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      <Desc>INFORMATION TECHNOLOGYMEMORIAL HEALTH (MH) CONTINUES TO EXPAND ITS DIGITAL INFRASTRUCTURE BY IMPLEMENTING TECHNOLOGY SOLUTIONS THAT IMPROVE PATIENT EXPERIENCE, CLINICAL EFFECTIVENESS, AND BUSINESS PROCESSES. IN FEBRUARY OF FY23 MEMORIAL HEALTH WENT LIVE WITH THE CERNER MILLENIUM ELECTRONIC HEALTH RECORD AT DECATUR MEMORIAL HOSPITAL (DMH), DECATUR MEMORIAL MEDICAL GROUP (DMMG) AND JACKSONVILLE MEMORIAL HOSPITAL (JMH). THIS IMPLEMENTATION STANDARDIZED CLINICAL APPLICATIONS AND PROCESSES ACROSS THE LARGEST AFFILIATES. IN SEPTEMBER OF FY23 MEMORIAL COMPLETED AN UPGRADE TO CERNER MILLENIUM WHICH MET THE REQUIREMENTS FOR PROMOTING INTEROPERABILITY AND CURES ACT. DURING THIS PROJECT, THE CERNER MILLENIUM HARDWARE AND OPERATING SYSTEM WERE UPGRADED TO ALLOW FOR HIGH AVAILABILITY TECHNOLOGY WHICH MINIMIZES APPLICATION DOWNTIMES AND SYSTEM INTERRUPTIONS. ADDITIONALLY, MEMORIAL HEALTH INITIATED A PROJECT TO MIGRATE THE ENTERPRISE RESOURCE PLANNING (ERP) SOFTWARE, INFOR LAWSON, TO THE CLOUD-BASED SOLUTION INFOR CLOUDSUITE. THIS MIGRATION INCLUDES ALL COMPONENTS OF THE ERP INCLUDING HR, FINANCE, AND SUPPLY CHAIN. MEMORIAL HEALTH CONTINUES TO INVEST IN THE TECHNOLOGY INFRASTRUCTURE INCLUDING UPGRADING THE WIRELESS NETWORK AND STANDARDIZING TELEPHONY (AVAYA) AT JMH; COMPLETING MULTIPLE SITES OF CARE MODERNIZATION; AND UPGRADING NETWORK AND WORKSTATION HARDWARE AT MEMORIAL PHYSICIAN SERVICES (MPS) AND URGENT CARE SITES. CYBERSECURITY PREPAREDNESS CONTINUES TO BE A PRIORITY FOR THE HEALTH SYSTEM. IN FY23, MH COMPLETED CYBERSECURITY TABLETOP (MOCK) EXERCISES AND COMPLETED SEVERAL SECURITY ENHANCEMENT PROJECTS INCLUDING IMPLEMENTING IDENTITY SERVICES ENGINE (ISE) FOR PACS IMAGING DEVICES, CONDITIONAL ACCESS ENHANCEMENTS AND GEO-BLOCKING. A COMPLEX PASSWORD ROLL-OUT WITH SELF-SERVICE PASSWORD MANAGEMENT FUNCTIONALITY IS CURRENTLY BEING DEPLOYED ACROSS THE HEALTH SYSTEM.THROUGHOUT FY23, MEMORIAL HEALTH CONTINUED HOSTING AND UPGRADING THE COMMUNITY TOUCHWORKS AMBULATORY ELECTRONIC HEALTH RECORD FOR THE SPRINGFIELD CLINIC, SIU HEALTH, ORTHOPEDIC CENTERS OF CENTRAL ILLINOIS AND MEMORIAL MEDICAL GROUP (MMG) WHILE AIDING SPRINGFIELD CLINIC IN THEIR TRANSITION TO A NEW ELECTRONIC HEALTH RECORD.</Desc>
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        <Desc>MEMORIAL HEALTH'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. SAFE, FUNCTIONAL FACILITIES ARE THE FOUNDATION OF THE HEALTHCARE SERVICES WE PROVIDE. CLINICAL PROJECTS THAT BEGAN IN FY 2023:- LINEAR ACCELERATOR REPLACEMENTS AND RENOVATIONS - DUE TO AGING EQUIPMENT WE ARE REPLACING BOTH SMH 1E LINEAR ACCELERATORS, DURING THIS TIME WE WILL ALSO UPGRADE FINISHES AND BRING ANY MEP INFRASTRUCTURE UP TO DATE.- SIU BAYLIS 2ND FLOOR RENOVATIONS - SIU AND SMH HAVE AGREED TO A LEASE AND SIU OCCUPYING THE 2ND FLOOR OF THE BAYLIS BUILDING TO EXPAND SOME OF THEIR SERVICE LINES. AROUND 50% WILL BE GUTTED AND REBUILT TO BE MORE EFFICIENT AND MORE PATIENT CARE ROOMS. - 1E ONCOLOGY RENOVATIONS - DUE TO THE CONDITION OF THE 1E ONCOLOGY SPACES - ESPECIALLY THE EXAM ROOM SPACES (FINISHES, SIZE, EFFICIENCIES, ETC.) THIS UNIT NEEDS GUTTED. NEW DESIGN INCLUDES 11 NEW APPROPRIATELY SIZED EXAM ROOMS WITH TWO ROOMS BEING INPATIENT FOCUSED. NEW NURSE STATION, RECEPTION, ADDITIONAL PRIVATE DRESSING AREA FOR PATIENTS, NEW BREAK ROOM FOR COLLEAGUES AND SUPPORT SPACES FOR PHYSICIANS, NM, PHYSICIST, AND NPS. NEW IS ROOM.- ARTIS BIPLANE IR AND ROOM RENOVATIONS - DUE TO THE AGE AND CONDITION OF SMH A137 BIPLANE EQUIPMENT IT NEEDS TO BE REPLACED AS SOON AS POSSIBLE TO CONTINUE SERVICES FOR PATIENTS AND BRING ADDITIONAL SERVICES. CONSIDERING THE SIZE OF THE NEW EQUIPMENT WE NEED TO CREATE ADDITIONAL SPACE FOR THE EQUIPMENT AND FOR COLLEAGUES AROUND IT. THIS WILL INVOLVE MOVING MECHANICALS OUT OF THAT ROOM ACROSS THE HALL AND REMOVING PART OF THE CONTROL ROOM SPACE TO GAIN IT BACK FOR PATIENT CARE.- ISU NURSING AT 200 NORTH GRANDE - WE LEASE SPACE AT THE OLD NORTH GRAND SHOP N SAVE FROM MEDICS FIRST THAT WE WILL THEN TURN AROUND AND SUBLEASE TO ISU NURSING FOR EDUCATIONAL SPACE. THIS INCLUDES THE BUILD-OUT OF A VACANT PART OF THE BUILDING SEPARATE FROM THE MEDICS FIRST GARAGE. IT INCLUDES ALL NEW MEPS AND FINISHES FOR SEVERAL CLASSROOMS, CONFERENCE AND WORK SPACES, AND COLLABORATION SPACES.- STERILE PROCESSING AND CENTRAL SUPPLY INTEGRATION - DUE TO CVOR WORKLOAD MOVING DOWN INTO MAIN SP ADDITIONAL SPACE IS NEEDED TO ACCOMMODATE. MOVING CVOR DOWN IS NOT ONLY AN INFECTION PREVENTION INITIATIVE BUT ALSO AN EFFICIENCY IMPROVEMENT. THE SCOPE OF WORK INVOLVES TAKING DOWN THE WALL BETWEEN CS AND SP, EXPANDING STORAGE BUT ALSO ALLOWING THOSE SERVICES TO SHARE RESOURCES AND BECOME MORE EFFICIENT. NEW VESTIBULE ON THE CS WILL BE PROVIDED AS WELL AS SOME NEW CLEAN ITEMS (LIGHTS) TO BE INSTALLED.OTHER PROJECTS COMPLETED FOR HEALTH SYSTEM INCLUDE:- PHASE I BAYLIS PARKING RAMP REPAIRS - THE BAYLIS PARKING RAMP CONTINUES TO SEE HEAVY DETERIORATION TO THE POINT WE NEED TO INVEST MONEY OVER THE NEXT 4 YEARS TO PROLONG THE LIFE OF THE STRUCTURE. WE ARE LOOKING AT SEALING AND COATING ALL DECKS, REPAIRS TO ANY STRUCTURAL DAMAGE, REPAIRS TO CONCRETE STAIR AND PANS FAILING, UTILITIES THAT ARE A LIFE SAFETY CONCERN DUE TO RUSTING AND EXPOSURE TO WEATHER.- HEALTH SYSTEM IMAGING EQUIPMENT REPLACEMENTS (CATH LAB 1, CATH LAB 2) - COMPLETED THE REPLACEMENT OF IMAGING EQUIPMENT AT SMH CATH LAB 1 AND 2. WHILE EQUIPMENT WAS REPLACED, ROOM RENOVATIONS WERE COMPLETED. - DMH LINEAR ACCELERATOR REPLACEMENT - REPLACEMENT OF LINEAR ACCELERATOR AND FINISHES UPGRADE. - JACKSONVILLE URGENT CARE - SCOPE OF WORK INCLUDED COMPLETE GUT AND BUILD-OUT OF AN EXISTING SPACE IN THE STRIP MALL ACROSS FROM SPRINGFIELD CLINIC. EXTERIOR FAADE DESIGN, BUILD-OUT OF EXAM ROOMS AND ALL CLINIC SUPPORTING SPACES.- NEW CHILD CARE - BUILT NEW CHILD CARE BUILDING TO ALLOW FOR THE CHILD CARE PROGRAM TO GROW. INCLUDES UPDATED KITCHEN AND MORE ADMIN SPACE FOR STAFF.- JMH BOOMS &amp; LIGHTS - REPLACED LIGHTS AND BOOMS FOR 7 ORS.- CHILLER 3 REBUILD - REBUILT CHILLER 3 DUE TO MANUFACTURER'S RECOMMENDATIONS OF 40,000 HOURS. AS PART OF THE BUILD, THE CHILLER CARRIES A NEW SEVEN-YEAR PARTS AND LABOR WARRANTY.- SERVICE TUNNEL REPAIRS - REPLACED LID OF A 30 FOOT SECTION OF THE TUNNEL INVOLVING EXCAVATING AROUND THE TUNNEL EXTERIOR, SUPPORTING ALL MEPS IN TUNNEL, REMOVING EXISTING LID, WATERPROOFING AND NEW STRUCTURAL SUPPORT SET INTO PLACE, AND POURING BACK THE LID. INCLUDING LOT 2 WORK.</Desc>
