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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Amber Lipe</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>30.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>860628</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>7600</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>181397</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>14</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Integritas Emergency Physician Services</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2250 N Illinois Ave</AddressLine1Txt>
            <CityNm>Carbondale</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>62901</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Emergency Room Providers</ServicesDesc>
        <CompensationAmt>1453941</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Granite City Hospitalist Services LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2250 N Illinois Ave</AddressLine1Txt>
            <CityNm>Carbondale</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>629015612</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Hospitalist Providers</ServicesDesc>
        <CompensationAmt>741450</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HHS Environmental Services LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12495 Silver Creek Rd</AddressLine1Txt>
            <CityNm>Dripping Springs</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78620</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Housekeeping Services</ServicesDesc>
        <CompensationAmt>522232</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Deaconess Health System</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>600 Mary St</AddressLine1Txt>
            <CityNm>Evansville</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>47710</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Administrative &amp; Management</ServicesDesc>
        <CompensationAmt>488304</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Psychiatric Medical Care LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 734606</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753734606</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Mental Health Services</ServicesDesc>
        <CompensationAmt>461285</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Revenue</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>31684529</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31684529</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Cafeteria Revenue</Desc>
        <BusinessCd>722514</BusinessCd>
        <TotalRevenueColumnAmt>17109</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17109</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>12298</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12298</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>31713936</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2712</TotalRevenueColumnAmt>
        <ExclusionAmt>2712</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>600</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>16</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>584</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>584</TotalRevenueColumnAmt>
        <ExclusionAmt>584</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>31717232</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31713936</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3296</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7972555</TotalAmt>
        <ProgramServicesAmt>5938403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2034152</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>107324</TotalAmt>
        <ProgramServicesAmt>79941</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27383</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1856269</TotalAmt>
        <ProgramServicesAmt>1382653</ProgramServicesAmt>
        <ManagementAndGeneralAmt>473616</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>576371</TotalAmt>
        <ProgramServicesAmt>429313</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147058</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>2872323</TotalAmt>
        <ManagementAndGeneralAmt>2872323</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>10814</TotalAmt>
        <ManagementAndGeneralAmt>10814</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>8974094</TotalAmt>
        <ProgramServicesAmt>7914081</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1060013</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>27501</TotalAmt>
        <ProgramServicesAmt>24586</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2915</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>308732</TotalAmt>
        <ProgramServicesAmt>193659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115073</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>8880</TotalAmt>
        <ProgramServicesAmt>8880</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>593374</TotalAmt>
        <ProgramServicesAmt>539355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54019</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>58808</TotalAmt>
        <ProgramServicesAmt>47284</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11524</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>17621</TotalAmt>
        <ProgramServicesAmt>14168</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3453</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>120943</TotalAmt>
        <ProgramServicesAmt>117892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3051</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>785994</TotalAmt>
        <ProgramServicesAmt>768271</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17723</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>319099</TotalAmt>
        <ProgramServicesAmt>256568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62531</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Other Taxes &amp; Licenses</Desc>
        <TotalAmt>2496121</TotalAmt>
        <ProgramServicesAmt>2006976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>489145</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>1905997</TotalAmt>
        <ProgramServicesAmt>1897389</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8608</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs &amp; Maintenance</Desc>
        <TotalAmt>1116169</TotalAmt>
        <ProgramServicesAmt>1078220</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37949</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Memberships &amp; Dues</Desc>
        <TotalAmt>26980</TotalAmt>
        <ProgramServicesAmt>21693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5287</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>303773</TotalAmt>
        <ProgramServicesAmt>277634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26139</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>30459742</TotalAmt>
        <ProgramServicesAmt>22996966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7462776</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2108323</BOYAmt>
        <EOYAmt>2806780</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5813534</BOYAmt>
        <EOYAmt>5882006</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>497407</BOYAmt>
        <EOYAmt>471752</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>191607</BOYAmt>
        <EOYAmt>145831</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>9225316</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2021053</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>7780353</BOYAmt>
        <EOYAmt>7204263</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>3567504</BOYAmt>
        <EOYAmt>4877890</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>19958728</BOYAmt>
        <EOYAmt>21388522</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1487413</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>9584619</BOYAmt>
        <EOYAmt>11138346</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>12114737</BOYAmt>
        <EOYAmt>12625759</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>7343570</BOYAmt>
        <EOYAmt>8762763</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>500421</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7843991</BOYAmt>
        <EOYAmt>8762763</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>19958728</BOYAmt>
