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      <Description>INFORMATION TECHNOLOGYMEMORIAL HEALTH SYSTEM IS PROACTIVE IN IMPLEMENTING TECHNOLOGY THAT BOTH IMPROVES PATIENT SAFETY, QUALITY AND CLINICAL EFFECTIVENESS, AND IMPROVES MEMORIAL HEALTH SYSTEM'S BUSINESS PROCESSES. MEMORIAL HEALTH SYSTEM'S STAFF OF EXPERIENCED INFORMATION TECHNOLOGY PROFESSIONALS IS ON THE CUTTING EDGE OF MEDICAL TECHNOLOGY. THEY SUPPORT A VAST ARRAY OF PATIENT CARE AND BUSINESS APPLICATIONS. DURING FY11 SIGNIFICANT INFORMATION TECHNOLOGY PROJECTS INCLUDED: COMPLETED IMPLEMENTATION OF COMPUTERIZED PROVIDER ORDER ENTRY SYSTEM AT MEMORIAL MEDICAL CENTER, COMPLETED IMPLEMENTATION OF PROVIDER DOCUMENTATION (PRODOC) AT MEMORIAL MEDICAL CENTER, COMPLETION OF IMPLEMENTATION OF ALLSCRIPTS ELECTRONIC HEALTH RECORD AT MEMORIAL PHYSICIAN SERVICES, IMPLEMENTATION OF ELECTRONIC DOCUMENTATION (COPATH PLUS) FOR ANATOMIC PATHOLOGY AT MEMORIAL MEDICAL CENTER, AND COMPLETION OF INFRASTRUCTURE UPGRADES FOR WIRELESS AND TELECOMMUNICATION GEAR THROUGHOUT THE HEALTH SYSTEM TO PROVIDE BACK-UP ROUTING AND REDUNDANCY TO PREVENT FAILURES.MEMORIAL HEALTH SYSTEM HAS BEEN ON A JOURNEY TO FULLY IMPLEMENT INTEGRATED ELECTRONIC HEALTH RECORDS SINCE 1995. THE MULTIPLE ELECTRONIC HEALTH RECORD (EHR) ADVANCEMENTS IMPROVE PATIENT SAFETY AND QUALITY OF CARE DELIVERED THROUGH IMPROVED CARE TEAM COMMUNICATION, IMPROVED TURN-AROUND TIME FROM ORDERING TO TEST IMPLEMENTATION, REDUCED MEDICATION ERRORS AND REDUCTION OF DUPLICATED TESTS. DATA EXTRACTION FROM THE EHR ALSO ALLOWS FOR REAL TIME ANALYSIS OF PATIENT CARE ISSUES AND IMMEDIATE RESOLUTION TO QUALITY DEFICITS. SYSTEM STABILIZATION PROJECTS (WIDE AREA NETWORK BACKUP CONNECTIVITY, WIRELESS REDUNDANCY AND INCREASED SERVER CONNECTIVITY REDUNDANCY FOR SEVERAL APPLICATIONS) CONTRIBUTED TO THE OVERALL SYSTEM AVAILABILITY ALLOWING CLINICAL STAFF BETTER AVAILABILITY OF PATIENT DATA.</Description>
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        <Description>BUILDING AND FACILITY EXPANSION AND IMPROVEMENTSIN ORDER TO INCREASE CAPACITY TO MEET THE ONGOING COMMUNITY DEMAND FOR SERVICES, MEMORIAL HEALTH SYSTEM INVESTED IN SEVERAL SIGNIFICANT FACILITY IMPROVEMENTS IN FY11. ALL RENOVATIONS AND EXPANSION OF SERVICES WERE DEVELOPED AND DESIGNED WITH THE ASSISTANCE OF A HEALTHCARE DESIGN FIRM, AND WITH STRICT ADHERENCE TO PUBLIC HEALTH CODE FOR WORKFLOW CIRCULATION AND SPACE DIMENSIONS. EACH INCORPORATED SPECIFIC IMPROVEMENTS TO PROTECT HEALTHCARE PROVIDERS FROM INJURY OR HARM. THE TOP FOUR PROJECTS WERE:LINEAR ACCELERATORS WERE REPLACED WITH TRUEBEAM TECHNOLOGY TO OFFER THE LATEST ADVANCEMENT IN RADIATION THERAPY FOR THE TREATMENT OF CANCER. THIS PROVIDES MMC'S PATIENTS WITH INCREASED ACCURACY, EFFICIENCY, AND SAFETY. THE VARIAN RAPIDARC TECHNOLOGY LIMITS THE REPOSITIONING OF PATIENTS AND MODIFICATIONS OF MACHINE SETTINGS AND AUTOMATICALLY MONITORS THE BREATHING AND OTHER MOVEMENTS OF PATIENTS TO PRECISELY TARGET THE TUMOR. THE COST OF THE PROJECT WAS $8.3 MILLION.AS PART OF MMC'S ONGOING EFFORT TO PROVIDE MODERN, EFFICIENT PATIENT CARE, A MAJOR RENOVATION OF THE BAYLIS DAY SURGERY WAS COMPLETED IN 2011. THE PROJECT IMPROVED