        <ProgramServicesAmt>113681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17262</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>564094</TotalAmt>
        <ProgramServicesAmt>564094</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2149411</TotalAmt>
        <ProgramServicesAmt>2149411</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>202158</TotalAmt>
        <ProgramServicesAmt>93658</ProgramServicesAmt>
        <ManagementAndGeneralAmt>108500</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>2907410</TotalAmt>
        <ProgramServicesAmt>2899589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7821</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other Taxes &amp; Licenses</Desc>
        <TotalAmt>2851741</TotalAmt>
        <ProgramServicesAmt>571485</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2280256</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs &amp; Maintenance</Desc>
        <TotalAmt>738909</TotalAmt>
        <ProgramServicesAmt>720873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18036</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Memberships &amp; Dues</Desc>
        <TotalAmt>61971</TotalAmt>
        <ProgramServicesAmt>16264</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45707</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>5011</TotalAmt>
        <ProgramServicesAmt>1487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3524</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>23616517</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15810854</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1456</BOYAmt>
        <EOYAmt>1466</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>9244683</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>6245864</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>624499</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>180097</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>30633411</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>1768508</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>43369475</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2370004</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>11629505</BOYAmt>
        <EOYAmt>12484144</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>14035127</BOYAmt>
        <EOYAmt>14854148</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>31281393</BOYAmt>
        <EOYAmt>28515327</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>31281393</BOYAmt>
        <EOYAmt>28515327</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>45316520</BOYAmt>
        <EOYAmt>43369475</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-2279354</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-486712</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>430000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>430000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>25770000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3543375</DepreciationAmt>
        <BookValueAmt>22226625</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>1785678</DepreciationAmt>
        <BookValueAmt>2647733</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>25304358</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Third Party Payor Settlements</Desc>
        <Amt>1699594</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Right of Use Liability</Desc>
        <Amt>895583</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Health claims liability</Desc>
        <Amt>150000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deaconess Health System</Desc>
        <Amt>2765755</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
        <Amt>6973212</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>12484144</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>37148017</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>37148017</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>39427371</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>39427371</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Hospital would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent350Ind>X</Percent350Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>0</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>1000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>3761950</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>189628</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3572322</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.09060</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>3762950</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>189628</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3573322</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.09060</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>24449</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>24449</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00060</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>4518886</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4200513</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>318373</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00810</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>4543335</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4200513</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>342822</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00870</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>8306285</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4390141</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3916144</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.09930</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>2493746</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>121944</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>14599994</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>14764995</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-165001</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>0</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Deaconess Illinois Red Bud Regional Hospital Inc</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>325 Spring St</AddressLine1Txt>
          <CityNm>Red Bud</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62278</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.redbudregional.com</WebsiteAddressTxt>
