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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>140019</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>398011</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <InterestGrp>
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        <TotalAmt>676386</TotalAmt>
        <ProgramServicesAmt>676386</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SWAP CASH SETTLEMENTS</Desc>
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      <Contribution35ControlledInd>false</Contribution35ControlledInd>
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          <BusinessNameLine1>ELMHURST MEMORIAL HOSPITAL</BusinessNameLine1>
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        <FormAndLineReferenceDesc>Schedule A, Part I, Line 11h, Description of non-monetary Support</FormAndLineReferenceDesc>
        <ExplanationTxt>ELMHURST MEMORIAL HOSPITAL: ELMHURST MEMORIAL HEALTHCARE IS A SUPPORTING ORGANIZATION TO THE HOSPITAL. THE AMOUNTS REPORTED IN SCHEDULE A, PART I, LINE 11H, COLUMN (VII) RELATE TO EXPENSES INCURRED BY ELMHURST MEMORIAL HEALTHCARE ON BEHALF OF ELMHURST MEMORIAL HOSPITAL THAT ARE REIMBURSED BY ELMHURST MEMORIAL HOSPITAL.</ExplanationTxt>
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        <DepreciationAmt>5201055</DepreciationAmt>
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        <Desc>DEBT SERVICE RESERVE</Desc>
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        <Amt>17454923</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>EDWARD-ELMHURST HEALTHCARE, EDWARD HOSPITAL, EDWARD HEALTH VENTURES, EDWARD HEALTH AND FITNESS CENTER, EDWARD FOUNDATION, LINDEN OAKS HOSPITAL, ELMHURST MEMORIAL HOSPITAL, ELMHURST MEMORIAL FOUNDATION, AND ELMHURST MEMORIAL HEALTHCARE ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ON INCOME RELATED TO THEIR EXEMPT PURPOSES. ACCORDINGLY, THERE IS NO MATERIAL PROVISION FOR INCOME TAX FOR THESE ENTITIES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3, Method to account for expenditures on org.'s financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3, Method to account for expenditures on org.'s financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL</ExplanationTxt>
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        <IssuerName>
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        <Form8038TFiledInd>true</Form8038TFiledInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 3, TOTAL PROCEEDS OF ISSUE (COLUMN A - 2008D ISSUE)</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUE PRICE: 119,829,861 INVESTMENT EARNINGS: 206,000 TOTAL PROCEEDS OF ISSUE: 120,035,861</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Sch K, Part IV, Line 2c, ISSUER NAME: Illinois Finance Authority Series 2008D: No Rebate Due.</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON JULY 17, 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="13000248" softwareVersion="2013v3.1">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>ELMHURST CLINIC LLC</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DONALD LURYE, MD, EMHC DIRECTOR, IS CEO OF ELMHURST CLINIC, LLC</RelationshipDescriptionTxt>