OPERATING EFFICIENCY OF THE SPACE BY IMPROVING PATIENT FLOW. OUTPATIENT OR'S WERE MODERNIZED, 11 NEW PATIENT PREP AND INTERVIEW ROOMS WERE CREATED AND SURGICAL RECOVERY BAYS WERE MODIFIED. THE COST OF THE PROJECT WAS $4.2 MILLION.IN SUPPORT OF OUR MISSION TO IMPROVE THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE, MHS JOINED WITH THE SPRINGFIELD COMMUNITY TO SUPPORT THE CONSTRUCTION OF A NEW WESTSIDE YMCA. SPORTSCARE RELOCATED TO THE NEW Y, OFFERING SPECIALIZED SPORTS MEDICINE. THE NEW FACILITY IS EQUIPPED WITH THE LATEST TECHNOLOGY IN SPORTS MEDICINE AND REHABILITATION FOR A WIDE RANGE OF ACTIVE LIFESTYLES. THE NEW 10,000 SQUARE FOOT LOCATION IS HOME TO STATE-OF-THE-ART SPORTS MEDICINE EQUIPMENT, A WARM-WATER THERAPY POOL, PHYSICIAN CLINICS, ONSITE X-RAY EQUIPMENT AND IMPACT CONCUSSION ASSESSMENT EQUIPMENT. THE COST OF THIS PROJECT WAS $3.2 MILLION.TO SUPPORT MHS' GREAT PATIENT EXPERIENCE INITIATIVE, THE INFUSION THERAPY PROGRAM WAS RELOCATED TO A NEWLY CREATED INFUSION SERVICES AREA. CAPACITY WAS EXPANDED TO 12 CHAIRS AND 4 BEDS, PROVIDING PRIVATE ROOMS WHEN REQUIRED. RELOCATION OF THE PROGRAM TO AN AREA ADJACENT TO THE EMERGENCY DEPARTMENT ALSO PROVIDES FLEXIBILITY FOR THE EMERGENCY DEPARTMENT TO UTILIZE THE BEDS IF THEY ARE NOT NEEDED TO CARE FOR INFUSION PROGRAM PATIENTS. THE SPACE VACATED BY THE INFUSION THERAPY PROGRAM WAS CONVERTED TO ADDITIONAL INPATIENT BEDS ON THE ONCOLOGY NURSING UNIT. COST OF THIS PROJECT WAS $2.2 MILLION.</Description>
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        <Description>EXECUTIVE LEADERSHIPGUIDED BY THE VALUES OF MEMORIAL HEALTH SYSTEM, SENIOR LEADERSHIP IS RESPONSIBLE FOR STRATEGIC PLANNING, PRIORITIZING AMONG COMPETING ISSUES AND ENGAGING IN DIALOGUE AND DECISION-MAKING THAT WILL ENABLE MEMORIAL HEALTH SYSTEM TO ACHIEVE ITS MISSION AND VISION AND ACCOMPLISH ITS STRATEGIC GOALS. IN FY11, MHS SENIOR LEADERSHIP UPDATED THE ORGANIZATION'S STRATEGIC PLAN, 5 YEAR GOALS AND MEASURES OF SUCCESS TO REFLECT EMERGING PRIORITIES RELATED TO THE EMERGING "TRIPLE AIM" OF HEALTH CARE: TO IMPROVE THE QUALITY OF CARE FOR INDIVIDUALS AND THE HEALTH OF POPULATIONS OF PEOPLE WHILE REDUCING COSTS. IN ADDITION, WE UPDATED AND IMPROVED OUR SYSTEM LEADERSHIP TEAM ANNUAL ACTION PLANNING TEMPLATE AND CREATED A NEW STANDARDIZED ACTION PLANNING TEMPLATE TO BE USED AT ALL MHS AFFILIATES AND DEPARTMENTS TO INCREASE ACCOUNTABILITY FOR EXECUTING OUR STRATEGIES IN A MANNER THAT HELPS US FULFILL OUR MISSION, ACHIEVE OUR VISION AND ACCOMPLISH OUR GOALS. IN THE AREA OF INFORMATION SYSTEMS, WE SUCCESSFULLY IMPLEMENTED AN AMBULATORY ELECTRONIC HEALTH RECORD IN ALL 14 OF OUR AFFILIATE PRIMARY CARE PHYSICIAN GROUP CLINICS AND COMPUTERIZED PHYSICIAN ORDER ENTRY IN MEMORIAL MEDICAL CENTER. WE ALSO PROVIDED LEADERSHIP FOR THE COMMUNITY TO ESTABLISH, INCORPORATE AND FUND THE LINCOLN LAND HEALTH INFORMATION EXCHANGE IN COLLABORATION WITH SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE, SPRINGFIELD CLINIC AND OTHER HOSPITALS AND HEALTH CARE PROVIDERS IN THE REGION. IN THE AREA OF SYSTEM FACILITY PLANNING AND MANAGEMENT, WE COMPLETED CONSTRUCTION OF A REPLACEMENT CRITICAL ACCESS HOSPITAL (ABRAHAM LINCOLN