        <StateLicenseNum>0006387</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>1 provider based rural health clinic</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Deaconess Illinois Red Bud Regional Hospital, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 5: 74 members of the community, representing health and social service partners, the city of Red Bud, school and church leaders were invited to participate in the survey, 27 responses were received. Members were invited to a meeting on site at the hospital to review the results.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Deaconess Illinois Red Bud Regional Hospital, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: Deaconess Illinois Red Bud Regional Hospital, Inc. addresses the health needs identified in its 2024 Community Health Needs Assessment (CHNA), the hospital's first CHNA following its transition to not-for-profit status as part of Deaconess Health System. The three priority needs identified through that process are: Health Education, Access to Care, and Community Collaboration. Implementation activities during FY25 (October 1, 2024 through September 30, 2025) are described below by priority area.HEALTH EDUCATION: Improve the community's overall health education through health promotion screenings and events in chronic disease management, cancer screenings, and health education.Actions the hospital intends to take to address the health need1. Review patient educational documents to ensure understandable explanations of the patient's condition, care, and treatment. Educate patient care staff to reinforce the importance of this additional education with patients. Reordered patient education booklets for common issues causing hospitalization2. Health fair in the community. Hosted two educational lunches for breast cancer awareness (for staff) Hosted one educational dinner for breast cancer awareness (for public) Booth attendee at Senior Citizen Fair held by State Senator and Representative Hosted L&amp;Ls: 10/11/2024 Cognitive strengthening by SLP 11/21/2024 Hands only CPR 11/21/2024 Medicare Changes for upcoming year 12/12/2024 Skin care prevention (Dermatology) 2/26/2025 Healthy eating 4/30/2025 Public transportation services in Randolph Co 5/22/2025 Using gratitude for mental health (IOP) 7/31/2025 Oral health and fall prevention by SLP 8/14/2025 Heart Health with Craig Stewart PA 9/23/2025 Medicare Changes for upcoming year3. Investigate a partnership with local schools utilizing employees to educate students on the benefits of an appropriate diet and exercise, strategies to improve their physical and mental health, chronic diseases and their management, and exposure to health careers and job opportunities at Red Bud Regional. Hosted two Kid's Edition CPR and First Aid classes Randolph County Startup Program Sponsor + Program Participant Red Bud High School Booster Club Sponsor Red Bud Volley for a Cure (breast cancer screening education/promo) SWIC attendee at ground breaking SWIC Career Panel (5-6 hospital leaders were panelists) SWIC Resource Fair for college students (booth vendor) ComWell's Drug Endangered Child forum (host and participant)4. Increase free or low-cost cancer screenings in the community. Enrollment in IL Breast and Cervical Cancer Program for free mammograms5. Increase free or low-cost screenings for chronic diseases. Free self-guided heart risk assessment added to website and Facebook6. Radiology lung cancer screenings. Asthma grant recipient - educational push for patients with lung-related diagnosis7. Investigate support groups for patients suffering from chronic diseases. Promote Intensive Outpatient Program to senior with chronic disease diagnosis and other life transitions that would require group and qualify for group therapyACCESS TO CARE: Improve access to care by recruiting and retaining providers for specialty care clinics, mental health provision, and substance abuse treatment/services.Actions the hospital intends to take to address the health need1. Evaluate the primary and specialty care services needed in the community. Potentially recruit or provide those services through Deaconess Health partnerships. Opportunities discussed regularly with local and regional leaders and community board members2. Evaluate the mental and substance abuse services provided in the community and the need for additional providers/services. Work with community partners to ensure gaps are filled as possible. The Marketing Director serves on the Executive Committee for Healthy Community Alliance in Randolph County, IL (lead by ComWell for agencies working together for education/prevention/recovery of mental health, substance abuse and general population health)3. Work with current providers in the service market area to retain their services to Red Bud Regional and the community. Top sponsor of ComWell's 50th year Gala (fundraising, networking, awareness event) Host of a Mental Health Walk at Lincoln Park4. Evaluate internal processes within Red Bud Regional to ensure the best customer experience Monthly review of quality and HCAHPs scores and action plansCOMMUNITY COLLABORATION: Improve community coordination by developing and maximizing health service partnerships.Actions the hospital intends to take to address the health need1. Support and participate in the economic development committee in the community to create partnerships that will support the community's needs, such as access to jobs, access to healthy foods, transportation needs, housing needs, etc. The CAO attends monthly Economic Development meetings for the City of Red Bud and monthly Chamber meetings for the City of Waterloo The Marketing Director attended Monroe County EMS Open House with booth information2. Support and participate in (or develop) inner agency group meetings to ensure agencies understand what each does and the priorities that each is trying to address. This will potentially reduce duplication of services and allow more agency collaboration. The Marketing Director serves on the Executive Committee for the Red Bud Senior Link (agencies working together to promote education/wellness/social engagement for senior citizens) The Marketing Director attended HCA Pastor Appreciation Breakfast for agency networking3. Investigate the development of a resource guide to assist agencies and patients/residents in finding needed resources. This could include special needs groups (veterans, homeless, disabled, etc.). Guide is created and being distributed in Randolph County4. Develop charity care policy education for the community and share with providers. Charity care applications are being communicated to patients to assist with costly bills</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Deaconess Illinois Red Bud