        <EOYAmt>21388522</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1257490</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-338718</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">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3696540</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>300623</DepreciationAmt>
        <BookValueAmt>3395917</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4410912</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1720430</DepreciationAmt>
        <BookValueAmt>2690482</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <BookValueAmt>1117864</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>7204263</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Estimated Third Party Payor Settlem</Desc>
        <BookValueAmt>1663326</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Finance lease ROU Assets</Desc>
        <BookValueAmt>53168</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Operating lease ROU Assets</Desc>
        <BookValueAmt>153554</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Deaconess Health System</Desc>
        <BookValueAmt>3007842</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4877890</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
        <Amt>10214736</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated health claims liability</Desc>
        <Amt>185000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Third Party Payor Settlem</Desc>
        <Amt>530731</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Finance lease ROU liability</Desc>
        <Amt>55702</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating lease ROU liability</Desc>
        <Amt>152177</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11138346</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>31717232</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>31717232</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>31717232</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>30459742</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>30459742</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>30459742</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>232000</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>232000</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00760</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>6455768</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2142391</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4313377</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.14160</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>6687768</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2142391</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4545377</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.14920</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>33575</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>33575</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00110</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>4979023</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3467635</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1511388</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04960</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>5012598</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3467635</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1544963</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05070</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>11700366</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>5610026</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>6090340</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.19990</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>863554</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>296199</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>10636059</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>10715192</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-79133</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>0</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Deaconess Illinois Union County Hospital Inc</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>517 N Main St</AddressLine1Txt>
          <CityNm>Anna</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62906</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.unioncountyhospital.com</WebsiteAddressTxt>
        <StateLicenseNum>0006379</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
        <OtherDesc>1 provider based rural health clinic</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>Deaconess Illinois Union County Hospital</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
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        <OwnWebsiteURLTxt>See Part V, Page 8</OwnWebsiteURLTxt>
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        <ImplementationStrategyAdptYr>23</ImplementationStrategyAdptYr>
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        <StrategyWebsiteURLTxt>See Part V, Page 8</StrategyWebsiteURLTxt>
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        <FAPAvailableOnWebsiteURLTxt>See Part V, Page 8</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>See Part V, Page 8</FAPAppAvailableOnWebsiteURLTxt>
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        <FAPSummaryOnWebsiteURLTxt>See Part V, Page 8</FAPSummaryOnWebsiteURLTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Deaconess Illinois Union County Hospital, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 5: Community meetings were held in April 2024, and many agencies and communities were present representing the medically underserved and minorities. Healthcare partners, Educators, Community Services Providers, and Government Officials were also present.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Deaconess Illinois Union County Hospital, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: Deaconess Illinois Union County addresses the health needs identified in its 2024 Community Health Needs Assessment (CHNA). This was the hospital's first CHNA, conducted following its conversion to not-for-profit status and its affiliation with Deaconess Health System. The three priority needs identified through that process are: Access to Care; Community Collaboration; and Health Education. The hospital's implementation activities during FY25 (October 1, 2024 to September 30, 2025) are described below by priority area.Priority 1: Access to CareThe 2024 CHNA identified access to primary care, specialty care, mental health services and substance use treatment as the community's top-ranked need. Convenient Care access. Deaconess Illinois Union County does not employ primary care providers in the service area. The hospital addresses this gap through its Convenient Care walk-in clinic, open seven days a week, which serves as the principal point of access for acute and episodic care for residents who do not have an established primary care relationship. Extended availability and walk-in access reduce reliance on the emergency department for conditions that can be treated in a lower acuity setting.Patient experience. Deaconess Illinois Union County implemented a formal Leader Rounding program during FY25 to strengthen patient engagement, identify patient concerns in real time and improve service recovery at the point of care.The hospital monitored patient experience through multiple channels, including Press Ganey survey results, leader rounding feedback, online reviews and social media engagement, in order to identify improvement opportunities and track trends across the reporting period.Bedside shift report and high reliability rounding practices were reinforced with clinical staff to improve communication, increase patient involvement in their own care and strengthen patient safety and overall experience.Mental health access. The hospital pursued expanded mental health and post-discharge support capacity through community partnership rather than direct service expansion. That work is described under Priority 2.Priority 2: Community CollaborationThe 2024 CHNA identified improved coordination among local health and social service agencies as a significant community need. The adopted implementation strategy directed the hospital to support