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        <Desc>GUIDED BY THE VALUES OF MEMORIAL HEALTH, SENIOR LEADERSHIP IS RESPONSIBLE FOR STRATEGIC PLANNING, PRIORITIZING AMONG COMPETING ISSUES AND ENGAGING IN DIALOGUE AND DECISION-MAKING THAT WILL ENABLE MEMORIAL HEALTH TO ACHIEVE ITS MISSION (TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH), ITS VISION (TO BE THE HEALTH PARTNER OF CHOICE), REALIZE ITS' STRATEGIC GOALS, AND EXECUTE ITS' STRATEGIC PRIORITIES TO BETTER SERVE CENTRAL ILLINOIS AND CONFRONT THE MANY CHALLENGES FACING THE HEALTHCARE INDUSTRY. IN FY21, MHS SENIOR LEADERSHIP CONSTRUCTED A NEW STRATEGIC PLAN TERMED "DESTINATION 2025" THAT WAS MADE EFFECTIVE FY22, THREE-YEAR GOALS AND MEASURES OF SUCCESS TO REFLECT EMERGING PRIORITIES RELATED TO HEALTH REFORM, QUALITY IMPROVEMENT, POPULATION HEALTH, CARE COORDINATION AND THE RESULTS OF OUR COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS UPDATED STRATEGIC PLAN CONSIDERED LEARNINGS FROM THE COVID-19 PANDEMIC AND EMERGING TRENDS AS A RESULT OF THE PANDEMIC. BOTH ITS PREVIOUS AND CURRENT STRATEGIC PLAN SERVED MEMORIAL HEALTH WELL DURING THE COVID-19 PANDEMIC AND WAS A CATALYST FOR MANAGING AND RESPONDING TO THE PANDEMIC IN A COORDINATED, SYSTEMIZED FASHION. THIS UPDATED PLAN IS ALSO THE FOUNDATION FOR THE ORGANIZATION TO SUCCESSFULLY PREVAIL THRU THE CHALLENGES THE HEALTHCARE INDUSTRY IS FACING NATIONALLY. LEADERSHIP WAS ABLE TO RESPOND EFFICIENTLY AND EFFECTIVELY IN A DYNAMIC, EVER- CHANGING ENVIRONMENT AS THE COVID-19 PANDEMIC EVOLVED. WHILE MANY PRIORITIES AND INITIATIVES HAD TO BE PUT ON PAUSE DUE TO THE COVID-19 PANDEMIC, MEMORIAL HEALTH MADE GREAT PROGRESS IN INTEGRATING A RECENTLY NEW AFFILIATE HOSPITAL, DECATUR MEMORIAL HOSPITAL, AND NEW PHYSICIAN GROUP, DECATUR MEDICAL GROUP, IN FY22. WORK BEGAN IN FY21 TO IMPLEMENT A COMMON ELECTRONIC HEALTH RECORD (EHR) ACROSS ALL MEMORIAL HEALTH HOSPITALS, WHICH AT THE TIME, HAD 4 DISTINCT SEPARATE EHRS IN ITS FIVE HOSPITALS. DECATUR MEMORIAL HOSPITAL AND JACKSONVILLE MEMORIAL, THE TWO LARGEST HOSPITALS IN MEMORIAL HEALTH OUTSIDE OF SPRINGFIELD MEMORIAL HOSPITAL, IMPLEMENTED THE CERNER EHR IN FY23, RESULTING IN THE THREE LARGEST HOSPITALS IN MEMORIAL HEALTH BEING ON A COMMON EHR. PLANS ARE BEING FINALIZED FOR THE REMAINING TWO HOSPITALS IN MEMORIAL WITHOUT THE CERNER EHR TO TRANSITION TO THE PLATFORM IN FY25. IN ADDITION, THE LEADERSHIP TEAM HAS MADE GREAT STRIDES IN ACCOMPLISHING HEALTH SYSTEM STRATEGIC REALIZATION PLANS AND REPORTED RESULTS TO ITS BOARD ACCORDINGLY.WHILE COVID-19 WAS STILL CIRCULATING, MEMORIAL HEALTH'S FY23 WAS CHARACTERIZED MORE BY RECOVERY FROM THE ECONOMIC AND CULTURAL IMPACTS OF THE PANDEMIC AS THE CLINICAL SEVERITY OF THE DISEASE WANED. THE ONGOING NATIONAL HEALTHCARE LABOR SHORTAGE, WAGE RATE PRESSURES, AND INFLATION PROVIDED SIGNIFICANT COST INCREASES WHILE CONTINUED SHIFTS IN PAYER MIX TOWARDS MORE GOVERNMENTAL PAYERS PUT DOWNWARD PRESSURE ON REIMBURSEMENT RATE. IN RESPONSE, MEMORIAL HEALTH SUCCESSFULLY MET A $184.6 MILLION SAVINGS TARGET THROUGH REDUCTION OF COSTS, IMPROVED PROCESSES, AND ENHANCED REVENUES THROUGH A PROGRAM CALLED "STRENGTHEN OUR FUTURE." A FEW SPECIFIC INITIATIVES IN FY23 OF THE "STRENGTHEN OUR FUTURE" PLAN INCLUDED SUCCESSFULLY RENEGOTIATING NEARLY ALL MAJOR COMMERCIAL PAYER CONTRACTS PROJECTED TO IMPROVE REIMBURSEMENT BY OVER $60 MILLION A YEAR INTO THE FUTURE, REDUCING THE AVERAGE LENGTH OF STAY AT INPATIENT PROSPECTIVE PAYMENT SYSTEM HOSPITALS BY 0.44 DAYS REMOVING 8,500 DAYS OF UNNECESSARY CARE, IMPLEMENTING A TARGETED REDUCTION IN FORCE OF 20% OF ALL MEMORIAL HEALTH LEADERSHIP AND 4% OF ALL COLLEAGUES THAT WILL LEAD TO $40 MILLION IN SAVINGS IN FY24, AND REDUCING CONTRACT LABOR SPEND BY $40.4 MILLION.IN FY22, THE HISTORIC RELIANCE AND COST-INFLATION ASSOCIATED WITH AGENCY LABOR CONTRIBUTED TO MEMORIAL'S FINANCIAL CHALLENGES. IN FY23, SIGNIFICANT PROGRESS WAS MADE IN REDUCING RELIANCE ON COSTLY AGENCY LABOR. DURING THE FISCAL YEAR, AGENCY HEADCOUNT WAS REDUCED BY 46% AND DOMESTIC CONTRACT LABOR SPEND DECLINED BY $40 MILLION. DESPITE THE PROGRESS ON VARIOUS COST-SAVINGS MEASURES, MEMORIAL STILL HAD TO MAKE THE DIFFICULT DECISION TO REDUCE ITS WORKFORCE BY 5% WHICH INCLUDED 20% OF LEADERSHIP POSITIONS ACROSS THE ORGANIZATION. GIVEN THE RISE IN INFLATION, MEMORIAL HEALTH WAS ACTIVE IN FY22 RENEGOTIATING HIGHER RATE INCREASES WITH ALL PAYERS AND WE CONTINUED TO BE AGGRESSIVE IN THIS SPACE IN FY23. DURING FY23, MEMORIAL HEALTH'S FIVE HOSPITALS COMPLETED THE SECOND YEAR OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGIES TO ADDRESS PRIORITIES IDENTIFIED IN EACH HOSPITAL'S 2021 NEEDS ASSESSMENTS. PRIORITIES IDENTIFIED TO BE ADDRESSED DURING FY22-24 ARE - SPRINGFIELD MEMORIAL HOSPITAL/SANGAMON COUNTY: ACCESS TO HEALTH, MENTAL/BEHAVIORAL HEALTH, AND ECONOMIC DISPARITIES; JACKSONVILLE MEMORIAL HOSPITAL/MORGAN COUNTY: MENTAL HEALTH, OBESITY, AND CANCERS; TAYLORVILLE MEMORIAL HOSPITAL/CHRISTIAN COUNTY: MENTAL HEALTH, OBESITY, AND LUNG HEALTH; AND LINCOLN MEMORIAL HOSPITAL/LOGAN COUNTY: OBESITY, YOUTH MENTAL HEALTH, AND SUBSTANCE USE. DECATUR MEMORIAL HOSPITAL/MACON COUNTY: ACCESS TO HEALTH, ECONOMIC DISPARITIES, AND MENTAL/BEHAVIORAL HEALTH. ADDITIONALLY, MENTAL HEALTH WAS NAMED AS A SYSTEM PRIORITY AND THREE MAJOR CONTRIBUTING FACTORS WERE IDENTIFIED WITHIN EACH OF THESE PRIORITIES: ACCESS TO HEALTH, SOCIAL DETERMINANTS OF HEALTH, AND RACIAL INEQUITY AND INEQUALITY. MEMORIAL HEALTH'S COMMUNITY HEALTH WORK SEEKS TO BUILD COLLABORATIONS BETWEEN COUNTY HEALTH DEPARTMENTS, OTHER LOCAL HOSPITALS, DIRECT-SERVICE ORGANIZATIONS, AND TRUSTED COMMUNITY LEADERS WHO ARE ALREADY DOING THE WORK, IN ORDER TO MEET THE NEEDS OF OUR COMMUNITIES AND PROMOTE EQUITY, DIVERSITY, AND INCLUSION. SENIOR LEADERSHIP, CEOS AT EACH HOSPITAL, AND THE MH BOARD'S COMMUNITY BENEFIT COMMITTEE HELP OVERSEE THE COMMUNITY BENEFIT ELEMENTS OF THE COMMUNITY HEALTH PROGRAM. MEMORIAL HEALTH PROVIDES PATIENT-CENTERED CARE THROUGH AN AMBULATORY ORGANIZATIONAL STRUCTURE THAT WAS DEVELOPED IN FY19 TO ENSURE STRATEGIC ALIGNMENT FOR PROVIDING CARE OUTSIDE OF AN ACUTE CARE SETTING. THIS STRUCTURE PUSHES COORDINATION OF CARE BETWEEN OUR MENTAL HEALTH, HOME SERVICES, HOSPICE, PRIMARY CARE, SPECIALTY CARE, URGENT CARE, WELLNESS, POPULATION HEALTH AND DURABLE MEDICAL EQUIPMENT AFFILIATES. IN TOTAL, THE AMBULATORY GROUP PROVIDED 635,410 PROVIDER OFFICE VISITS, 43,704 BEHAVIORAL HEALTH SERVICES, 30,658 HOME HEALTH VISITS, AND 27,219 HOME HOSPICE DAYS IN FY23. MEMORIAL MEDICAL GROUP AND DECATUR MEMORIAL MEDICAL GROUP EMPLOYED A TOTAL OF 333 PROVIDERS DURING FY23, INCLUDING PHYSICIANS, HOSPITALISTS, ADVANCED PRACTICE PROVIDERS, AND LICENSED THERAPISTS. THE BULK OF THE PHYSICIANS AND ADVANCED PRACTICE PROVIDERS PRACTICE IN THE PRIMARY CARE SETTING SERVING A PANEL OF OVER 135,000 PATIENTS. THIS LARGE PRIMARY CARE INFRASTRUCTURE IS A KEY PART OF MEMORIAL HEALTH'S STRATEGY FOR NAVIGATING THE DYNAMIC AND EVER-CHANGING PAYER MARKET AND SHIFT FROM FEE-FOR-SERVICE HEALTH CARE TO FEE-FOR-VALUE. FROM A BOND RATING PERSPECTIVE, MOODY'S HAS AFFIRMED MEMORIAL HEALTH'S LONG-TERM RATING OF A1 RATING AND REVISED ITS OUTLOOK FROM NEGATIVE TO STABLE. S&amp;P HAS ALSO AFFIRMED MEMORIAL HEALTH'S RATING OF A+ WITH A STABLE OUTLOOK. MEMORIAL HEALTH PAUSED THE ANNUAL ENGAGEMENT SURVEY IN 2023 TO ALLOW FOR RESEARCH AND ASSESSMENT TO IDENTIFY A NEW SURVEY VENDOR. WHILE THE FORMAL SURVEY WAS NOT ADMINISTERED, LISTENING WAS STILL CONDUCTED IN OTHER WAYS, INCLUDING ESTABLISHING LISTENING COMMUNITIES WITH LEADER AND COLLEAGUE GROUPS. A NEW VENDOR PARTNERSHIP WAS ESTABLISHED WITH PLANS TO ROLL OUT A NEW SURVEY IN FY24. WITH THE EFFECTS OF COVID-19 PANDEMIC WANING IN SOME RESPECTS, PATIENT EXPERIENCE LEADERS ACROSS MEMORIAL HEALTH CENTERED THEIR EFFORTS AROUND A RETURN TO STANDARD OPERATIONS THROUGHOUT FY23 THROUGH A "BACK TO BASICS" CAMPAIGN. THE CAMPAIGN STRESSED THE IMPORTANCE OF CONNECTED CARE AND RETAUGHT TACTICS SUCH AS PROVIDING SECOND-LEVEL INTRODUCTIONS, GREETING, AND GUIDING PATIENTS, WALKING SHOULDER TO SHOULDER AND ASKING PATIENT PERMISSION TO PROVIDE CARE BEFORE DOING SO WHEN APPROPRIATE. IN ADDITION, PER THE RECOMMENDATION OF INDUSTRY LEADERS IN PATIENT EXPERIENCE, MEMORIAL HEALTH MOVED TO EVALUATE PATIENT EXPERIENCE THROUGH TOP BOX SCORES RATHER THAN PERCENTILE RANK. THE CHANGE IN REPORTING PROVIDES COLLEAGUES WITH A MORE DIRECT UNDERSTANDING OF PATIENTS' PERCEPTIONS OF THEIR CARE. MEMORIAL HEALTH CLOSED THE FISCAL YEAR WITH 17 OUT OF 26 PATIENT SATISFACTION SURVEYS ACROSS THE HEALTH SYSTEM SCORE AT OR ABOVE THE 75TH PERCENT IN TOP BOX SCORES.</Desc>