Regional Hospital, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 13h: In the event there is no evidence to support a patient's eligibility for charity care, the Hospital could, for patients above 200% of the Federal Poverty Guidelines, use outside agencies in determining collectability scoring for the basis of determining charity care eligibility. Presumptive eligibility may also be determined on the basis of individual life circumstances that may include:1. Homeless or received care from a homeless clinic2. Food stamp eligibility3. Patient is deceased with no known estate a. Balances due for deceased minors are excluded from charity care. These balances will remain due.4. For all Medicaid Financial Class Payors, if a denial or edit for a non-covered Medicaid/HIP charge is received, that charge will be adjusted to charity.Services eligible under this Policy will be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. The basis for the amounts the Hospital will charge patients qualifying for financial assistance may also be modified as follows:- Patients whose family income exceeds 350% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the Hospital.-The Hospital Uninsured Patient Discount Act also provides for a maximum collectable amount. During a 12-month period, a hospital may collect no more than 20% of the patient's' family income. The 12-month period begins on the first date the uninsured patient receives health care services eligible for an uninsured discount. Uninsured patients must be permitted to apply for a discount within 90 days of the date of discharge/service.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Uninsured patients, without any third-party liability coverage, automatically qualify for the standard uninsured discount. This discount is applied to total charges and reduces that amount owed to a comparable amount that is based on the general amount that would have been paid to the Hospital by private health insurers and Medicare, including co-pays and deductibles, if the patient had been insured.In the event there is no evidence to support a patient's eligibility for charity care, the Hospital could, for patients above 200% of the Federal Poverty Guidelines, use outside agencies in determining collectability scoring for the basis of determining charity care eligibility. Presumptive eligibility may also be determined on the basis of individual life circumstances that may include:1. Homeless or received care from a homeless clinic2. Food stamp eligibility3. Patient is deceased with no known estate a. Balances due for deceased minors are excluded from charity care. These balances will remain due.4. For all Medicaid Financial Class Payors, if a denial or edit for a non-covered Medicaid/HIP charge is received, that charge will be adjusted to charity.Services eligible under this Policy will be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. The basis for the amounts the Hospital will charge patients qualifying for financial assistance is as follows:1. Patients whose family income is at or below 200% of the FPL are eligible to receive free care.2. Patients whose family income is above 200% and up to 350% of the FPL are eligible to receive services at a discount rate.3. Patients whose family income exceeds 350% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the Hospital.4. The Hospital Uninsured Patient Discount Act also provides for a maximum collectable amount. During a 12-month period, a hospital may collect no more than 20% of the patient's' family income. The 12-month period begins on the first date the uninsured patient receives health care services eligible for an uninsured discount. Uninsured patients must be permitted to apply for a discount within 90 days of the date of discharge/service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Charity care expense was converted to cost on line 7a based on an overall cost to charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. Community health improvement services reported on line 7e was determined based on costs in the general ledger. The cost for subsidized health services reported on line 7g was determined using the Medicare Cost Report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The estimated amount of the Organization's implicit price concessions attributable to patients eligible under the Organization's charity care policy is calculated based on an approximate 4.89% of individuals living below the poverty level in the service area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The footnote to the organization's financial statements that describes implicit price concessions is located on pages 8 and 9 of the attached financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>Deaconess Illinois Red Bud Regional Hospital, Inc. is a critical access hospital showing a Medicare shortfall. Even though Medicare was at a loss, the Hospital provides services to these patients because access to healthcare and individual's health is important to the Hospital. Therefore, the Medicare shortfall is considered a community benefit.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the total loss from Medicare services would have increased by $20,782.Medicare fee schedule revenue $ 36,853Medicare estimated costs of care relating to payments (57,635)Net (Shortage) $ (20,782)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital does not pursue collection activities for patients that qualify for charity care or patients that have set up payment arrangements for their accounts. Also, collection activities are not pursued for patients that are in the process of applying for charity care and patients waiting for approval or denial from public aid. Any personal portion due after financial assistance is established would follow normal collection procedures.No extraordinary collection activities will begin until after 120 days from the time the first post-discharge statement was provided. Accounts remain in a primary collection agency for approximately 250 days. After 250 days accounts may be place with a secondary collection agency.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community input on desired services is obtained through patient satisfaction surveys that are initiated by the inpatient unit and emergency department that provide a line of communication to identify additional health care services that community desires.