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        <ExplanationTxt>ABHS SUPPORTS THE PROVISION OF HEALTHCARE SERVICES AT THE CORPORATIONS TO WHICH IT IS THE NATIONAL MEMBER BY THE PROVISION OF CENTRALIZED ADMINISTRATIVE SUPPORT, INCLUDING SERVICES SUCH AS MISSION INTEGRATION, ACCOUNTING, ACCOUNTS PAYABLE, TREASURY (INCLUDING CASH, INVESTMENT AND DEBT MANAGEMENT), INSURANCE, PAYROLL, HUMAN RESOURCES, COMPLIANCE, LEGAL, EDUCATION, WELLNESS, AND PATIENT SAFETY AND QUALITY. ALL COSTS OF ABHS ARE CHARGED TO THE MEMBERS THROUGH A MANAGEMENT FEE. TRANSACTIONS WITH EACH MEMBER ARE DELINEATED ON SCHEDULE R.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization supports Ascension Sponsor (the Canonical sponsor which was formed by the founding sponsors and which has been conferred public juridic personality by decree of The Congregation for Institutes of Consecrated Life and Societies of Apostolic Life of the Roman Catholic Church) and such other of the Ascension organizations that qualify under Sections 509(a)(1) or 509(a)(2) of the Code. ABHS doesn't list the supported entities-each supported entity lists ABHS. There is a historic and continuing relationship between ABHS and each of its supported entities. ABHS currently provides support in the form of services such as accounting, payroll, legal, compliance and other administrative support, and has also provided this support in the past.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies</FormAndLineReferenceDesc>
        <ExplanationTxt>BY VIRTUE OF OVERLAPPING BOARD MEMBERS, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S DAILY OPERATIONS. THE INVESTMENTS ARE HELD AT THE NATIONAL SYSTEM OFFICE BY ASCENSION HEALTH. THE ASCENSION SPONSOR, THROUGH ITS CONTROL OF THE ASCENSION BOARD, CONTROLS THE SYSTEM'S INTEGRATED STRATEGIC OPERATIONAL FINANCIAL PLAN, ANNUAL TARGETS AND INITIATIVES. WITHIN THIS OPERATIONAL FRAMEWORK, CERTAIN EXPENDITURES OF FUNDS, CAPITAL INVESTMENTS, ISSUANCE OF DEBT, ETC. ARE SUBJECT TO ASCENSION-LEVEL APPROVAL.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee</FormAndLineReferenceDesc>
        <ExplanationTxt>Alexian Brothers Health System, as the National member, has the authority to approve changes to the governing documents of its supported organizations; approve the mission and vision statements for its respective supported organizations; approve the formation or acquisition of legal entities; and, appoint, upon the recommendation of the governing board of the applicable supported organization, or removal, the Board Chair and members of the governing board of such supported organization.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>All decisions that have a material impact to each of the supporting organization's financial information or corporation as a whole are subject to approval by the national Member, Alexian Brothers Health System.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="16000421" softwareVersionNum="2016v3.0">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="16000421" softwareVersionNum="2016v3.0">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>207527</BeginningYearBalanceAmt>
        <ContributionsAmt>34191</ContributionsAmt>
        <EndYearBalanceAmt>241718</EndYearBalanceAmt>
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      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>207527</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>207527</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>191127</BeginningYearBalanceAmt>
        <ContributionsAmt>0</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>19849</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>3449</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>207527</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>646997</BeginningYearBalanceAmt>
        <ContributionsAmt>0</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>0</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>455870</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>0</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>191127</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>3202679</BeginningYearBalanceAmt>
        <ContributionsAmt>250</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-44617</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>2511315</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>646997</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.0</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1770000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1770000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6788468</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1240023</DepreciationAmt>
        <BookValueAmt>5548445</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3185443</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2036668</DepreciationAmt>
        <BookValueAmt>1148775</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2297461</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>895671</DepreciationAmt>
        <BookValueAmt>1401790</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>1523600</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>2954259</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>210054</DepreciationAmt>
        <BookValueAmt>4267805</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>14136815</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Flex Plan Capital Accum</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Investment Deposit Other</Desc>
        <BookValueAmt>315185273</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Interest in investments held by Ascension</Desc>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Trustee held</Desc>
        <BookValueAmt>16799672</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>Restricted Fund INVestments</Desc>