        <TransactionAmt>33808950</TransactionAmt>
        <TransactionDesc>INDEPENDENT CONTRACTOR PHYSICIAN SERVICES RENDERED BY ELMHURST CLINIC</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>ELMHURST MEDICAL ASSOCIATES LLC</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>RONALD CHEFF, MD, EMHC DIRECTOR, IS CEO OF ELMHURST MEDICAL ASSOCIATES, LLC</RelationshipDescriptionTxt>
        <TransactionAmt>2299109</TransactionAmt>
        <TransactionDesc>INDEPENDENT CONTRACTOR PHYSICIAN SERVICES RENDERED BY ELMHURST MEDICAL ASSOCIATES, LLC</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1>ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES LLC</BusinessNameLine1>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>KRISTINA KATZOVITZ, MD, EMHC DIRECTOR, IS CEO OF ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC</RelationshipDescriptionTxt>
        <TransactionAmt>2203194</TransactionAmt>
        <TransactionDesc>INDEPENDENT CONTRACTOR PHYSICIAN SERVICES RENDERED B ELMHURST MEMORIAL PRIMARY CARE ASSOCIATES, LLC</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="13000248" softwareVersion="2013v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec A, Line 4, Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>EFFECTIVE JULY 1, 2014, THE ELMHURST MEMORIAL HEALTHCARE SYSTEM AND ITS AFFILIATES MERGED WITH EDWARD HEALTH SERVICES CORPORATION SYSTEM, ANOTHER NON-FOR-PROFIT HEALTHCARE ORGANIZATION THAT SERVES THE CHICAGOLAND AREA. AS THE PARENT ORGANIZATION OF THE RESULTING COMBINED SYSTEM, EDWARD HEALTH SERVICES CORPORATION CHANGED ITS LEGAL NAME TO EDWARD-ELMHURST HEALTHCARE (EEH). THE IRS WAS ALREADY PROVIDED WITH NOTICE OF THIS NAME CHANGE, ALONG WITH APPROPRIATE DOCUMENTATION EVIDENCING THE SAME, DURING THE REPORTING YEAR. ADDITIONALLY, THE BYLAWS AND ARTICLES OF INCORPORATION OF ELMHURST MEMORIAL HEALTHCARE (EMHC) WERE AMENDED AND RESTATED TO REFLECT EEH'S NEW GOVERNING RELATIONSHIP OVER THE ELMHURST MEMORIAL HEALTHCARE SYSTEM; SIGNIFICIANT CHANGES ARE NOTED BELOW. -THE PURPOSES OF EMHC WERE AMENDED TO READ AS FOLLOWS: THE PURPOSES OF EMHC SHALL BE TO: (I) OPERATE, ESTABLISH, ACQUIRE, SUPPORT, ERECT, MAINTAIN, OWN, OR EQUIP HEALTH CARE PROVIDERS AND INSTITUTIONS INCLUDING, WITHOUT LIMITING THE FOREGOING, NURSING HOMES, PHYSICIAN OFFICES, DIAGNOSTIC AND TREATMENT FACILITIES, SKILLED NURSING FACILITIES, INTERMEDIATE CARE FACILITIES, SURGICENTERS, AMBULATORY CARE CENTERS OR ANY OTHER HEALTH CARE FACILITY WHICH PROVIDES CARE FOR SICK AND DISABLED PERSONS WITHOUT REGARD TO CREED, NATIONALITY OR COLOR OR ABILITY TO PAY FOR SUCH SERVICES; PROVIDED, HOWEVER, THAT EMHC SHALL NOT ENGAGE IN THE PRACTICE OF MEDICINE; (II) SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE ELMHURST MEMORIAL HOSPITAL AND OTHER ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED FROM TIME TO TIME, OR ANY CORRESPONDING PROVISION OF ANY SUBSEQUENT REVENUE LAW OF THE UNITED STATES (THE "CODE"), WHICH SUPPORT, ASSIST, ENCOURAGE OR OTHERWISE PROMOTE HEALTH CARE, EDUCATION AND RESEARCH; (III) CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE RENDERING OF HEALTH CARE SERVICES OR THE PROMOTION OF HEALTH; (IV) INVEST IN ACTIVITIES THAT ARE CONSISTENT WITH AND IN FURTHERANCE