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        <Desc>THROUGH MEMORIAL HEALTH PARTNERS (MHP), MEMORIAL HEALTH HAS ENTERED INTO RISK-BASED CONTRACTS TO PROVIDE IN-NETWORK MEDICAL SERVICES VIA SPRINGFIELD MEMORIAL HOSPITAL (SMH). UNDER THESE ARRANGEMENTS, MHP RECEIVES CAPITATION PAYMENTS BASED ON THE DEMOGRAPHIC CHARACTERISTICS OF COVERED MEMBERS IN EXCHANGE FOR PROVIDING CERTAIN MEDICAL SERVICES TO THOSE MEMBERS. DURING FY2023, MHP HAD MORE THAN 8,300 MEMBER LIVES COVERED IN ITS NETWORK AND RECOGNIZED BOTH CAPITATION REVENUES FOR THAT COVERAGE AS WELL AS PURCHASED MEDICAL SERVICE EXPESNSE PAID TO MEMBERS' PROVIDERS, INCLUDING SMH.</Desc>
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        <PersonNm>DAVID GRIFFEN MD PHD</PersonNm>
        <TitleTxt>BOARD MEMBER (THRU JAN23)</TitleTxt>
        <AverageHoursPerWeekRt>0.70</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD LEVI</PersonNm>
        <TitleTxt>BOARD MEMBER (THRU JAN23)</TitleTxt>
        <AverageHoursPerWeekRt>0.70</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA FARLEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.70</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANE RUTLEDGE PHD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>0.70</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEAN ROBERT JR</PersonNm>
        <TitleTxt>IMM PAST CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER GILL</PersonNm>
        <TitleTxt>BOARD MEMBER (FROM JAN23)</TitleTxt>
        <AverageHoursPerWeekRt>0.70</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SERGIO PECORI</PersonNm>
        <TitleTxt>BOARD MEMBER (FROM JAN23)</TitleTxt>
        <AverageHoursPerWeekRt>0.70</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.70</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL MARTIN</PersonNm>
        <TitleTxt>2ND VICE CHAIR &amp; TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NINA HARRIS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL AIELLO</PersonNm>
        <TitleTxt>1ST VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD WISE</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.40</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>10630771</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1627227</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1748330</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>166</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HAROLD O'SHEA BUILDERS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3401 CONSITUTION DR</AddressLine1Txt>
            <CityNm>SPRINGFIELD</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>62711</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMMERCIAL CONSTRUCTION</ServicesDesc>
        <CompensationAmt>6410428</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOUSTON-ALLIANT INSURANCE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 840919</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INSURANCE</ServicesDesc>
        <CompensationAmt>6240246</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JUMP COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1120 S 6TH STREET STE 502</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63104</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING</ServicesDesc>
        <CompensationAmt>5992694</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLSCRIPTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>222 W MERCHANDIS MART PLAZE 2024</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60654</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EHR/IT SERVICES</ServicesDesc>
        <CompensationAmt>4427244</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NAVIA BENEFITS SOLUTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>600 NACHES AVE SW</AddressLine1Txt>
            <CityNm>RENTON</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98057</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSUMER DIRECTED BENEFITS PROVIDER</ServicesDesc>
        <CompensationAmt>2865718</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>70</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT FEES</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>77462412</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>76933304</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>529108</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MHP REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>67768037</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>67768037</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM RELATED RENT</Desc>
        <BusinessCd>532000</BusinessCd>
        <TotalRevenueColumnAmt>8221716</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8221716</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>IT REIMBURSED EXPENSES</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>1842906</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1842906</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RELATED PARTNERSHIP RE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>34702</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34702</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>155329773</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2650977</TotalRevenueColumnAmt>
        <ExclusionAmt>2650977</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>17563428</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>13691479</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>3871949</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3871949</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>18339</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3853610</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>143961893</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>144638182</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-676289</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-676289</TotalRevenueColumnAmt>
        <ExclusionAmt>-676289</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>BILLING SERVICE</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>1911265</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>33600</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1877665</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>RETAIL CLOTHING SALES</Desc>
        <BusinessCd>458000</BusinessCd>
        <TotalRevenueColumnAmt>88124</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>88124</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>INTERPRETER SERVICES</Desc>