MEMORIAL HOSPITAL IN LINCOLN, ILLINOIS) AND A NEW AMBULATORY SERVICES BUILDING INCLUDING BETTER ACCESS VIA STATE HIGHWAY 29, NEW EMERGENCY, IMAGING AND SURGERY FACILITIES FOR OUR OTHER CRITICAL ACCESS HOSPITAL (TAYLORVILLE MEMORIAL HOSPITAL IN TAYLORVILLE, ILLINOIS). IN SPRINGFIELD, TO IMPROVE PATIENT ACCESS AND CONVENIENCE WE COMPLETED CONSOLIDATION OF OUR OUTPATIENT IMAGING SERVICES ON THE MEMORIAL MEDICAL CENTER CAMPUS, AN EMERGENCY SERVICES EXPANSION, NEW OUTPATIENT INFUSION UNIT AND A 500 SPACE PARKING GARAGE TO IMPROVE PATIENT AND PHYSICIAN VEHICULAR ACCESS. WE ALSO COMPLETED, IN PARTNERSHIP WITH THE YMCA, A NEW Y FACILITY AND RELOCATED OUR SPORTS MEDICINE AND CARDIAC REHABILITATION PHASE 3 PROGRAM TO THAT FACILITY TO IMPROVE ACCESS FOR THESE PATIENTS. THIS NEW FACILITY PROMOTES INDIVIDUAL RESPONSIBILITY AND IS AN EXCELLENT RESOURCE FOR AREA RESIDENTS TO IMPROVE THEIR OWN HEALTH AND WELLNESS. OTHER KEY SUCCESSES THIS YEAR DIRECTLY RELATED TO STRONG LEADERSHIP INCLUDE THE RECERTIFICATION OF MAGNET HOSPITAL DESIGNATION FOR MEMORIAL MEDICAL CENTER FOR ANOTHER FOUR (4) YEARS, REAFFIRMATION OF OUR A+/A1 BOND RATING BY MOODY'S AND STANDARD AND POORS, DESIGNATION OF MEMORIAL HEALTH SYSTEM AS A NATIONAL "EMPLOYER OF CHOICE", MHS EMPLOYEE ENGAGEMENT SCORES AT THE 95TH PERCENTILE OF OUR NATIONAL COMPARISON GROUP AND SIGNIFICANTLY IMPROVED HCAHPS INPATIENT SATISFACTION SCORES AT MEMORIAL MEDICAL CENTER. THIS YEAR WE ADOPTED NEW, EVIDENCE BASED LEADERSHIP COMPETENCY AND EMPLOYEE ENGAGEMENT MODELS. WE ALSO REVAMPED OUR LEADERSHIP COMMUNICATIONS MODEL TO BETTER ALIGN AND CASCADE IMPORTANT MESSAGES THROUGHOUT OUR ORGANIZATION STARTING WITH OUR SYSTEM LEADERSHIP TEAM (IN A SPRING LEADERSHIP RETREAT) TO OUR DEPARTMENT DIRECTORS AND MANAGERS (VIA SUMMER LEADERSHIP DEVELOPMENT INSTITUTE RETREATS) TO OUR EMPLOYEES (VIA FALL ROUND-THE-CLOCK EMPLOYEE MEETINGS) TO OUR ALIGNED PHYSICIANS (VIA MEMORIAL PHYSICIAN SERVICES STRATEGIC UPDATE MEETING.) WE ALSO INSTITUTED PROTECTED "NO MEETING TIMES" AND THE HOURLY NURSE MANAGER ROUNDING BEST PRACTICE ON OUR INPATIENT UNITS, WHICH DIRECTLY CORRELATES TO IMPROVED "RESPONSE TO CONCERNS AND COMPLAINTS" AND OVERALL PATIENT SATISFACTION RATINGS.TO BETTER ALIGN OUR LEADERSHIP PRIORITIES WITH OUR ORGANIZATIONAL STRUCTURE, TWO NEW SENIOR LEADER ROLES AND ONE NEW SYSTEM LEADER ROLE WERE CREATED BY REVISING JOB DESCRIPTIONS OF THREE INCUMBENT LEADERS. THE THREE POSITIONS WERE VICE PRESIDENT FOR CLINICAL INTEGRATION, VICE PRESIDENT OF QUALITY AND OPERATIONS AND ADMINISTRATOR OF ORTHOPEDICS AND NEUROSCIENCES. WE ALSO CREATED NEW "CO-MANAGEMENT" LEADERSHIP STRUCTURES FOR OUTPATIENT SURGERY, ORTHOPEDICS, CARDIOVASCULAR AND ONCOLOGY SERVICES WHEREBY PHYSICIANS SHARE LEADERSHIP RESPONSIBILITIES WITH ADMINISTRATIVE LEADERS AND HAVE ALIGNED INCENTIVES TO IMPROVE PATIENT CLINICAL OUTCOMES, QUALITY AND SAFETY PROCESSES, EFFICIENCY AND OTHER MEASURES.</Description>
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        <NamePerson>MARK H FERGUSON</NamePerson>
        <Title>IMMEDIATE PAST CHAIRMAN</Title>
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        <NamePerson>DALE M BECKER</NamePerson>