OF THE CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES OF EMHC AND PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; (V) RAISE GIFTS, BEQUESTS, DONATIONS AND OTHER FUNDS FROM THE PUBLIC AND FROM ALL OTHER SOURCES AVAILABLE; RECEIVE AND MAINTAIN SUCH FUNDS AND EXPEND PRINCIPAL AND INCOME THERE FROM IN SUPPORT OF OR IN FURTHERANCE OF THE CHARITABLE PURPOSES OF EMHC; (VI) ACQUIRE, OWN, USE, LEASE AS LESSOR OR LESSEE, CONVEY AND OTHERWISE DEAL IN AND WITH REAL AND PERSONAL PROPERTY AND INTERESTS THEREIN, ALL IN SUPPORT OF THE CHARITABLE PURPOSES OF EMHC; AND (VII) OTHERWISE OPERATE IN SUPPORT OF, OR IN FURTHERANCE OF, THE CHARITABLE PURPOSES OF EMHC, EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL OR SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE CODE, IN THE COURSE OF WHICH OPERATION, (X) NO PART OF THE NET EARNINGS OF EMHC SHALL INURE TO THE BENEFIT OF, OR BE DISTRIBUTABLE TO, ANY PRIVATE INDIVIDUAL, AND NO PART OF THE INCOME OF EMHC SHALL BE DISTRIBUTED TO ITS EEH (OTHER THAN AS OTHERWISE SET FORTH HEREIN), TRUSTEES, OFFICERS OR ANY OTHER PRIVATE PERSONS, EXCEPT THAT EMHC SHALL BE AUTHORIZED AND EMPOWERED TO PAY REASONABLE COMPENSATION FOR SERVICES RENDERED AND TO MAKE PAYMENTS AND DISTRIBUTIONS IN FURTHERANCE OF THE PURPOSES SET FORTH HEREIN; (Y) NO SUBSTANTIAL PART OF THE ACTIVITIES OF EMHC SHALL CONSIST OF THE CARRYING ON OF PROPAGANDA OR OTHERWISE ATTEMPTING TO INFLUENCE LEGISLATION, AND EMHC SHALL NOT PARTICIPATE IN OR INTERVENE IN ANY POLITICAL CAMPAIGN ON BEHALF OF OR IN OPPOSITION TO ANY CANDIDATE FOR PUBLIC OFFICE, INCLUDING THE PUBLISHING OR DISTRIBUTION OF STATEMENTS, EXCEPT AS AUTHORIZED UNDER THE CODE; AND (Z) NOTWITHSTANDING ANY OTHER PROVISIONS CONTAINED HEREIN, EMHC SHALL NOT CARRY ON ANY OTHER ACTIVITIES NOT PERMITTED TO BE CARRIED ON BY (AA) A CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE, OR (BB) A CORPORATION, THE CONTRIBUTIONS TO WHICH ARE DEDUCTIBLE UNDER SECTION 170(C)(2) OF THE CODE. EMHC'S PARENT COMPANY, EEH, HAS THE EXCLUSIVE POWER TO: (I) ELECT, APPOINT, REMOVE AND REPLACE THE TRUSTEES OF EMHC; (II) INTERVENE IN ANY ACTION OR PLAN OF EMHC, OR OF ANY OF ITS SUBSIDIARY OR AFFILIATE ENTITIES, TO THE EXTENT THE BOARD OF TRUSTEES OF EEH, IN ITS SOLE DISCRETION, DEEMS IT NECESSARY TO DO SO IN ORDER TO AVOID SIGNIFICANT RISK TO THE TAX EXEMPT STATUS, LICENSURE, OR ACCREDITATION OF EMHC, EEH, ANY SUBSIDIARY OR OTHER AFFILIATE OF EEH, OR ANY FACILITY OPERATED BY ANY OF THE FOREGOING, OR TO AVOID SIGNIFICANT LEGAL, REGULATORY, OR FINANCIAL RISK TO ANY OF THEM; AND (III) SELECT AND APPOINT INDEPENDENT AUDITORS FOR EMHC, AND DIRECT THE PERFORMANCE OF AN ANNUAL INDEPENDENT AUDIT OF THE FINANCIAL CONDITION OF EMHC. - IN ADDITION TO THE EXCLUSIVE AUTHORITY SET FORTH ABOVE, EEH'S APPROVAL IS REQUIRED TO AUTHORIZE THE FOLLOWING MATTERS: (I) THE EXERCISE BY EMHC OF ITS APPROVAL RIGHTS UNDER SECTION 2.3 OF THE EMHC BYLAWS AS IT RELATED TO EMHC'S SUBSIDIARIES; (II) THE ADOPTION, AMENDMENT, AND REPEAL OF THE AMENDED AND RESTATED ARTICLES OF INCORPORATION AND BYLAWS OF EMHC; (III) THE ADOPTION AND APPROVAL OF ANY PLAN OF DISSOLUTION OR LIQUIDATION OF EMHC, ANY PLAN OF MERGER OR CONSOLIDATION OF EMHC WITH ANOTHER