        <BusinessCd>541930</BusinessCd>
        <TotalRevenueColumnAmt>57134</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>57134</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>64969</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>64969</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>2121492</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>163297902</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>154953758</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>638181</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>7705963</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>71961</TotalAmt>
        <ProgramServicesAmt>71961</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>5373587</TotalAmt>
        <ProgramServicesAmt>5373587</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>287261</TotalAmt>
        <ProgramServicesAmt>287261</ProgramServicesAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>30919589</TotalAmt>
        <ProgramServicesAmt>13861961</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17057628</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1633082</TotalAmt>
        <ProgramServicesAmt>1272332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>360750</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5819482</TotalAmt>
        <ProgramServicesAmt>2775954</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3043528</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2556130</TotalAmt>
        <ProgramServicesAmt>829031</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1727099</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1456162</TotalAmt>
        <ManagementAndGeneralAmt>1456162</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>714993</TotalAmt>
        <ManagementAndGeneralAmt>714993</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>270000</TotalAmt>
        <ManagementAndGeneralAmt>270000</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>160729</TotalAmt>
        <ManagementAndGeneralAmt>160729</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>7427218</TotalAmt>
        <ProgramServicesAmt>2272769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5154449</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>6240678</TotalAmt>
        <ProgramServicesAmt>808777</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5431901</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>5750441</TotalAmt>
        <ProgramServicesAmt>804835</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4945606</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>19432867</TotalAmt>
        <ProgramServicesAmt>18184897</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1247970</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>4113402</TotalAmt>
        <ProgramServicesAmt>3408280</ProgramServicesAmt>
        <ManagementAndGeneralAmt>705122</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>283257</TotalAmt>
        <ProgramServicesAmt>99117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184140</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>87490</TotalAmt>
        <ManagementAndGeneralAmt>87490</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>3043508</TotalAmt>
        <ProgramServicesAmt>3043508</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>9203990</TotalAmt>
        <ProgramServicesAmt>8561311</ProgramServicesAmt>
        <ManagementAndGeneralAmt>642679</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>282052</TotalAmt>
        <ManagementAndGeneralAmt>282052</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASED MEDICAL SERVI</Desc>
        <TotalAmt>70140660</TotalAmt>
        <ProgramServicesAmt>70140660</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>96435</TotalAmt>
        <ProgramServicesAmt>94059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2376</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MINOR PROJECT COSTS</Desc>
        <TotalAmt>83413</TotalAmt>
        <ProgramServicesAmt>83413</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD &amp; DIETARY SUPPLIES</Desc>
        <TotalAmt>12082</TotalAmt>
        <ProgramServicesAmt>1964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10118</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>16165</TotalAmt>
        <ProgramServicesAmt>16165</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>175476634</TotalAmt>
        <ProgramServicesAmt>131991842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43484792</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8406936</BOYAmt>
        <EOYAmt>8675582</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>10254958</BOYAmt>
        <EOYAmt>3322803</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>21836130</BOYAmt>
        <EOYAmt>65125128</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>13051641</BOYAmt>
        <EOYAmt>11185906</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>446543314</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>234474777</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>220300286</BOYAmt>
        <EOYAmt>212068537</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>72052760</BOYAmt>
        <EOYAmt>84569244</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>619074</BOYAmt>
        <EOYAmt>411914</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>210233723</BOYAmt>
        <EOYAmt>193225334</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>556755508</BOYAmt>
        <EOYAmt>578584448</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>32438240</BOYAmt>
        <EOYAmt>25418062</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>581658</BOYAmt>
        <EOYAmt>661619</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>186974000</BOYAmt>
        <EOYAmt>178049999</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>56081981</BOYAmt>
        <EOYAmt>86154740</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>107291232</BOYAmt>
        <EOYAmt>95437947</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>383367111</BOYAmt>
        <EOYAmt>385722367</EOYAmt>
      </TotalLiabilitiesGrp>