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The financial assistance policy is posted in admission areas where patients are present and on the hospital website. Discussions with patients also occur regarding availability of various government programs, such as Medicaid or state programs and assists the patient with qualification with such programs, where applicable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Deaconess Illinois Red Bud Regional Hospital, Inc. is a 25-bed acute care hospital located in Red Bud, Illinois. The Hospital provides inpatient, outpatient, and emergency care services for residents of southern Illinois.4.89% of the population for whom poverty status is determined in Red Bud, IL (181 out of 3.7k people) live below the poverty line, a number that is lower than the national average of 12.5%. Between 2023 and 2024, the percentage of uninsured citizens in Red Bud, IL declined from 1.51% to 1.11%. In 2024, the median household income of the 1.64k households in Red Bud, IL grew to $71,850 from the previous year's value of $68,051.From 2023 to 2024, employment in Red Bud, IL grew at a rate of .57%, from 1.93k employees to 1.94k employees. The most common job groups, by number of people living in Red Bud, IL, are Office &amp; Administrative Support, Transportation, and Sales &amp; Related, and Education Instruction Occupations.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital is dedicated to improving health by providing education and wellness programs and innovative services at all the stages of life for its residents. As a 25-bed acute care hospital services include family medicine, cardiology, diagnostic imaging, emergency room, gastroenterology, infusion services, laboratory services, orthopedics, podiatry, pulmonary services, surgical services, wound care, rehabilitation, senior emotional health, and skilled nursing care unit.Deaconess Illinois Red Bud Regional Hospital, Inc. has a board appointed by the community board of its sole member, Deaconess Illinois. Medical staff privileges in the Hospital are available to all qualified physicians in the area, consistent with the size and nature of its facilities. The Hospital operates a full-time emergency room and extends treatment to anyone requiring emergency medical care regardless of ability to pay. Any excess funds generally are applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement in patient care, and medical training, education, and research. Treatment at the Hospital's facilities is available to all those able to pay directly or through third-party reimbursement, including through Medicare and Medicaid. In addition, the Hospital operates in accordance with Section 501(r) of the Code, including through a financial assistance policy pursuant to which the Hospital provides emergency and medically necessary care to patients regardless of their ability to pay.</ExplanationTxt>
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          <BusinessNameLine1Txt>John A Logan College Foundation</BusinessNameLine1Txt>
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        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors and officers determine which organizations receive grants. The grantees are 501(c)(3) organizations.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>William Davis, Regional President Deaconess Illinois, is compensated by Deaconess Health System, an unrelated organization, through a management agreement for services to the Hospital and related entities. Deaconess Health System uses some of the processes described in Part I, Question 3 to determine compensation, including comparability data and an independent compensation consultant. Compensation approval is done by the Board of Directors or Compensation Committee of Deaconess Health System.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>William Davis, Regional President Deaconess Illinois, Amber Lipe, CFO, Jennifer Gregson, CAO, are employed by Deaconess Health System, an unrelated organization. Amanda Throgmorton, COO was employed by Deaconess IL Specialty Clinic and Deaconess Health System, both unrelated organizations. Compensation is provided by Deaconess Health System through a management agreement for services to Deaconess Illinois Red Bud Regional Hospital, Deaconess Illinois Union County Hospital, Deaconess Illinois Crossroads, and Deaconess Regional Healthcare Services Illinois. All four are related entities. The Regional President Deaconess Illinois position has the responsibility of supervising the management, administration, and operation of the organizations. The CFO has the responsibility of managing the financial operations of the organizations. The CAO is responsible for overseeing non-clinical operationssuch as finance, human resources, compliance, and strategyto ensure efficient, compliant, and high-quality organizational performance. The COO oversees daily operations to ensure efficient, high-quality patient care while managing staff, resources, and performance outcomes. Compensation Benefits William Davis 475,253 45,846 Amber Lipe 338,795 5,785 Jennifer Gregson 297,158 3,350 Amanda Throgmorton 187,180 27,059</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The Sole Member is Deaconess Regional Healthcare Services Illinois, Inc., an Illinois not for profit corporation that is exempt from federal income taxation under Section 501(a) of the Code as an organization described in Section 501(c)(3) of the Code.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>All Directors shall be appointed by the Member.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The actions set forth below shall be reserved solely to the Member. Governance 1. Appointment and removal of the Corporation's Directors. Financial 1. Approval of any capital and operating budgets for the Corporation (subject to the right of the Member, as part of the approval process, to make modifications as the Member deems necessary or appropriate); 2. Approval of any financial commitment, obligation or expenditure by the Corporation of an amount that exceeds a financial limit for capital expenditures or otherwise that may be established from time to time by the Member; 3. Approval of borrowing or lending of money or the incurrence or guarantee of any debt or other financial obligation, directly or indirectly, by the Corporation that exceeds a financial threshold (whether or not strictly monetary) that may be established from time to time by the Member; 4. Approval of any charitable contributions in excess of, or outside of, policies previously established and approved by the Member; 5. Making of any distribution to the Member or any Affiliate, provided that the Member or the Affiliate shall be, at the time of such distribution, a nonprofit organization duly qualified