CORPORATION OR OTHER ENTITY; AND/OR ANY EXCHANGE, SALE OR TRANSFER OF ANY MATERIAL PORTION OF THE ASSETS OF EMHC IN ANY TRANSACTION OR SERIES OF RELATED TRANSACTIONS; (IV) THE ADOPTION, APPROVAL, AMENDMENT, RESTATEMENT OR MODIFICATION OF ANY FINANCIAL CONTROL POLICY FOR EMHC AND THE TAKING OF ANY ACTION BY OR ON BEHALF OF EMHC NOT OTHERWISE IN CONFORMANCE WITH ANY SUCH POLICY; (V) THE AMENDMENT OR REVISION OF THE INITIAL PURPOSE AND SCOPE OF SERVICES OF EMHC, INCLUDING LOCATION, SIZE, OPERATIONS AND ACTIVITIES; (VI) THE ADOPTION OF ANY AND ALL ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, CAPITAL INVESTMENTS, AND/OR CAPITAL ALLOCATIONS OF EMHC; (VII) THE AUTHORIZATION OR APPROVAL OF ANY LONG-TERM BORROWING OF MONEY BY EMHC, OR THE AUTHORIZATION OR APPROVAL OF ANY PREPAYMENT, IN WHOLE OR IN PART, REFINANCING, INCREASE, MODIFICATION OR EXTENSION OF ANY SUCH INDEBTEDNESS; (VIII) THE GRANTING OF ANY SECURITY INTEREST IN, OR OTHERWISE PROVIDING FOR THE ENCUMBRANCE OF, ANY OF THE ASSETS OR REVENUES OF EMHC; (IX) THE CREATION AND/OR ADDITION OF ANY DIRECT OR INDIRECT SUBSIDIARIES OR AFFILIATES OF EMHC, INCLUDING, WITHOUT LIMITATION, ANY NOT-FOR-PROFIT OR FOR-PROFIT CORPORATIONS, LIMITED LIABILITY COMPANIES, PARTNERSHIPS OR OTHER LEGAL ENTITIES; (X) THE FILING OF A VOLUNTARY PETITION, OR ANY CONSENT TO THE INVOLUNTARY FILING OF A PETITION, BY OR ON BEHALF OF EMHC, IN BANKRUPTCY OR ANY REORGANIZATION, OR ANY APPOINTMENT OF A RECEIVER ON BEHALF OF EMHC; (XI) THE SUBMISSION OF ANY APPLICATIONS, FILINGS OR MATERIAL CORRESPONDENCE TO THE ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD OR ANY SUCCESSOR THERETO (THE "IHFSRB") FOR ANY PROPOSED PROJECT OR ACTIVITY OF EMHC SUBJECT TO THE JURISDICTION OF THE IHFSRB, REGARDLESS OF THE LEVEL OF CAPITAL EXPENDITURE; AND (XII) THE PURCHASE OR SALE BY EMHC OF ANY INTEREST IN REAL PROPERTY. - ANY EXERCISE OF ANY EXCLUSIVE POWER OR APPROVAL RIGHTS NOTED SHALL BE EVIDENCED BY A RESOLUTION OF THE BOARD OF TRUSTEES OF EEH. THE BOARD OF TRUSTEES OF EEH MAY DELEGATE TO ITS PRESIDENT OR ANOTHER OFFICER THEREOF THE AUTHORITY TO EXERCISE ANY OF THE EXCLUSIVE POWERS OR APPROVAL RIGHTS NOTED ABOVE, AND SUCH DELEGATION MAY BE LIMITED TO SPECIFIC EVENTS OR TRANSACTIONS, OR TO GENERAL CATEGORIES OF EVENTS OR TRANSACTIONS, AS THE EEH BOARD OF TRUSTEES SHALL CONSIDER TO BE NECESSARY OR DESIRABLE IN THE CIRCUMSTANCES. - THE EMHC BOARD OF TRUSTEES CONSISTS OF A NUMBER OF TRUSTEES EQUAL TO THE NUMBER OF CORPORATE TRUSTEES, THE REPRESENTATIVE TRUSTEES AND THE EX OFFICIO TRUSTEES, AS THOSE TERMS ARE DEFINED BELOW. (A) THERE ARE TWO (2) EX OFFICIO TRUSTEES (THE "EX OFFICIO TRUSTEES") WHO SHALL BE THE INDIVIDUALS THEN SERVING AS THE CHAIRPERSON AND VICE CHAIRPERSON OF THE BOARD OF TRUSTEES OF EEH, RESPECTIVELY. EACH SUCH EX OFFICIO TRUSTEE SHALL SERVE FOR SO LONG AS SUCH INDIVIDUAL HOLDS THE OFFICE OF CHAIRPERSON OR VICE CHAIRPERSON, RESPECTIVELY, OF THE BOARD OF TRUSTEES OF EEH. (B) THERE ARE EIGHT (8) CORPORATE TRUSTEES ("CORPORATE TRUSTEES"). EACH CORPORATE TRUSTEE MUST BE A MEMBER OF THE BOARD OF TRUSTEES OF EEH OTHER THAN THE CHAIRPERSON OR VICE CHAIRPERSON OF THE EEH. (C) THERE ARE THREE (3) REPRESENTATIVE TRUSTEES (THE "REPRESENTATIVE TRUSTEES").