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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>5044555</TotalRevenueColumnAmt>
        <ExclusionAmt>5044555</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>121000</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>49237</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>79786</TotalRevenueColumnAmt>
        <ExclusionAmt>79786</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>6422728</TotalRevenueColumnAmt>
        <ExclusionAmt>6240737</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1329450</TotalAmt>
        <ProgramServicesAmt>1329450</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>18621</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>19473</TotalAmt>
        <ManagementAndGeneralAmt>19473</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>135041</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>4184</ManagementAndGeneralAmt>
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        <Desc>PROGRAM EXPENSES</Desc>
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        <ProgramServicesAmt>8888</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MARKETING EXPENSE</Desc>
        <TotalAmt>7580</TotalAmt>
        <ManagementAndGeneralAmt>7580</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BANK FEES</Desc>
        <TotalAmt>3485</TotalAmt>
        <ManagementAndGeneralAmt>3485</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>600</TotalAmt>
        <ManagementAndGeneralAmt>600</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>136</TotalAmt>
        <ManagementAndGeneralAmt>136</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>1527458</TotalAmt>
        <ProgramServicesAmt>1338338</ProgramServicesAmt>
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      <SavingsAndTempCashInvstGrp>
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      <AccountsReceivableGrp>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>56367</EOYAmt>
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        <EOYAmt>49838964</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>105332</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>125767</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <BOYAmt>30847216</BOYAmt>
        <EOYAmt>34182354</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>14032769</BOYAmt>
        <EOYAmt>15530843</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>44879985</BOYAmt>
        <EOYAmt>49713197</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>49838964</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>4895270</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-62058</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
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        <SupportedOrganizationName>
          <BusinessNameLine1Txt>ALTON MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </SupportedOrganizationName>
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        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
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      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>1329450</SupportSumAmt>
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      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>true</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>false</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>false</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>true</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>false</SupportedOrgVoiceInvestmentInd>
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      <Form990SchAType3FuncIntGrp>
        <ActivitiesTestInd>X</ActivitiesTestInd>
        <ActivitiesFurtherExemptPrpsInd>true</ActivitiesFurtherExemptPrpsInd>
        <ActivitiesEngagedOrgInvlmntInd>true</ActivitiesEngagedOrgInvlmntInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES GRANTS TO THE SUPPORTED ORGANIZATION TO ENHANCE AND FURTHER THE MEDICAL SERVICES PROVIDED BY THE SUPPORTED ORGANZATION, ALTON MEMORIAL HOSPITAL.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REVENUES OF THE ORGANIZATION COME FROM FUND RAISING EVENTS AND ENDOWMENT INCOME. THE ENDOWMENTS REQUIRE THAT THE ANNUAL INCOME IS TO BE USED FOR SPECIFIC PURPOSES OPERATED BY THE SUPPORTED ORGANIZATION. THE REVENUES GENERATED FROM FUND RAISING ARE USED TO FURTHER THE MISSION AND SERVICES OF THE SUPPORTED ORGANIZATION. BOTH OF THESE ACTIVITIES COULD BE CONDUCTED THROUGH THE SUPPORTED ORGANIZATION, IF NOT FOR THE EXISTANCE OF THE ORGANIZATION.</ExplanationTxt>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc3">
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO ALTON MEMORIAL HOSPITAL</Desc>
        <Amt>105332</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>105332</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>6360670</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-62058</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-62058</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6422728</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>6422728</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1527458</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>1527458</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>1527458</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleG documentId="RetDoc4">
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        <Event1Nm>DUCKPLUCKERS EV</Event1Nm>
        <GrossReceiptsEvent1Amt>250023</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>121000</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>129023</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>8306</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>22103</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>1750</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>17078</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>250023</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>121000</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>129023</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>8306</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>22103</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>1750</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>17078</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>49237</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>79786</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc5">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALTON MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>ONE MEMORIAL DRIVE</AddressLine1Txt>
          <CityNm>ALTON</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62002</ZIPCd>
        </USAddress>
        <RecipientEIN>370661172</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>1329450</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT HOSP. DEPT'S</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL SUBMITS A LISTING OF SPECIFIC PROGRAMS AND DEPARTMENTS, ALONG WITH DOLLAR AMOUNTS REQUESTED FOR EACH, FOR WHICH THE GRANT FUNDS WILL BE USED. THE FOUNDATION IS INFORMED OF THE STATUS OF THE PROGRAMS AT BOARD MEETINGS, AND APPROVES THE REQUESTS FOR PAYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVE BRAASCH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>382707</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>154719</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>8605</OtherCompensationRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>50191</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>596222</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2023, THE ABOVE INDIVIDUAL RECEIVED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN ACCRUALS FROM A RELATED ORGANIZATION AS REPORTED IN THE DETAILS OF COMPENSATION AND BENEFITS (SEE FORM 990, PART VII AND SCHEDULE J, PART II). DAVID BRAASCH - 37,712</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS PROVIDE SERVICES TO THE FOUNDATION FOR VARIOUS DONOR EVENTS AND MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE SUPPORT FOR PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES FOR CHILDREN WHO HAVE A PHYSICAL DISABILITY, AND FOR WHICH THE FAMILIES NEED FINANCIAL ASSISTANCE; AND PROVIDE SUPPORT FOR ALTON MEMORIAL HOSPITAL STAFF WHO WORK IN NON-NURSING POSITIONS TO TAKE CONTINUING EDUCATION CLASSES, ATTEND WORKSHOPS AND/OR SEMINARS, AND OBTAIN EDUCATIONAL MATERIALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION IS IN THE PROCESS OF DRAFTING AND ADOPTING THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION PROVIDES A HARD COPY OR EMAILS A COPY OF THE 990 TO ALL BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST TO THE PRESIDENT'S OFFICE AT ALTON MEMORIAL HOSPITAL</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>ALTON MEMORIAL HOSPITAL</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>ALTON MEMORIAL HOSPITAL</BusinessNameLine2Txt>
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        <USAddress>
          <AddressLine1Txt>ONE MEMORIAL DRIVE</AddressLine1Txt>
          <CityNm>ALTON</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62002</ZIPCd>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BJC HEALTH SYSTEMS DBA BJC HEALTH</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>BJC HEALTH CARE</BusinessNameLine2Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>4444 FOREST PARK BLVD STE 500</AddressLine1Txt>
          <CityNm>ST LOUIS</CityNm>
          <StateAbbreviationCd>MO</StateAbbreviationCd>
          <ZIPCd>63108</ZIPCd>
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        <EIN>431617558</EIN>
        <PrimaryActivitiesTxt>HOPS SYS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
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      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
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</Return>