under Section 501(c)(3) of the Code. 6. Approval of any compensation or reimbursement of expenses for Directors of the Corporation beyond that allowed by policies adopted from time to time by the Member. Operations 1. Approval of any strategic plan, business plan, or mission plan of the Corporation, including without limitation authorization of any material changes in the scope of services offered by the Corporation, or any amendments thereto (subject in each case to the right of the Member, as part of the approval process, to make modifications as the Member deems necessary or appropriate); 2. The initiation of any studies, audits, and other periodic reviews as are deemed necessary by the Member with respect to the existing or planned operations of the Corporation; 3. Adoption and amendment of compensation plans or methodologies, salaries and other compensation (including the awarding of any incentive compensation) and benefits; and 4. Approval of the other terms of employment or engagement of the officers and employees, including, but not limited to, physician employees of the Corporation, and physicians who are independent contractors to the Corporation (subject in each case to the right of the Member, as part of the approval process, to make modifications as the Member deems necessary or appropriate). Legal 1. Creation, ownership, or acquisition (whether in whole or in part) and dissolution of any subsidiary or affiliate of the Corporation; 2. Any acquisition, purchase, sale, lease, mortgage, or other transfer or encumbrance ("Transfers") of (i) any property in excess of a financial threshold (whether or not strictly monetary) established by the Member from time to time or (ii) any real property of the Corporation, irrespective of the value; 3. Any Transfer of any personal property of the Corporation, if the sum of the value of such Transferred personal property and the aggregate value of all prior Transfers of personal property during the fiscal year is greater than a financial threshold (whether or not strictly monetary) that may be established from time to time by the Member; 4. Any dissolution, merger, consolidation, sale, or other corporate restructuring of the Corporation; 5. Any creation, modification or termination by the Corporation of any corporate compliance program different from the program maintained by Deaconess Regional Healthcare Services Illinois, Inc.; 6. The amendment, modification or restatement of the Corporation's policies addressing the provision of charity or uncompensated care or the process for collecting amounts due from patients; 7. Selection, retention or termination of the Corporation's auditors or legal counsel; 8. Establishment, adoption or amendment of any indemnification rights, obligations, or agreements affecting the Corporation; 9. Purchase, adoption, amendment, cancellation, or replacement of any insurance coverage for the Corporation or its Directors, officers, employees, and agents; 10. The commencement, settlement or termination of litigation or other claims, or alternative dispute resolution, including, but not limited to, mediation or arbitration that exceeds a financial limit (whether or not strictly monetary) that may be established from time to time by the Member; 11. The filing of any voluntary petition in bankruptcy or any other petition or pleading seeking any reorganization, receivership or similar relief under federal or state law; 12. Any of the foregoing reserve powers with respect to any subsidiary or affiliate of the Corporation; and 13. Any other matters with respect to which authority is granted to the Member by the Articles of Incorporation, these Bylaws, or applicable law.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization does not have committees with authority to act on behalf of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is provided to the Illinois governing board before it is filed. The Finance and Management team of Deaconess Health System review the Form 990 before providing to the Illinois governing Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors are required to comply with the Conflict of Interest Policy and individually disclose to the Member and to the Board of Directors, at times of nomination and appointment, the identity of each potential conflict known to the Director. Conflicts are considered with respect to outside interest, investments, outside activities, and business interests among the interested persons as well as their family members. If a conflict is identified, the interested person is not allowed to vote on the matter and may be asked to leave the meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy, and financial statements are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased Services: Program service expenses 3,551,979. Management and general expenses 3,664,277. Fundraising expenses 0. Total expenses 7,216,256. Medical Professional Fees: Program service expenses 402,130. Management and general expenses 0. Fundraising expenses 0. Total expenses 402,130.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management fees consist of officer salaries and benefits, swing bed liaison billings, and other services paid to Deaconess Health System.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>During the year ended September 30, 2025, an overstatement of amounts previously reported for patient accounts receivable and patient service revenue as of and for the year ended September 30, 2024, were discovered by management of the Hospital. This resulted in an overstatement of patient receivables, patient service revenue, and net assets in the amount of $486,712.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Deaconess Regional Healthcare Services Illinois Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>3333 W Deyoung</AddressLine1Txt>
          <CityNm>Marion</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62959</ZIPCd>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Deaconess Illinois Crossroads Inc</BusinessNameLine1Txt>
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        <DisregardedEntityName>
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        </DisregardedEntityName>
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          <AddressLine1Txt>517 N Main St</AddressLine1Txt>
          <CityNm>Anna</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62906</ZIPCd>
        </USAddress>
        <EIN>920574426</EIN>
        <PrimaryActivitiesTxt>Health care services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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