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        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL HEALTH'S (37-1110690) SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME IN MEMORIAL HEALTH'S GOVERNING DOCUMENTS. HOWEVER, MEMORIAL HEALTH IS LISTED IN THE SUPPORTED ORGANIZATIONS' GOVERNING DOCUMENTS AS THE SOLE CORPORATE MEMBER (PARENT) OF THE SUPPORTED ORGANIZATION (SPRINGFIELD MEMORIAL HOSPITAL, JACKSONVILLE MEMORIAL HOSPITAL, LINCOLN MEMORIAL HOSPITAL, TAYLORVILLE MEMORIAL HOSPITAL, DECATUR MEMORIAL HOSPITAL, MEMORIAL BEHAVIORAL HEALTH, LINCOLN MEMORIAL FOUNDATION, TAYLORVILLE MEMORIAL FOUNDATION, JACKSONVILLE MEMORIAL FOUNDATION, MEMORIAL HOME CARE, MEMORIAL MEDICAL GROUP, MEMORIAL HEALTH VENTURES) OR IS THE SOLE CORPORATE MEMBER (PARENT) OF THE SOLE CORPORATE MEMBER (SUBSIDIARY) LISTED IN THE SUPPORTED ORGANIZATION'S GOVERNING DOCUMENTS (SPRINGFIELD RESIDENTIAL SERVICES, JACKSONVILLE CRNA'S, SPRINGFIELD MEMORIAL FOUNDATION, DECATUR MEMORIAL FOUNDATION). ALL SUPPORTED ORGANIZATIONS ARE CONSIDERED RELATED ORGANIZATIONS OF THE FILING ORGANIZATION AND ARE DISCLOSED ON SCHEDULE R, PART II. MEMORIAL HEALTH HAS SUPPORTED THESE RELATED ORGANIZATIONS SINCE EACH ORGANIZATION BECAME A RELATED ORGANIZATION IN FURTHERANCE OF MEMORIAL HEALTH'S TAX-EXEMPT MISSION, THUS DEMONSTRATING THE EXISTENCE OF A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN THE SUPPORTING ORGANIZATION AND ITS SUPPORTED ORGANIZATIONS. ALL SUPPORTED ORGANIZATIONS OF MEMORIAL HEALTH ARE DESIGNATED BY THE CLASS AND/OR PURPOSE, WHICH AS STATED IN MEMORIAL HEALTH'S GOVERNING DOCUMENTS IS DESCRIBED AS FOLLOWS: "TO ESTABLISH, ACQUIRE, SUPPORT, ERECT, MAINTAIN, OWN AND EQUIP HEALTH CARE PROVIDERS AND INSTITUTIONS, INCLUDING, WITHOUT LIMITING THE FOREGOING, HOSPITALS, NURSING HOMES, SKILLED NURSING FACILITIES, INTERMEDIATE CARE FACILITIES AND AMBULATORY CARE CENTERS; TO CONDUCT, SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE CHARITABLE, EDUCATIONAL, SCIENTIFIC AND SCHOLASTIC PROGRAMS AND ACTIVITIES AND OTHER ACTIVITIES AND PROGRAMS ANCILLARY TO AND IN SUPPORT OF THE FOREGOING; TO FOSTER, PROMOTE, SUPPORT, DEVELOP, ENCOURAGE, MAINTAIN, RECEIVE AND ACCEPT FUNDS, GIFTS AND CONTRIBUTIONS FOR AND ON BEHALF OF SUCH ACTIVITIES; AND TO ESTABLISH, CONDUCT, SPONSOR, ACQUIRE, OWN, MAINTAIN AND OPERATE SUCH OTHER ENTITIES AND ACTIVITIES WHICH IN THE OPINION OF THE BOARD OF DIRECTORS AND AT ITS DISCRETION, WILL SUPPORT THE FOREGOING, EXCLUSIVELY FOR THE BENEFIT OF AN TO CARRY OUT SOME OR ALL OF THE PURPOSES OF ORGANIZATIONS DESCRIBED IN EITHER SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR ANY SUBSEQUENT LAW OF THE UNITED STATES. IN NO INSTANCES, HOWEVER, WILL THE CORPORATION ENGAGE IN THE PRACTICE OF MEDICINE."</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MH EXISTS TO SUPPORT THE SUPPORTED ORGANIZATIONS AS AN ADMINISTRATIVE PARENT ORGANIZATION. EACH SUPPORTED ORGANIZATION POOLS ITS INVESTMENTS UNDER MH INVESTMENT POLICY AND GOVERNANCE. THE ASSETS AND INCOME OF MH ARE USED TO SUPPORT THE OPERATION AND ADMINISTRATION TO SUPPORT ALL SUPPORTED ORGANIZATIONS.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3A</FormAndLineReferenceDesc>
        <ExplanationTxt>MH IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL HEALTH IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER, MEMORIAL HEALTH PROVIDES OVERALL DIRECTION, MANAGEMENT AND CONTROL OVER ITS SUPPORTED ORGANIZATIONS. MEMORIAL HEALTH ALSO HAS CERTAIN RESERVED POWERS. FOR EXAMPLE, ALL CAPITAL AND OPERATING BUDGETS MUST BE APPROVED BY MEMORIAL HEALTH.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
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        <Desc>PROFESSIONAL LIABILITY</Desc>
        <Amt>47254478</Amt>
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        <Desc>RESERVE FOR POST EMPLOYMENT BENEFITS</Desc>
        <Amt>10827287</Amt>
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        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>17808</Amt>
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        <Desc>RESTORATION PLAN</Desc>
        <Amt>4476169</Amt>
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        <Desc>UNAMORTIZED BOND PREMIUMS, DISCOUNTS AND ISSUE COSTS</Desc>
        <Amt>980401</Amt>
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        <Desc>ASC842 LIABILITY</Desc>
        <Amt>3849867</Amt>
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        <Amt>237345</Amt>
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        <Desc>CAPITAL LEASE NONCURRENT</Desc>
        <Amt>6598260</Amt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH OF MH'S SUBSIDIARIES, EXCLUDING THOSE DESCRIBED IN THE FOLLOWING PARAGRAPH, IS A SEPARATELY INCORPORATED NOT-FOR-PROFIT CORPORATION AS DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE AND IS TAX-EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THEY DO, HOWEVER, OPERATE CERTAIN PROGRAMS THAT MAY RESULT IN UNRELATED BUSINESS INCOME. UPON REVIEW AS REQUIRED BY ASC 740, INCOME TAXES, NO TAX PROVISION WAS RECORDED FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2023 OR 2022. MH IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019. QALICB, MCDEKK, AND MHP ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES AND ARE EXEMPT FROM INCOME TAX. MHSCI IS A TAXABLE FOR-PROFIT CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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        <GrantTypeTxt>EDUCATION GRANT</GrantTypeTxt>
        <RecipientCnt>21</RecipientCnt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL HEALTH'S EDUCATIONAL GRANT PROGRAM PROVIDES THE OPPORTUNITY FOR COLLEAGUES TO PURSUE ADDITIONAL EDUCATION IN EXCHANGE FOR A WORK COMMITMENT ONCE THE EDUCATION IS COMPLETED. EDUCATION GRANTS ARE AVAILABLE TO THOSE PURSUING HEALTH CARE CAREERS THAT ARE DEEMED CRITICAL TO THE ORGANIZATION'S PRESENT OR PROJECTED STAFFING NEEDS. GRANT APPLICATIONS FOR ALL OTHER CAREERS WILL BE REVIEWED ON A CASE-BY-CASE BASIS WITH A FINAL DETERMINATION TO BE MADE BY THE MH WORKFORCE STRATEGIES ADVISORY COUNCIL.</ExplanationTxt>
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        <PersonNm>ANNA EVANS JD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHRYN KEIM</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMESON ROSZHART</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELISABETH KLAR</PersonNm>
        <TitleTxt>SVP &amp; CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
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        <PersonNm>AIMEE DAILY PHD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DREW EARLY</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>W SCOTT BOSTON MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOLAN DALPOAS</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AKINDELE ADARAMOLA MD</PersonNm>
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        <PersonNm>ROBERT SCOTT</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARTER TRAVEL IS OCCASIONALLY PROVIDED FOR EXECUTIVES/KEY EMPLOYEES ATTENDING OFF-SITE BUSINESS RELATED MEETINGS, SO AS TO MINIMIZE TRAVEL TIME AND ENABLE THEM TO WORK EFFICIENTLY AND SECURELY ON CONFIDENTIAL ORGANIZATION BUSINESS MATTERS. CHARTER TRAVEL IS NOT TAXABLE INCOME TO THE INDIVIDUAL BECAUSE IT IS STRICTLY RELATED TO BUSINESS TRAVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REPORTED COMPENSATION AND BENEFITS RECEIVED BY EDGAR CURTIS, PRESIDENT AND CEO OF MEMORIAL HEALTH SYSTEM, FOR CALENDAR YEAR 2022 WAS COMPRISED OF THE FOLLOWING COMPONENTS: BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER COMPENSATION, DEFERRED COMPENSATION AND OTHER NONTAXABLE BENEFITS. BASE COMPENSATION FOR MR. CURTIS WAS DETERMINED BASED ON THE METHODS DESCRIBED IN PART I, LINE 3 CONDUCTED BY INDEPENDENT COMPENSATION CONSULTANTS. BASE COMPENSATION LEVELS WERE SET BY THE LEADERSHIP COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE MH BOARD CONSISTING ENTIRELY OF MH BOARD MEMBERS WHO ARE INDEPENDENT AND WHO ARE FREE OF ANY CONFLICTS OF INTEREST. BASE COMPENSATION IS SET AT OR AROUND THE MIDDLE OF THE MARKET BASE SALARY DATA FOR HEALTHCARE ORGANIZATIONS SIMILAR TO MHS, AS MEASURED