</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>ELMHURST MEMORIAL HEALTHCARE (EMHC) HAS ONE CORPORATE MEMBER, EDWARD-ELMHURST HEALTHCARE, AN ILLINOIS NOT FOR PROFIT CORPORATION (THE "CORPORATE MEMBER").</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>ELMHURST MEMORIAL HEALTHCARE (EMHC) HAS ONE CORPORATE MEMBER, EDWARD-ELMHURST HEALTHCARE, AN ILLINOIS NOT FOR PROFIT CORPORATION (THE "CORPORATE MEMBER"). THE POWERS AND RIGHTS OF THE CORPORATE MEMBER ARE EXERCISED BY THE BOARD OF TRUSTEES OF THE CORPORATE MEMBER. THE CORPORATE MEMBER HAS THE EXCLUSIVE POWER TO: *ELECT, APPOINT, REMOVE AND REPLACE THE TRUSTEES OF EMHC. *INTERVENE IN ANY ACTION OR PLAN OF EMHC, OR OF ANY OF ITS SUBSIDIARY OR AFFILIATE ENTITIES, TO THE EXTENT THE BOARD OF TRUSTEES OF THE CORPORATE MEMBER, IN ITS SOLE DISCRETION, DEEMS IT NECESSARY TO DO SO IN ORDER TO AVOID SIGNIFICANT RISK TO THE TAX EXEMPT STATUS, LICENSURE, OR ACCREDITATION OF EMHC, THE CORPORATE MEMBER, ANY SUBSIDIARY OR OTHER AFFILIATE OF THE CORPORATE MEMBER, OR ANY FACILITY OPERATED BY ANY OF THE FOREGOING, OR TO AVOID SIGNIFICANT LEGAL, REGULATORY, OR FINANCIAL RISK TO ANY OF THEM. *SELECT AND APPOINT INDEPENDENT AUDITORS FOR EMHC, AND DIRECT THE PERFORMANCE OF AN ANNUAL INDEPENDENT AUDIT OF THE FINANCIAL CONDITION OF EMHC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE EXCLUSIVE AUTHORITY SET FORTH ABOVE, THE CORPORATE MEMBER'S APPROVAL SHALL BE REQUIRED TO AUTHORIZE THE FOLLOWING MATTERS: *THE EXERCISE BY EMHC OF ITS APPROVAL RIGHTS UNDER SECTION 2.3 OF THE EMHC BYLAWS. *THE ADOPTION, AMENDMENT, AND REPEAL OF THE AMENDED AND RESTATED ARTICLES OF EMHC AND BYLAWS OF EMHC. *THE ADOPTION AND APPROVAL OF ANY PLAN OF DISSOLUTION OR LIQUIDATION OF EMHC, ANY PLAN OF MERGER OR CONSOLIDATION OF EMHC WITH ANOTHER EMHC OR OTHER ENTITY; AND/OR ANY EXCHANGE, SALE OR TRANSFER OF ANY MATERIAL PORTION OF THE ASSETS OF EMHC IN ANY TRANSACTION OR SERIES OF RELATED TRANSACTIONS. *THE ADOPTION, APPROVAL, AMENDMENT, RESTATEMENT OR MODIFICATION OF ANY FINANCIAL CONTROL POLICY FOR EMHC AND THE TAKING OF ANY ACTION BY OR ON BEHALF OF EMHC NOT OTHERWISE IN CONFORMANCE WITH ANY SUCH POLICY. *THE AMENDMENT OR REVISION OF THE INITIAL PURPOSE AND SCOPE OF SERVICES OF EMHC, INCLUDING LOCATION, SIZE, OPERATIONS AND ACTIVITIES. *THE ADOPTION OF ANY AND ALL ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, CAPITAL INVESTMENTS, AND/OR CAPITAL ALLOCATIONS OF EMHC. *THE AUTHORIZATION OR APPROVAL OF ANY LONG-TERM BORROWING OF MONEY BY EMHC, OR THE AUTHORIZATION OR APPROVAL OF ANY PREPAYMENT, IN WHOLE OR IN PART, REFINANCING, INCREASE, MODIFICATION OR EXTENSION OF ANY SUCH INDEBTEDNESS. *THE GRANTING OF ANY SECURITY INTEREST IN, OR OTHERWISE PROVIDING FOR THE ENCUMBRANCE OF, ANY OF THE ASSETS OR REVENUES OF EMHC. *THE CREATION AND/OR ADDITION OF ANY DIRECT OR INDIRECT SUBSIDIARIES OR AFFILIATES OF EMHC, INCLUDING, WITHOUT LIMITATION, ANY NOT-FOR-PROFIT OR FOR-PROFIT CORPORATIONS, LIMITED LIABILITY COMPANIES, PARTNERSHIPS OR OTHER LEGAL ENTITIES. *THE FILING OF A VOLUNTARY PETITION, OR ANY CONSENT TO THE INVOLUNTARY FILING OF A PETITION, BY OR ON BEHALF OF EMHC, IN BANKRUPTCY OR ANY REORGANIZATION, OR ANY APPOINTMENT OF A RECEIVER ON BEHALF OF