        <BookValueAmt>5848294</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>337833239</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>Other Assets- Miscellaneous</Desc>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Land held for future development</Desc>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Cash surender value</Desc>
        <BookValueAmt>6778495</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due from affiliates</Desc>
        <BookValueAmt>11973127</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other Miscellaneous Assets</Desc>
        <BookValueAmt>6847315</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other Receivables</Desc>
        <BookValueAmt>38341227</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Third party receivables</Desc>
        <BookValueAmt>13154161</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>77094325</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Unclaimed Property</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Notes Payable</Desc>
        <Amt>377815377</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FLex Plan Liability</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Pension and Other Post retirement Liability</Desc>
        <Amt>24252295</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Intercompany Accounts Payable</Desc>
        <Amt>1856245</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Liabilities</Desc>
        <Amt>5814695</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>409738612</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="16000421" softwareVersionNum="2016v3.0">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>TrueSense Marketing Donor Engagement Team</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>155 Commerce Drive</AddressLine1Txt>
          <CityNm>Freedom</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15042</ZIPCd>
        </USAddress>
        <ActivityTxt>telephone solicitation</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>39076</GrossReceiptsAmt>
        <RetainedByContractorAmt>24253</RetainedByContractorAmt>
        <NetToOrganizationAmt>14823</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>39076</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>24253</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>14823</TotalNetToOrganizationAmt>
      <LicensedStatesCd>IL</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>2017 Ball de Fleur</Event1Nm>
        <GrossReceiptsEvent1Amt>585407</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>433572</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>151835</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>47684</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>87571</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>12750</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>139169</OtherDirectExpensesEvent1Amt>
        <Event2Nm>2016 Golf Classic</Event2Nm>
        <GrossReceiptsEvent2Amt>155060</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>114100</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>40960</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>10000</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>24088</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>14828</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>3</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>141392</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>97435</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>43957</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>1218</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>33967</FoodAndBeverageOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>9945</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>881859</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>645107</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>236752</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>58902</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>145626</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>12750</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>163942</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>381220</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-144468</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>33570</GrossRevenueOtherGamingAmt>
        <CashPrizesOtherGamingAmt>2500</CashPrizesOtherGamingAmt>
        <NonCashPrizesOtherGamingAmt>3400</NonCashPrizesOtherGamingAmt>
        <RentFcltyCostsOtherGamingAmt>0</RentFcltyCostsOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>0</OthDirectExpnssOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>false</VolunteerLaborOtherGamingInd>
        <GrossRevenueTotalGamingAmt>33570</GrossRevenueTotalGamingAmt>
        <CashPrizesTotalGamingAmt>2500</CashPrizesTotalGamingAmt>
        <NonCashPrizesTotalGamingAmt>3400</NonCashPrizesTotalGamingAmt>
        <RentFcltyCostsTotalGamingAmt>0</RentFcltyCostsTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>0</OthDirectExpnssTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>5900</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>27670</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>IL</StatesWhereGamingConductedCd>
      <LicensedInd>true</LicensedInd>
      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>true</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>false</MemberOfOtherEntityInd>
      <GamingOtherFacilityPct>1.0</GamingOtherFacilityPct>
      <IndividualWithBooksNm>Julie Baker</IndividualWithBooksNm>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>3040 West Salt Creek</AddressLine1Txt>
        <CityNm>Arlington Heights</CityNm>
        <StateAbbreviationCd>IL</StateAbbreviationCd>
        <ZIPCd>60005</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>false</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerBusinessName>