AND PRESENTED TO THE COMMITTEE BY THE INDEPENDENT COMPENSATION CONSULTANT. INCENTIVE COMPENSATION WAS CONTINGENT ON THE ACHIEVEMENT OF SPECIFIC, RIGOROUS PERFORMANCE MEASURES ACROSS ALL OF MHS, AND THOSE PERFORMANCE MEASURES WERE REVIEWED AND APPROVED IN ADVANCE BY THE LEADERSHIP COMPENSATION COMMITTEE. RETIREMENT BENEFITS IN COLUMN (B)(III) IS COMPRISED OF A $360,847 DISTRIBUTION OF VESTED AMOUNTS FROM A PENSION BENEFIT WHICH HAS BEEN EARNED OVER MANY YEARS OF SERVICE THAT WAS PREVIOUSLY ACCUMULATED WITH HIS TOTAL PENSION OBLIGATION, BUT IS DISTRIBUTED DIRECTLY BECAUSE MR. CURTIS IS FULLY VESTED. ALSO INCLUDED IN RETIREMENT BENEFITS IN COLUMN (B)(III) IS A VESTED AMOUNT OF $243,176 THAT WAS PREVIOUSLY DEPOSITED IN A DEFERRED COMPENSATION PLAN, BUT ARE NOW ALSO DISTRIBUTED DIRECTLY DUE TO BEING FULLY VESTED. THE FOLLOWING LISTED INDIVIDUALS RECEIVED THE FOLLOWING AMOUNTS IN THE FORM OF SEVERANCE BENEFITS, IN CONNECTION WITH A QUALIFYING TERMINATION OF EMPLOYMENT DURING OR PRIOR TO THE YEAR BEING REPORTED: DAVID GRAHAM M.D. $125,562 AND ROBERT SCOTT $312,450. ALL SEVERANCE PAY AMOUNTS WERE PROVIDED UNDER PREVIOUSLY APPROVED SEVERANCE PAY AGREEMENTS, AND ARE TRIGGERED ONLY BY CERTAIN TYPES OF EMPLOYMENT TERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN LISTED INDIVIDUALS PARTICIPATE IN NONQUALIFIED DEFERRED COMPENSATION PLANS OF MEMORIAL HEALTH SYSTEM (MHS), A RELATED ORGANIZATION AND CENTRAL ORGANIZATION OF THE GROUP EXEMPTION. MHS CREDITS ANNUAL CONTRIBUTION AMOUNTS TO THESE PLANS, AND THESE AMOUNTS SERVE TO PROVIDE SUPPLEMENTAL RETIREMENT INCOME TO THESE INDIVIDUALS. ALL CREDITED AMOUNTS ARE REVIEWED AND APPROVED BY A COMMITTEE OF THE MHS BOARD AS PART OF REASONABLE TOTAL COMPENSATION. ALL AMOUNTS CREDITED ARE UNVESTED WHILE THE EXECUTIVE IS REQUIRED TO PROVIDE SUBSTANTIAL FUTURE SERVICES, AND THEN ARE TAXED IN FULL WHEN THE SERVICE PERIOD IS COMPLETED AND THE AMOUNTS BECOME VESTED. ALL AMOUNTS CREDITED TO THESE EXECUTIVES UNDER THESE PLANS ARE INCLUDED IN COLUMN (C) AS UNVESTED, NONTAXABLE DEFERRED COMPENSATION WHEN FIRST CREDITED, AND THEN ARE AGAIN INCLUDED IN COLUMN (B)(III) WHEN THE AMOUNTS BECOME VESTED AND ARE SUBJECT TO TAX. THE AMOUNTS INCLUDED IN COLUMN (F) FOR CERTAIN INDIVIDUALS REPRESENT AMOUNTS THAT WERE REPORTED ON PRIOR FORM 990S FOR PRIOR YEARS, AND SHOULD BE SUBTRACTED FROM THE TOTAL COMPENSATION IN COLUMN (E) TO RESULT IN A MORE ACCURATE TOTAL COMPENSATION FOR CALENDAR YEAR 2022. THE FOLLOWING CURRENT OR FORMER OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM MHS OR A RELATED ORGANIZATION: CHARLES CALLAHAN, PH.D. $154,765, EDGAR CURTIS $604,024, AIMEE DAILY PH.D. $39,923, DOLAN DALPOAS $51,064, J. TRAVIS DOWELL $32,061, KEVIN ENGLAND $58,007, ANNA EVANS, J.D. $137,115, RAJESH GOVINDAIAH $113,496, DAVID GRAHAM, M.D. $880,198, MARSHA PRATER PH.D. $60,388, AND JAMESON ROSZHART $37,215. TO BECOME ENTITLED TO THE BENEFITS PROVIDED, EACH COVERED EMPLOYEE MUST MEET SUBSTANTIAL REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, IF EVER, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES AND NOT MET THESE SUBSTANTIAL REQUIREMENTS, THESE SUPPLEMENTAL RETIREMENT BENEFITS WOULD HAVE BEEN FORFEITED. THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ACCORDINGLY, ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE. THE LEADERSHIP COMPENSATION COMMITTEE OF THE MHS BOARD APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER SENIOR LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ILLINOIS FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>861091967</BondIssuerEIN>
        <CUSIPNum>45204EU22</CUSIPNum>
        <BondIssuedDt>2019-02-05</BondIssuedDt>
        <IssuePriceAmt>148436538</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ILLINOIS FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>861091967</BondIssuerEIN>
        <BondIssuedDt>2020-09-11</BondIssuedDt>
        <IssuePriceAmt>55510000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ILLINOIS FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>861091967</BondIssuerEIN>
        <BondIssuedDt>2015-11-30</BondIssuedDt>
        <IssuePriceAmt>22778000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>16225000</RetiredAmt>
        <TotalProceedsAmt>148436538</TotalProceedsAmt>
        <CapitalExpendituresAmt>42654388</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>105782150</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>4725000</RetiredAmt>
        <TotalProceedsAmt>55510000</TotalProceedsAmt>
        <RefundingEscrowAmt>54930000</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>580000</IssuanceCostsFromProceedsAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>9293000</RetiredAmt>
        <TotalProceedsAmt>22778000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>270707</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>22432282</OtherSpentProceedsAmt>
        <UnspentAmt>75011</UnspentAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>0</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>1</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>1</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00080</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.02100</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.02180</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>1</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.01950</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.01950</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>1</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K</FormAndLineReferenceDesc>
        <ExplanationTxt>ONE SCHEDULE K WAS COMPLETED AT THE PARENT LEVEL ONLY. HOWEVER, EACH AFFILIATE IS STILL SHOWING ITS ALLOCATION OF THE LIABILITY ON THE BALANCE SHEET, AS CAN BE SEEN ON THE GROUP RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K PART I, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE 2015 ISSUE WAS TO CURRENT REFUND $22,432,282 OF THE CITY OF JACKSONVILLE ILLINOIS ADJUSTABLE RATE DEMAND INDUSTRIAL REVENUE IMPROVEMENT BONDS, SERIES 2006B. THE PROCEEDS WERE ALSO USED TO PAY ISSUANCE EXPENSES OF THE BOND ISSUANCE. THE PURPOSE OF THE 2019 ISSUE WAS TO REFINANCE THE 2009 SERIES AND UPGRADE THE SPRINGFIELD CAMPUS'S EMERGENCY POWER SYSTEM; UPGRADE MEMORIAL HEALTH SYSTEMS REVENUE CYCLE SOFTWARE; RENOVATE AND EQUIP MEMORIAL MEDICAL CENTER'S OR, ICU AND SEVERAL OTHER AREAS IN MEMORIAL MEDICAL CENTER, AND ROUTINE CAPITAL EXPENDITURES. THE PURPOSE OF THE TAX-EXEMPT 2020 ISSUE WAS TO FULLY REFINANCE THE 2014B SERIES FOR $55,510,000 AND PAY ASSOCIATED ISSUANCE COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K PART II, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PROCEEDS ISSUED AMOUNT IN COLUMNS A &amp; B DOES NOT TIE TO PART I COLUMN (E) DUE TO INVESTMENT EARNINGS INCLUDED IN PART II, LINE 3.