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        <NamePerson>CLIFTON R BAXTER</NamePerson>
        <Title>MEMBER</Title>
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        <NamePerson>RICHARD LEVI</NamePerson>
        <Title>MEMBER</Title>
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        <NamePerson>WILLIAM R ENLOW</NamePerson>
        <Title>MEMBER</Title>
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        <NamePerson>RANDALL S GERMERAAD</NamePerson>
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        <NamePerson>NINA M HARRIS</NamePerson>
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        <NamePerson>LOUIS G LOWER II</NamePerson>
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        <NamePerson>DIANE K RUTLEDGE PHD</NamePerson>
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        <NamePerson>WILLIAM D PUTMAN MD</NamePerson>
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        <NamePerson>EDGAR J CURTIS EX-OFFICIO</NamePerson>
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        <NamePerson>MG NELSON</NamePerson>
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        <NamePerson>MICHAEL W NEUMEISTER MD</NamePerson>
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        <NamePerson>DEAN E ROBERT JR</NamePerson>
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        <NamePerson>ROBERT W KAY</NamePerson>
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        <NamePerson>MITCHELL L JOHNSON</NamePerson>
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        <NamePerson>ELAINE L YOUNG</NamePerson>
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        <NamePerson>DOUGLAS RAHN</NamePerson>
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        <NamePerson>DAVID GRAHAM MD</NamePerson>
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        <NamePerson>EDWARD MCDOWALL</NamePerson>
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            <BusinessNameLine1>CERNER CORPORATION</BusinessNameLine1>
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            <BusinessNameLine1>MICROSOFT LICENSING GP</BusinessNameLine1>
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      <GrantsToDomesticIndividuals>
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        <ProgramServices>30000</ProgramServices>
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        <ProgramServices>3543355</ProgramServices>
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        <Total>382201</Total>
        <ProgramServices>382201</ProgramServices>
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        <ProgramServices>9651103</ProgramServices>
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        <ProgramServices>703438</ProgramServices>
        <ManagementAndGeneral>560510</ManagementAndGeneral>
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        <ManagementAndGeneral>650331</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>317746</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ManagementAndGeneral>272238</ManagementAndGeneral>