        <BusinessNameLine1Txt>JULIE BAKER</BusinessNameLine1Txt>
      </GamingManagerBusinessName>
      <GamingManagerCompensationAmt>1979</GamingManagerCompensationAmt>
      <GamingManagerServicesProvTxt>JULIE BAKER MANAGES FOUNDATION FUNDRAISING EVENTS AND RAFFLES HELD AT EVENTS. TWO PERCENT OF HER (FULLY-LOADED) SALARY HAS BEEN ESTIMATED TO BE COMPENSATION DIRECTLY RELATED TO RAFFLE MANAGEMENT.</GamingManagerServicesProvTxt>
      <GamingManagerIsEmployeeInd>X</GamingManagerIsEmployeeInd>
      <CharitableDistributionRqrInd>true</CharitableDistributionRqrInd>
      <DistributedAmt>18780</DistributedAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part I, Line 2b(v)</FormAndLineReferenceDesc>
        <ExplanationTxt>TrueSense Marketing Donor Engagement Team tracks expenses incurred and provides detail of those items as well as the professional fee charged: Fulfillment: $505 Postage: $6,483 Registration: $275 Professional fees: $81,205</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part III, Line 17 Distributions required under state law</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE=ILLINOIS,MANDATORY DISTRIBUTION AMOUNT=18780;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="16000421" softwareVersionNum="2016v3.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Alexian Brothers Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 biesterfield</AddressLine1Txt>
          <CityNm>Elk Grove Village</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60007</ZIPCd>
        </USAddress>
        <RecipientEIN>362596381</RecipientEIN>
        <IRCSectionDesc>Section 501(c)3</IRCSectionDesc>
        <CashGrantAmt>234145</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Alexius Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1555 Barrington Road</AddressLine1Txt>
          <CityNm>Hoffman Estates</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60194</ZIPCd>
        </USAddress>
        <RecipientEIN>364251846</RecipientEIN>
        <IRCSectionDesc>Section 501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>312104</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Alexian Brothers Behavioral Health Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1650 Moon Lake Blvd</AddressLine1Txt>
          <CityNm>Hoffman Estates</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60194</ZIPCd>
        </USAddress>
        <RecipientEIN>364251848</RecipientEIN>
        <IRCSectionDesc>Section 501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>317977</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Alexian Brothers Specialty Group</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3040 W Salt Creek Lane</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <RecipientEIN>800710751</RecipientEIN>
        <IRCSectionDesc>Section 501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>13925</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Alexian Brothers Center for Mental Health</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3436 N Kennicott Ave</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60004</ZIPCd>
        </USAddress>
        <RecipientEIN>363045007</RecipientEIN>
        <IRCSectionDesc>Section 501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>1548306</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Alexian Brothers Bonaventure House</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>825 W Wellington</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60657</ZIPCd>
        </USAddress>
        <RecipientEIN>363527899</RecipientEIN>
        <IRCSectionDesc>Section 501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>1308055</CashGrantAmt>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>employee assistance</GrantTypeTxt>
        <RecipientCnt>194</RecipientCnt>
        <CashGrantAmt>14448</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>Grant funds reported are disbursed to entities owned by Alexian Brothers Health System (ABHS). The disbursement of the funds is centralized within ABHS. The entity requesting funds must fill out a form that describes the use of the funds. The form must be approved by an operational Vice President in the requesting entity prior to submission. The form is then reviewed by and signed off on by executives in the ABHS Foundation and in ABHS Finance prior to approval. No funds are disbursed without going through this intensive process.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="16000421" softwareVersionNum="2016v3.0">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Robert J Henkel FACHE</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>CHAIRPERSON</TitleTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>Alexian Brothers - AHS Midwest Region Health Co., a related organization of the filing organization, uses the following methods to establish the compensation of the organization's CEO: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Compensation survey or study - Approval by the Compensation Committee</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions.</ExplanationTxt>
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        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
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        <NoRebateDueInd>true</NoRebateDueInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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        <FormAndLineReferenceDesc>Schedule K, Part I, Column (b) and Part II Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Differences between the issue price shown on Part I, column (e) and the total proceeds shown on Part II, line 3 are due to investment earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 4 Reserve Funds Gross Proceeds</FormAndLineReferenceDesc>