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K PART II, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>$22,432,282 OF THE 2015 ISSUE WAS USED TO REFUND THE 2006B SERIES. $105,782,150 OF THE 2019 ISSUE WAS USED TO REFINANCE THE 2009 SERIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K PART III, LINE 3B &amp; 3D</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL HEALTH SYSTEM'S INTERNAL COUNSEL, AS WELL AS EXTERNAL BOND COUNSEL, ROUTINELY REVIEWS MANAGEMENT AND SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO FINANCED PROPERTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K PART IV, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ARBITRAGE REBATE FILING IS ONLY REQUIRED EVERY 5 YEARS, AND NO REBATABLE ARBITRAGE HAS BEEN EARNED FOR ISSUES AT SUCH 5 YEAR ANNIVERSARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>HENRY HURWITZ</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>232922</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>HURWITZ ENTERPRISE</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>135400</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>LEVI RAY AND SHOUP</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>683796</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRAL ILLINOIS SECURITY</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>257764</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MADELINE SCHULTE</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>65417</TransactionAmt>
        <TransactionDesc>SEE PART V</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>(A) NAME OF PERSON: HENRY HURWITZ</FormAndLineReferenceDesc>
        <ExplanationTxt>(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; SON OF JOSEPH HURWITZ, MH BOARD MEMBER(C) AMOUNT OF TRANSACTIONS: $232,922(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH PAID COMPENSATION AND BENEFITS OF $232,922 TO HENRY HURWITZ RELATED TO EMPLOYMENT SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2023. HENRY HURWITZ IS THE SON OF JOSEPH HURWITZ, MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>(A) NAME OF PERSON: HURWITZ ENTERPRISE</FormAndLineReferenceDesc>
        <ExplanationTxt>(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS 100% OWNER HURWITZ ENTERPRISE(C) AMOUNT OF TRANSACTIONS: $135,400(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH PAID FEES OF $135,400 TO HURWITZ ENTERPRISE FOR THE YEAR ENDED SEPTEMBER 30, 2023. JOSEPH HURWITZ IS A MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>(A) NAME OF PERSON: LEVI, RAY AND SHOUP</FormAndLineReferenceDesc>
        <ExplanationTxt>(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS 100% OWNER OF LEVI, RAY AND SHOUP(C) AMOUNT OF TRANSACTIONS: $683,796(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH PAID FEES TO LEVI, RAY AND SHOUP FOR SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2023. RICHARD LEVI IS A MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS AND IS PRESIDENT AND 100% OWNER OF LEVI, RAY AND SHOUP. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>(A) NAME OF PERSON: CENTRALL ILLINOIS SECURITY</FormAndLineReferenceDesc>
        <ExplanationTxt>(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER IS 100% OWNER OF CENTRAL ILLINOIS SECURITY(C) AMOUNT OF TRANSACTIONS: $257,764(D) DESCRIPTION OF TRANSACTION: MEMORIAL PAID FEES TO CENTRAL ILLINOIS SECURITY FOR SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2023. RICHARD LEVI IS A MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS AND IS PRESIDENT AND 100% OWNER OF CENTRAL ILLINOIS SECURITY. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>(A) NAME OF PERSON: MADELINE SCHULTE</FormAndLineReferenceDesc>
        <ExplanationTxt>(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: EMPLOYEE; DAUGHTER OF CHARLES CALLAHAN, KEY EMPLOYEE(C) AMOUNT OF TRANSACTIONS: $65,417(D) DESCRIPTION OF TRANSACTION: MEMORIAL HEALTH PAID COMPENSATION AND BENEFITS OF $65,417 TO HENRY HURWITZ RELATED TO EMPLOYMENT SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2023. MADELINE SCHULTE IS THE DAUGHTER OF CHARLES CALLAHAN, KEY EMPLOYEE OF MEMORIAL HEALTH. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.(E) SHARING OF ORGANIZATION REVENUES: NO</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF VENDORS REPORTED ON THE 1096 IS FOR ALL MEMORIAL HEALTH AFFILIATES. MEMORIAL HEALTH IS A COMMON PAY AGENT FOR ALL THE AFFILIATES AND REPORTS ALL VENDORS UNDER ITS EIN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF EMPLOYEES REPORTED ON THE W-3 IS FOR ALL MEMORIAL HEALTH AFFILIATES. MEMORIAL HEALTH IS A COMMON PAY AGENT FOR ALL THE AFFILIATES AND REPORTS ALL EMPLOYEES UNDER ITS EIN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHAEL AIELLO, JENNIFER GILL, SERGIO PECORI, AND ED CURTIS HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT COPY OF THE MH FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE MEMORIAL HEALTH BOARD OF DIRECTORS AND A BOARD COMMITTEE PRIOR TO FILING. ALL QUESTIONS AND COMMENTS ARISING FROM THESE REVIEWS ARE ADDRESSED PRIOR TO SUBMISSION OF THE RETURN TO THE APPROPRIATE TAXING AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE CORPORATION ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A SPECIFIC DISCLOSURE STATEMENT WHICH IS ATTACHED TO THE POLICY. MEMORIAL HEALTH MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING AGENDA IS PREPARED. ANY OFFICER OR DIRECTOR WHO HAS A CONFLICT IS NOTIFIED OF SUCH CONFLICT, AS WELL AS THEIR OBLIGATION TO ABSTAIN FROM THE DISCUSSION AND VOTE ON ANY CONFLICTED ISSUES(S). SUCH ABSTENTION(S), IF REQUIRED, ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENTS PROMPTLY IN THE EVENT OF ANY CHANGE IN PERSONAL OR BUSINESS ACTIVITIES THAT WOULD REQUIRE SUCH DISCLOSURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMORIAL HEALTH BOARD OF DIRECTORS HAS APPOINTED A LEADERSHIP COMPENSATION COMMITTEE MADE UP OF PAST AND PRESENT INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS, AND HAS DELEGATED TO IT THE RESPONSIBILITY OF ADMINISTERING, OVERSEEING AND APPROVING ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE LEADERSHIP, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER AND OTHER SENIOR VICE PRESIDENTS, WHO ARE KEY EMPLOYEES. THE BOARD HAS ADOPTED A LEADERSHIP COMPENSATION PHILOSOPHY STATEMENT DESCRIBING THE ROLE AND RESPONSIBILITIES OF THE COMMITTEE. THIS PHILOSOPHY EXPRESSLY STATES THE COMMITTEE'S INTENT, ON BEHALF OF THE CORPORATION, TO TAKE ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE COMMITTEE ANALYZES EVERY ELEMENT OF COMPENSATION (INCLUDING CURRENT, INCENTIVE AND DEFERRED COMPENSATION) AND BENEFITS (INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS). THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. IN CONNECTION WITH THE MOST RECENT REVIEW AND APPROVAL PROCESS, THE COMMITTEE RECEIVED PROFESSIONAL ADVICE FROM AN INDEPENDENT CONSULTANT AND OUTSIDE LEGAL COUNSEL. THE COMMITTEE CONSISTS ENTIRELY OF PAST AND PRESENT DISINTEREST MEMBERS OF THE BOARD OR DISINTERESTED COMMITTEE MEMBERS WHO UNDER STATE CORPORATE LAW MAY SERVE ON SUCH A COMMITTEE. THE COMMITTEE WORKS WITH ITS COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATE ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS OF MEMORIAL HEALTH, SUCH AS ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE ILLINOIS SECRETARY OF STATE'S OFFICE. THESE GOVERNING DOCUMENTS, AS WELL AS THE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE UPON REQUEST FROM THE CORPORATION. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NONOPERATING RECONCILING ITEMS -120,699,118. CHANGE IN UNRESTRICTED NET ASSETS 146,754,577. INCOME STATEMENT BOOK/TAX DIFF -253,442.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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          <BusinessNameLine1Txt>MEMORIAL HEALTH PARTNERS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 NORTH 1ST STREET</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62781</ZIPCd>