EMHC. *THE SUBMISSION OF ANY APPLICATIONS, FILINGS OR MATERIAL CORRESPONDENCE TO THE ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD OR ANY SUCCESSOR THERETO (THE "IHFSRB") FOR ANY PROPOSED PROJECT OR ACTIVITY OF EMHC SUBJECT TO THE JURISDICTION OF THE IHFSRB, REGARDLESS OF THE LEVEL OF CAPITAL EXPENDITURE. *THE PURCHASE OR SALE BY EMHC OF ANY INTEREST IN REAL PROPERTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE FULL FORM 990 WAS PROVIDED TO THE EDWARD-ELMHURST HEALTHCARE AUDIT COMMITTEE, AND WAS REVIEWED WITH THE ASSISTANCE OF CROWE HORWATH. FOLLOWING REVIEW BY THE AUDIT COMMITTEE, AND PRIOR TO FILING, A FINAL COPY OF THE FORM 990 WAS THEN PROVIDED TO THE FULL BOARD OF TRUSTEES OF EDWARD HOSPITAL, AND KEY COMPONENTS OF THE FORM 990 WERE ALSO REVIEWED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>EDWARD-ELMHURST HEALTHCARE, ON BEHALF OF ITSELF AND ALL AFFILIATES, MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL REPORTING, AND ONGOING EDUCATION. EACH YEAR, EDWARD-ELMHURST HEALTHCARE CONDUCTS AN ANNUAL CONFLICT OF INTEREST REVIEW. THIS PROCESS INVOLVES REQUIRING ALL TRUSTEES, OFFICERS, KEY EMPLOYEES, EMPLOYED PHYSICIANS, CERTAIN OTHER PHYSICIANS, AND MANAGEMENT LEVEL EMPLOYEES TO COMPLETE AN ELECTRONIC CONFLICT OF INTEREST QUESTIONNAIRE. THE SYSTEM DIRECTOR OF INTERNAL AUDIT AND CORPORATE COMPLIANCE FACILITATES THE COMPLETION OF A QUESTIONNAIRE BY ALL REQUIRED INDIVIDUALS, AND IF NO QUESTIONNAIRE IS COMPLETED, THE MATTER IS REPORTED TO THE INDIVIDUAL'S SUPERVISOR UP TO AND INCLUDING THE BOARD OF TRUSTEES. DISCLOSURES MADE ON THE QUESTIONNAIRE ARE EVALUATED BY A CONFLICT OF INTEREST WORKGROUP COMPRISED OF THE SYSTEM DIRECTOR OF INTERNAL AUDIT AND CORPORATE COMPLIANCE, THE SYSTEM EXECUTIVE VICE PRESIDENT AND CHIEF FINANCIAL OFFICER, THE GENERAL COUNSEL, AND THE DEPUTY GENERAL COUNSEL. DISCLOSURES MADE BY TRUSTEES, OFFICERS AND KEY EMPLOYEES ARE EVALUATED BY THE TRUSTEES, OFFICERS AND KEY EMPLOYEES ARE EVALUATED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OR ITS DESIGNEE. THE EVALUATIONS MAY RESULT IN ACTIONS BEING TAKEN UP TO AND INCLUDING THE DEVELOPMENT OF A MANAGEMENT PLAN ACCEPTED BY THE INDIVIDUAL MAKING THE DISCLOSURE OR TERMINATION OF THE DISCLOSED RELATIONSHIP OR CONFLICT. IN CASES WHERE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED, THE CONFLICTED INDIVIDUAL IS EDUCATED ABOUT HOW THEY SHOULD RAISE THIS ISSUE IF THEY ARE EVER IN A POSITION WHERE THEIR CONFLICT MAY BE IMPLICATED. CONFLICTED INDIVIDUALS MUST RECUSE THEMSELVES FROM VOTING, BUT, AT THE DISCRETION OF THE BOARD, MAY BE PERMITTED TO PARTICIPATE IN DISCUSSION ABOUT MATTERS IN WHICH THEY HAVE AN ACTUAL OR APPARENT CONFLICT. IN ADDITION TO THIS ANNUAL REPORTING, ALL INDIVIDUALS NOTED ABOVE ARE ADVISED THAT, PURSUANT TO THE CONFLICTS POLICY, THEY ARE REQUIRED TO REPORT TO THE SYSTEM DIRECTOR OF INTERNAL AUDIT AND CORPORATE COMPLIANCE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS THEY MAY ARISE THROUGHOUT THE COURSE OF THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMPENSATION, INCLUDING THE PRESIDENT AND ALL OFFICERS OF EDWARD-ELMHURST HEALTHCARE ("SENIOR MANAGEMENT") IS MANAGED BY THE EDWARD-ELMHURST HEALTHCARE ("EEH") EXECUTIVE COMMITTEE ("COMMITTEE"), ON BEHALF OF EEH AND ALL OF ITS AFFILIATES. ON AN ANNUAL BASIS, THE COMMITTEE REVIEWS COMPENSATION ARRANGEMENTS, INCLUDING THE COMPENSATION AWARD FOR ELMHURST MEMORIAL HEALTHCARE PRESIDENT FOR THE COMING YEAR. THE COMMITTEE CONDUCTS THE REVIEW IN A MANNER THAT WILL QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTION RULES OF SECTION 4958 OF THE INTERNAL REVENUE CODE. TO THAT END: - THE CEO AND ALL OTHER MEMBERS OF SENIOR MANAGEMENT MAY PARTICIPATE IN THIS REVIEW PROCESS AND BE PRESENT AT MEETINGS OF THE COMMITTEE ONLY IF AND TO THE EXTENT NECESSARY TO ANSWER QUESTIONS AND PROVIDE OTHER INFORMATION THE COMMITTEE NEEDS FOR ITS ANALYSIS, ASSESSMENT AND DELIBERATIONS, AND THEY MUST OTHERWISE RECUSE THEMSELVES FROM COMMITTEE MEETINGS DURING COMMITTEE DEBATE AND VOTING ON COMPENSATION ARRANGEMENTS. - ANY COMMITTEE MEMBER IDENTIFIED AS HAVING A CONFLICT SHALL PARTICIPATE IN THE PROCESS ONLY TO THE SAME EXTENT AS MEMBERS OF SENIOR MANAGEMENT. - THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION FIRM, WHICH SUMMARIZES ITS ANALYSIS AND FINDINGS IN WRITING TO THE COMMITTEE. - THE COMMITTEE OBTAINS AND RELIES ON CURRENT COMPARABLE MARKET COMPENSATION DATA FROM APPROPRIATE PEER ORGANIZATIONS FOR EACH COMPENSATION COMPONENT PRIOR TO MAKING ITS DETERMINATION. RELEVANT INFORMATION WILL INCLUDE COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY EEH; CURRENT COMPENSATION SURVEY COMPILED BY AN INDEPENDENT FIRM; AND, WHERE APPLICABLE, ACTUAL WRITTEN OFFERS FROM SIMILAR ORGANIZATIONS COMPETING FOR THE SERVICES FOR THE MEMBERS OF SENIOR MANAGEMENT. - THE COMMITTEE ALSO ADEQUATELY AND PROMPTLY DOCUMENTS ITS DECISION. THE DOCUMENTATION STATES ITS INTENTION TO QUALITY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS; THE SPECIFIC TERMS OF THE COMPENSATION ARRANGEMENT THAT WERE APPROVED; THE APPROVAL DATE; THE NAMES OF THE INDIVIDUALS PRESENT AND THOSE WHO VOTED; THE SPECIFIC COMPARABILITY DATA OBTAINED AND RELIED UPON; AND AN EXPLANATION AS TO WHY THE APPROVED AMOUNTS ARE CONSIDERED REASONABLE IF THE TERMS OF THE COMPENSATION ARRANGEMENT DIFFER FROM THE COMPARABILITY DATA. IN ADDITION, THE COMMITTEE PERIODICALLY REVIEWS THE EXECUTIVE COMPENSATION PLAN, INCLUDING THE PHILOSOPHY, FOR (A) COMPLIANCE WITH APPLICABLE LAWS AND REGULATIONS, AND (B) ALIGNMENT WITH EEH'S MISSION, CHARITABLE PURPOSES, GOALS AND STRATEGIES. BASED ON THE REVIEW, THE COMMITTEE APPROVES ANY CHANGES IN ONE OR MORE COMPONENTS OF THE PLAN OR THE PLAN PHILOSOPHY THAT THE COMMITTEE CONSIDERS NECESSARY AND APPROPRIATE RELATIVE TO ONE OR BOTH OF THESE CRITERIA. OTHER INDIVIDUALS WHO ARE OFFICERS OR KEY EMPLOYEES OF ELMHURST MEMORIAL HEALTHCARE, BUT ARE NOT A PART OF EEH SENIOR MANAGEMENT ARE COMPENSATED WITH A COMPETITIVE BASE SALARY, ALONG WITH AN INCENTIVE PLAN, WHICH IS REFLECTIVE OF EEH'S MARKET AS DETERMINED BY A REVIEW OF INDEPENDENTLY GATHERED MARKET COMPENSATION SURVEY DATA. AT THE TIME OF HIRE, THE SALARY DETERMINATION IS MADE BY GIVING CONSIDERATION TO THE EXPERIENCE PERTINENT TO THE ROLE FOR WHICH THE INDIVIDUAL IS TO BE HIRED, ALSO CONSIDERED ARE NICHE SKILLS OR EXPERIENCE THE INDIVIDUAL BRINGS TO THE ORGANIZATION. SUPPLY AND DEMAND WILL ALSO PLAY A ROLE IN DETERMINING THE HIRING RATE