        <ExplanationTxt>Only amounts constituting debt service reserve funds are included on line 4. In addition, ABHS has the following amounts at June 30, 2017 in debt service funds: $42,333 for Series 2008; $4,428,882 for Series 2010.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 4 Col. A</FormAndLineReferenceDesc>
        <ExplanationTxt>At issuance, sale proceeds of the Series 2008 bonds funded a $4,500,000 debt service reserve fund. The reserve was subsequently replaced by a $4,500,000 letter of credit, and the proceeds expended on the project.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 03/14/2013</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 06/16/2015</ExplanationTxt>
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        <LoanPurposeTxt>SPLIT DOLLAR LIFE INSURANCE</LoanPurposeTxt>
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      <LoansBtwnOrgInterestedPrsnGrp>
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          <BusinessNameLine1Txt>PATRICIA CASSIDY</BusinessNameLine1Txt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="16000421" softwareVersionNum="2016v3.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a OTHER PROGRAM SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARITY CARE AND COMMUNITY BENEFITS: THE AMOUNTS AND TYPES OF CHARITY CARE AND COMMUNITY BENEFITS PROVIDED IN THE ENTIRE ALEXIAN BROTHERS HEALTH SYSTEM ARE AS FOLLOWS: CHARITY CARE AT COST - $9,289,000 EXCESS OF GOVERNMENT SPONSORED HEALTH CARE COST OVER REIMBURSEMENT - MEDICAID - $27,892,000 DONATIONS - $206,000 EDUCATION - $2,712,000 SUBSIDIZED HEALTH SERVICES - $1,575,000 OTHER COMMUNITY BENEFITS - $2,079,000 TOTAL CHARITY CARE AND COMMUNITY BENEFITS - $43,753,000 EXCESS OF GOVERNMENT SPONSORED HEALTH CARE COST OVER REIMBURSEMENT - MEDICARE - $69,195,000 BAD DEBT EXPENSE AT COST - $5,561,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Continued From Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>Through partnerships with our associates, physicians and the community, we identify and develop effective responses to the health and housing needs of those we are called to serve. Alexian Brothers Health System is a Ministry Organization of Ascension Health, the largest Catholic health system in the nation. The Alexian Brothers Health System provides the community with a full range of comprehensive healthcare services and access to the most advanced medical technology. We are passionate about delivering exceptional health care and are proud of the powerful, cutting edge technology our skilled professionals are able to access. In addition, we offer a wide range of community health services, corporate wellness programs, preventive care and education. Our ministries exist to continue the Alexian Brothers mission of caring for the sick, the poor and the dying and promoting the physical, mental, spiritual and social health and well-being of all individuals we serve. Adventist Health System Sunbelt Healthcare Corporation and Ascension Health, the sponsors of Adventist Midwest Health (AMH) and Alexian Brothers Health System (ABHS), respectively, entered into an Affiliation Agreement that established the Joint Operating Company, Alexian Brothers-AHS Midwest Region Health Co. which became operational on February 1, 2015. The purpose of the Joint Operating Company is to provide a financially and operationally integrated organization for the common management and operation of the health care facilities and operations of AMH and ABHS while preserving the Adventist and Catholic identities and mission priorities that define AMH and ABHS, respectively. In April 2015, AMITA Health was announced as the d/b/a for Alexian Brothers-AHS Midwest Region Health Co. The word AMITA is inspired by words from several languages: friendship in Italian, honesty and truth in Hebrew, and spiritual light and boundlessness in Hindi. These words reflect our core values of friendship, truth, and mutual respect for all, as well as our faith-based call to healing. Although the name is new, the values of our two great organizations will continue to be the foundation of who we are and how we care for our communities into the future. The dedication and promise our caregivers show every day to our patients, their families and each other is deeply rooted in the new name - AMITA Health. Locations Alexian Brothers Medical Center Ranked 10th in the Chicago Metro Area and Illinois by US News &amp; World Report, Alexian Brothers Medical Center (ABMC), is a 387-bed acute care hospital located in Elk Grove Village, Illinois that has been providing outstanding healthcare to the residents of the Chicago's northwest suburbs for more than 40 years. Located at 800 Biesterfield Road, ABMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart &amp; Vascular Institute, as well as additional specialties in Older Adult (including an emergency room designed for seniors, a geropsych unit and a new hospice residence), Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. It also includes a 66-bed inpatient rehabilitation hospital. ABMC is a Certified Comprehensive Stroke Center and has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, Acute Myocardial Infarction, and Joint Replacement. ABMC is regionally ranked in 6 specialties and high performing in 4 specialties by U.S. News &amp; World Report. St. Alexius Medical Center Ranked 8th in the Chicago Metro Area and Illinois by US News &amp; World Report, St. Alexius Medical Center (SAMC) is a 339-bed acute care hospital located in Hoffman Estates, Illinois that has provided outstanding healthcare to the residents of the Chicago's northwest suburbs for more than 30 years. Located at 1555 Barrington Road, SAMC is nationally ranked in 1 specialty, regionally ranked in 7 specialties and high performing in 2 specialties by U.S. News &amp; World Report. SAMC is a full-service hospital with a Neurosciences Institute, Cancer Institute, Heart &amp; Vascular Institute, as well as additional specialties in Older Adult, Pediatrics, Bariatric Surgery, Orthopedics and Obstetrics. The Alexian Brothers Women &amp; Children's Hospital opened in April 2013. SAMC has received Disease Specific Certification from The Joint Commission in Stroke, Heart Failure, and Knee and Hip Joint Replacement. Alexian Brothers Behavioral Health Hospital Alexian Brothers Behavioral Health Hospital (ABBHH), located at 1650 Moon Lake Boulevard in Hoffman Estates, Illinois, provides comprehensive inpatient and outpatient behavioral health services. ABBHH offers the complete continuum of behavioral health services, from prevention and early intervention to treatment and aftercare. We offer inpatient and outpatient services, as well as clinical psychiatric research. Our goal is to help individuals of all ages to learn ways to manage mental health and substance abuse problems. Alexian Rehabilitation Hospital Alexian Rehabilitation Hospital (ARH), part of Alexian Brothers Medical Center in Elk Grove Village, Illinois, is a 66-bed inpatient rehabilitation facility. Its physicians, nurses and therapists are experts in every aspect of rehabilitation medicine. ARH is a joint venture between the health system and the Rehabilitation Institute of Chicago; they work together through a team approach to meet the physical, emotional and spiritual needs of patients and families. The ARH staff strives to provide each patient with the best possible care by recognizing that every patient's needs and goals are different. Alexian Brothers Center for Mental Health The Alexian Brothers Center for Mental Health (ABCMH) offers a wide spectrum of high quality and innovative mental health services. Located at 3436 North Kennicott Avenue in Arlington Heights, Illinois, its primary service area spans the 10 towns that comprise Palatine and Wheeling Townships. Services and programming include: therapy and psychiatry services for all ages, case management, psychosocial rehabilitation, community support services, vocational rehabilitation, supported education, crisis services, supported residential services, school-based mental health services, a Partial Hospitalization Program and more. Alexian Brothers Ambulatory Group, d/b/a Alexian Brothers Medical Group (ABMG) provides primary care, immediate care, and occupational health services at fifteen locations. Sites are staffed by physicians trained to provide chronic and acute care for all illnesses and injuries, including work and sports-related injuries. Primary care involves the widest scope of healthcare and includes patients of all ages seeking to maintain optimal health and manage chronic conditions, such as high blood pressure, high cholesterol, diabetes, and back pain. Immediate care is for the treatment of patients with an injury or illness that requires immediate attention but is not serious enough to warrant a visit to a hospital emergency room. No appointment needed for either adults or children. Occupational health medicine is primarily for the treatment and prevention of work-related illness and injury. No appointment is needed. Alexian Brothers Bonaventure House d/b/a Alexian Brothers Housing and Health Alliance Alexian Brothers Housing and Health Alliance (ABHHA) has been serving people impacted by HIV/AIDS and related co-morbidities in the Chicago metropolitan region for more than 20 years, providing housing, comprehensive services, and spiritual care. With services located at The Harbor in Waukegan, Illinois, Bonaventure House on the North Side of Chicago, Bettendorf Place on the South Side of Chicago and at scattered site throughout the Chicago metro area, ABHHA strives to transform the lives of people who are homeless and living with HIV/AIDS within a supportive, compassionate community. Clinical Institutes Cancer Institute The Cancer Institute provides comprehensive oncology services across the entire Alexian Brothers Health System. Accredited by the American College of Surgeons as a Comprehensive Community Hospital Program, our Cancer Institute boasts five-year survival rates that exceed the American Cancer Society's national statistics for breast, ovarian, lung and colon cancers. Heart &amp; Vascular Institute The Heart &amp; Vascular Institute offers high-level cardiovascular care. Our cardiac team includes some of the most highly respected cardiologists and cardiovascular surgeons in the area, many who are regionally and nationally known. Neurosciences Institute The Neurosciences Institute offers the latest medical advances and technology to help patients with neurological conditions. Our spectrum of care includes advanced diagnostic procedures, treatment strategies, and proven approaches to help patients achieve high quality of life. In addition, we are working to provide scientific insight into how to lower the risk of developing certain neurological diseases.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 1a IRS FILINGS AND TAX COMPLIANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>ALEXIAN BROTHERS HEALTH SYSTEM USES A COMMON BANK ACCOUNT TO COMPENSATE ALL INDEPENDENT CONTRACTORS WITHIN THE HEALTH SYSTEM. THE NUMBER ATTRIBUTABLE TO EACH ORGANIZATION IS NOT EASILY DISTINGUISHED. THE TOTAL NUMBER OF FORMS 1099 FILED FOR THE ENTIRE HEALTH SYSTEM APPEARS ON PART V, LINE 1A OF THE ALEXIAN BROTHERS HEALTH SYSTEM FORM 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a Number of Employees Reported on W-3</FormAndLineReferenceDesc>
        <ExplanationTxt>Alexian Brothers Center for Mental Health has a common paymaster, Alexian Brothers Health System, a related organization, to compensate all employees within the Health System. The number of employees attributable to each organization is not easily distinguished. The total number of employees reported on Form W-3 filed for the entire Health System appears on Part V, Line 2a of the Alexian Brothers Health System Form 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER, THE PROCESS, PERFORMED BY ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO., A RELATED ORGANIZATION OF ALEXIAN BROTHERS HEALTH SYSTEM, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO. COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES</FormAndLineReferenceDesc>