or develop an inter-agency coordinating group, investigate a shared community resource guide, support local agencies addressing homelessness and develop charity care policy education for the community.Food access coordination. Deaconess Illinois Union County collaborated with Choate State Mental Health Hospital on the transition of that facility's food bank following the announcement of closures at Choate, working to preserve food access for residents who relied on the program. The hospital also worked with Arrowleaf to identify a site for consolidating multiple Union County food pantries into a single location with expanded hours and improved access for residents. Both efforts carry out the adopted strategy action to support or develop an inter-agency coordinating group that improves coordination across local agencies. Homelessness and post-discharge care. The hospital partnered with Arrowleaf to develop a medical respite site in Union County serving patients who are discharged from the hospital without a safe place to recover, a population that overlaps significantly with residents experiencing homelessness and untreated behavioral health needs. During FY25 a site was identified and an architect produced initial drawings for the facility. Arrowleaf will own and operate the program. Deaconess Illinois Union County will refer patients and provide medical oversight. The organizations are pursuing grant funding and USDA loan financing to advance the project to construction. This work carries out the adopted strategy action to support local agencies addressing homelessness.Priority 3: Health EducationThe 2024 CHNA identified health education, chronic disease management and preventive screening as a significant community need. The adopted implementation strategy directed the hospital to review patient education materials for clarity and to educate nursing staff to reinforce that education with patients.Following the hospital's transition from MedHost to Epic in September 2024, nursing staff received education during FY25 on the use of Epic patient education resources, including materials available in multiple languages to better meet the needs of diverse patient populations.The hospital standardized patient education workflows within Epic to support consistent delivery of evidence-based education and to reinforce patient understanding throughout the care continuum.Staff education continued to emphasize teach-back methods and patient-specific education in order to support health literacy and improve patient understanding of their conditions and care plans.These activities are consistent with the action step adopted in the 2024 implementation strategy calling for review of patient education materials and staff education to reinforce patient understanding.Screening and prevention emphasis. Because the hospital does not employ primary care providers in Union County, Medicare Annual Wellness Visits are not a practical vehicle for preventive outreach in this service area. Screening and education efforts are instead delivered through the encounters available at Convenient Care and through the hospital's inpatient and outpatient services, with emphasis on depression screening, documentation of current medications, HIV screening, appropriate treatment of upper respiratory infections, fall risk screening and tobacco screening and risk assessment.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Deaconess Illinois Union County 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>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Form 990, Schedule H, Section B, Lines 7a and 10a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital facility's website for CHNA and Implementation Strategy:https://www.deaconess.com/illinois/deaconess-illinois-union-county</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Form 990, Schedule H, Section B, Lines 16 a, b, c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital facility's website for Financial Assistance Policy, Application, and Plain Language Summary:https://www.deaconess.com/pay-my-bill/financial-assistance/deaconess-illinois-hospital-financial-assistance</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 34.3% 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 12 and 13 of the attached financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>Deaconess Illinois Union County 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 $3,237.Medicare fee schedule revenue $17,895Medicare estimated costs of care relating to payments (21,132)Net (Shortage) $ ( 3,237)</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <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 Union County Hospital, Inc. is a 25-bed acute care hospital located in Anna, Illinois. The Hospital provides inpatient, outpatient, and emergency care services for residents of southern Illinois. The service area, defined by zip code data, includes the following rural communities: Anna, Mill Creek, Cobden, Dongola, Jonesboro, and Alto Pass.34.3% of the population for whom poverty status is determined in Anna, IL (1.4k out of 4.07k people) live below the poverty line, a number that is higher than the national average of 12.5%. In 2024, the median household income of the 1.92k households in Anna, IL declined from $33,137 from the previous year's value of $36,238.From 2023 to 2024, employment in Anna, IL grew at a rate of 10.5%, from 1.51k employees to 1.67k employees. The most common job groups, by number of people living in Anna, IL, are Office &amp; Administrative Support, Food Preparation &amp; Serving Related, and Building &amp; Grounds Cleaning &amp; Maintenance Occupations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 cardiology, diagnostic imaging, emergency room, orthopedics, podiatry, rehabilitation services, senior emotional health, surgical services, wound care, and swing bed program. Deaconess Illinois Union County 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <SupplementalInformationDetail>
        <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, Page 1, J website:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.deaconess.com/illinois/deaconess-illinois-union-county</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>William Davis, Regional President Deaconess Illinois, Amber Lipe, CFO, and Harry Brockus, 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 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 implements policies and procedures and supports the leadership team. The COO oversees daily operations to ensure efficient, high-quality patient care while managing staff, resources, and performance outcomes. Calendar year 2024 compensation and benefits are provided below. Compensation Benefits William Davis 475,253 45,846 Amber Lipe 338,795 5,785 Harry Brockus 336,432 39,907 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 7,914,081. Management and general expenses 2,613. Fundraising expenses 0. Total expenses 7,916,694. Professional Fees: Program service expenses 0. Management and general expenses 1,057,400. Fundraising expenses 0. Total expenses 1,057,400.</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 $338,718.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Deaconess Regional Healthcare Services Illinois Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3333 W Deyoung</AddressLine1Txt>
          <CityNm>Marion</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62959</ZIPCd>
        </USAddress>
        <EIN>810693478</EIN>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>325 Spring St</AddressLine1Txt>
          <CityNm>Red Bud</CityNm>
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          <ZIPCd>62278</ZIPCd>
        </USAddress>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Deaconess Illinois Crossroads Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8 Doctors Park Rd</AddressLine1Txt>
          <CityNm>Mount Vernon</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62864</ZIPCd>
        </USAddress>
        <EIN>920573933</EIN>
        <PrimaryActivitiesTxt>Health care services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Deaconess Regional Healthcare Services Illinois Inc</BusinessNameLine1Txt>
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      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <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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