OF PAY. BASED ON THESE FACTORS, THE EEH HUMAN RESOURCES DEPARTMENT, WHICH SUPPORTS EEH AND ALL OF ITS AFFILIATES, WILL ASSIGN THE KEY EMPLOYEE TO AN APPROPRIATE PAY GRADE, AND A RATE OF PAY WILL BE OFFERED WITHIN THAT PAY GRADE. ON A PERIODIC BASIS, THE EEH HUMAN RESOURCES DEPARTMENT WORKS WITH AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT TO CONDUCT A THOROUGH MARKET REVIEW OF ALL POSITIONS WHICH ARE NOT CONSIDERED SENIOR MANAGEMENT. USING A VARIETY OF SOURCES, EEH SALARY RANGES ARE COMPARED TO THE CURRENT MARKET PAY GRADE ASSIGNMENTS, AND INDIVIDUAL RATE OF PAY MAY CHANGE BASED ON THE RESULTS OF THIS ANNUAL MARKET REVIEW. IN ADDITIONAL, ANNUAL MERIT INCREASES MAY BE AWARDED BASED ON EEH'S BUDGET FOR THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE SEE THE NARRATIVE TO FORM 990, PART VI, LINE 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Sec C, Line 19, Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>CURRENTLY, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE VIA EMMA. IF A REQUEST IS RECEIVED FOR THIS INFORMATION, IT IS FORWARDED ON TO EITHER THE LEGAL DEPARTMENT OR THE FINANCE DEPARTMENT, AND THE MATERIALS WOULD THEN BE PROVIDED TO THE REQUESTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, COMPENSATION REPORTING</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO TREASURY REGULATION SECTION 1.6033-2(D)(5), ELMHURST MEMORIAL HEALTHCARE (EIN: 36-4037473), THE PARENT ENTITY OF ELMHURST MEMORIAL HEALTHCARE GROUP (EIN: 35-2339114), HAS ELECTED TO REPORT INFORMATION ABOUT COMPENSATION AND OTHER INFORMATION FOR OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES AND CERTAIN OTHER HIGHLY COMPENSATED EMPLOYEES ON A CONSOLIDATED BASIS ALONG WITH ALL MEMBERS OF THE GROUP ON THE ELMHURST MEMORIAL HEALTHCARE GROUP FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g, Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL FEES - TOTAL EXPENSE: 40642350, PROGRAM SERVICE EXPENSE: 40642350, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 545179, PROGRAM SERVICE EXPENSE: 51671, MANAGEMENT AND GENERAL EXPENSES: 493508, FUNDRAISING EXPENSES: ; OTHER PURCHASED SERVICES - TOTAL EXPENSE: 2392740, PROGRAM SERVICE EXPENSE: 2289018, MANAGEMENT AND GENERAL EXPENSES: 103722, FUNDRAISING EXPENSES: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 , Part XI, Line 9, Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON EARLY EXTINGUISHMENT OF DEBT - -3515372; GAIN ON INTEREST RATE SWAPS - 3679934; TRANSFERS FROM AFFILIATES - 32085000;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1>EEH SPC - SEGREGATED PORTFOLIO B</BusinessNameLine1>
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          <AddressLine1>GOVERNORS SQUARE BLDG 4 FLOOR 2</AddressLine1>
          <City>23 LIME TREE BAY</City>
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          <Country>CJ</Country>
          <PostalCode>KY1-1002</PostalCode>
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        <EIN>981185160</EIN>
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        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1>ELMHURST MEMORIAL HEALTH TECHNOLOGIES LLC</BusinessNameLine1>
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