        </USAddress>
        <EIN>463947269</EIN>
        <PrimaryActivitiesTxt>TO COORDINATE PATIENT CARE ACTIVITIES ACROSS THE HEALTHCARE CONTINUUM</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <TotalIncomeAmt>67768037</TotalIncomeAmt>
        <EndOfYearAssetsAmt>500227</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MHS QALICB LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 NORTH 1ST STREET</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62781</ZIPCd>
        </USAddress>
        <EIN>475644450</EIN>
        <PrimaryActivitiesTxt>TO FACILITATE NEW MARKETS TAX CREDITS TRANSACTIONS RELATED TO SIU</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <TotalIncomeAmt>631402</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MCDEKK LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 NORTH 1ST STREET</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62781</ZIPCd>
        </USAddress>
        <EIN>822701739</EIN>
        <PrimaryActivitiesTxt>TO FACILITATE FACTORING OF RECEIVABLES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>10000</EndOfYearAssetsAmt>
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          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPRINGFIELD MEMORIAL HOPSITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 NORTH FIRST ST</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>627810001</ZIPCd>
        </USAddress>
        <EIN>370661220</EIN>
        <PrimaryActivitiesTxt>HOSPITAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JACKSONVILLE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1600 WEST WALNUT STREET</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62650</ZIPCd>
        </USAddress>
        <EIN>370661230</EIN>
        <PrimaryActivitiesTxt>HOSPITAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LINCOLN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 STAHLHUT DR</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62656</ZIPCd>
        </USAddress>
        <EIN>370723793</EIN>
        <PrimaryActivitiesTxt>HOSPITAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TAYLORVILLE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>201 EAST PLEASANT</AddressLine1Txt>
          <CityNm>TAYLORVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62568</ZIPCd>
        </USAddress>
        <EIN>370661250</EIN>
        <PrimaryActivitiesTxt>HOSPITAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DECATUR MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2300 N EDWARD</AddressLine1Txt>
          <CityNm>DECATUR</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62526</ZIPCd>
        </USAddress>
        <EIN>370661199</EIN>
        <PrimaryActivitiesTxt>HOSPITAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEMORIAL HOME CARE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>720 NORTH BOND</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>627024915</ZIPCd>
        </USAddress>
        <EIN>370714225</EIN>
        <PrimaryActivitiesTxt>HOME HEALTH AND HOSPICE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPRINGFIELD MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 NORTH FIRST ST</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>627810001</ZIPCd>
        </USAddress>
        <EIN>371110301</EIN>
        <PrimaryActivitiesTxt>GRANTS TO HOSPITAL, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SPRINGFIELD MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TAYLORVILLE MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>201 EAST PLEASANT</AddressLine1Txt>
          <CityNm>TAYLORVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62568</ZIPCd>
        </USAddress>
        <EIN>371337485</EIN>
        <PrimaryActivitiesTxt>GRANTS TO OTHER CHARITABLE ORGANIZATINS AND HOSPITALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TAYLORVILLE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 NORTH FIRST ST</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>627026395</ZIPCd>
        </USAddress>
        <EIN>370646367</EIN>
        <PrimaryActivitiesTxt>TRAINING, PSYCHIATRIC, AND RESIDENT SERVICES FOR MENTALLY ILL AND DISABLED</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SPRINGFIELD RESIDENTAL SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 NORTH FIRST ST</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62702</ZIPCd>
        </USAddress>
        <EIN>371298589</EIN>
        <PrimaryActivitiesTxt>RESIDENTIAL HUD HOUSING PROJECT FOR MENTALLY ILL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL BEHAVORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JACKSONVILLE MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1600 WEST WALNUT STREET</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62650</ZIPCd>
        </USAddress>
        <EIN>471037396</EIN>
        <PrimaryActivitiesTxt>GRANTS TO HOSPITAL, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>JACKSONVILLE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LINCOLN MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>200 STAHLHUT DR</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62656</ZIPCd>
        </USAddress>
        <EIN>363492268</EIN>
        <PrimaryActivitiesTxt>GRANTS TO OTHER CHARITABLE ORGANIZATINS AND HOSPITALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>JACKSONVILLE CRNA'S INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1600 WEST WALNUT STREET</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62650</ZIPCd>
        </USAddress>
        <EIN>273093265</EIN>
        <PrimaryActivitiesTxt>CRNA SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>JACKSONVILLE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEMORIAL MEDICAL GROUP</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 NORTH FIRST ST</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62781</ZIPCd>
        </USAddress>
        <EIN>371181194</EIN>
        <PrimaryActivitiesTxt>HEALTH CLINICS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH VENTURES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>701 NORTH FIRST ST</AddressLine1Txt>
          <CityNm>SPRINGFIELD</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62781</ZIPCd>
        </USAddress>
        <EIN>363492266</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE ACTIVITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEMORIAL HEALTH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DECATUR MEMORIAL FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2300 N EDWARD</AddressLine1Txt>
          <CityNm>DECATUR</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>62526</ZIPCd>
        </USAddress>
        <EIN>454256254</EIN>
        <PrimaryActivitiesTxt>GRANTS TO HOSPITAL, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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