        <ExplanationTxt>IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES, THE PROCESS PERFORMED BY ALEXIAN BROTHERS - AHS MIDWEST REGION HEALTH CO., A RELATED ORGANIZATION OF ALEXIAN BROTHERS HEALTH SYSTEM, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA THAT HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Alexian Brothers Health System has a single corporate member, Ascension Health (the Sponsor").</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Alexian Brothers Health System has a single corporate member, Ascension Health, which has the ability to elect members to the governing body of Alexian Brothers Health System, which is also SUBJECT TO THE RATIFICATION OF THE BOARD OF ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH CO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix include the following: new organizations for which Ascension Health will serve as the controlling entity and major transactions; governing documents; appointment/removal of the Chair of the Board and Chief Executive Officer; debt limits; strategic and financial plans; the transfer of assets; and, system policies and procedures. These areas are subject to certain levels of approval by Ascension Health per the system authority matrix and are sUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION HEALTH PER THE SYSTEM AUTHORITY MATRIX, WHICH IS SUBJECT TO THE APPROVAL OF ALEXIAN BROTHERS-AHS MIDWEST REGION HEALTH, CO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization will provide any documents open to public inspection upon request.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Revenue - Total Revenue: -59, Related or Exempt Function Revenue: -59, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers with Affiliates and Sponsors - 62237579; FAS 158 Pension - -5154277;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>The activity of ALEXIAN BROTHERS HEALTH SYSTEM is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ALEXIAN BROTHERS HEALTH SYSTEM is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of ALEXIAN BROTHERS HEALTH SYSTEM.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant</FormAndLineReferenceDesc>
        <ExplanationTxt>ALEXIAN BROTHERS HEALTH SYSTEM is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.</ExplanationTxt>
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          <BusinessNameLine1Txt>Alexian Brothers of San Jose Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>3040 W Salt Creek Lane</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <EIN>941530037</EIN>
        <PrimaryActivitiesTxt>Acute care hospital (sold in 1998)</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Alexian Brothers Services Inc</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>Arlington Heights</CityNm>
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        <EIN>431295333</EIN>
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          <BusinessNameLine1Txt>Alexian Brothers Health System</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Alexian Brothers Senior Ministries</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3040 W Salt Creek Lane</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
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        <EIN>364484290</EIN>
        <PrimaryActivitiesTxt>Supports the provision of healthcare for related corporations</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>Alexian Brothers Hospital Network</BusinessNameLine1Txt>
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          <AddressLine1Txt>3040 W Salt Creek Lane</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
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          <ZIPCd>60005</ZIPCd>
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        <EIN>363276552</EIN>
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          <BusinessNameLine1Txt>Alexian Brothers Medical Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>800 Biesterfield Road</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60007</ZIPCd>
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        <EIN>362596381</EIN>
        <PrimaryActivitiesTxt>Acute care hospital</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Alexian Brothers Health System</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Savelli Properties Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3040 W Salt Creek Lane</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
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        <EIN>363308965</EIN>
        <PrimaryActivitiesTxt>Owns or leases properties where healthcare services are delivered</PrimaryActivitiesTxt>
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          <AddressLine1Txt>1650 Moon Lake Blvd</AddressLine1Txt>
          <CityNm>Hoffman Estates</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60169</ZIPCd>
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        <EIN>364251848</EIN>
        <PrimaryActivitiesTxt>Behavioral health hospital</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>St Alexius Medical Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1555 Barrington Road</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <EIN>364251846</EIN>
        <PrimaryActivitiesTxt>Acute care hospital</PrimaryActivitiesTxt>
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          <AddressLine1Txt>3040 W Salt Creek Lane</AddressLine1Txt>
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