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        <ManagementAndGeneral>205437</ManagementAndGeneral>
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        <Total>5382550</Total>
        <ProgramServices>1983675</ProgramServices>
        <ManagementAndGeneral>3398875</ManagementAndGeneral>
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      <Advertising>
        <Total>292902</Total>
        <ManagementAndGeneral>292902</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ProgramServices>1372290</ProgramServices>
        <ManagementAndGeneral>1182850</ManagementAndGeneral>
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      <InformationTechnology>
        <Total>13126896</Total>
        <ProgramServices>12980620</ProgramServices>
        <ManagementAndGeneral>146276</ManagementAndGeneral>
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        <ProgramServices>1779896</ProgramServices>
        <ManagementAndGeneral>756034</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>58648</ProgramServices>
        <ManagementAndGeneral>127977</ManagementAndGeneral>
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      <ConferencesMeetings>
        <Total>276734</Total>
        <ProgramServices>213847</ProgramServices>
        <ManagementAndGeneral>62887</ManagementAndGeneral>
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      <Interest>
        <Total>700860</Total>
        <ProgramServices>700860</ProgramServices>
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        <ProgramServices>5797498</ProgramServices>
        <ManagementAndGeneral>157669</ManagementAndGeneral>
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      <Insurance>
        <Total>22037</Total>
        <ManagementAndGeneral>22037</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>MINOR PROJECT COSTS</Description>
        <Total>79910</Total>
        <ProgramServices>79910</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
        <Total>54961</Total>
        <ProgramServices>52872</ProgramServices>
        <ManagementAndGeneral>2089</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
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        <NamePerson>MITCHELL L JOHNSON</NamePerson>
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        <NamePerson>ELAINE L YOUNG</NamePerson>
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        <NamePerson>DOUGLAS RAHN</NamePerson>
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        <NamePerson>RAJESH GOVINDAIAH MD</NamePerson>
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        <NamePerson>DAVID GRAHAM MD</NamePerson>
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        <NamePerson>ANNA N EVANS</NamePerson>
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        <NamePerson>EDWARD MCDOWALL</NamePerson>
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        <NamePerson>GARY CROMPTON</NamePerson>
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        <NamePerson>JOSH SAVAGE</NamePerson>
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        <NamePerson>ROBERT T CLARKE</NamePerson>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4B</ReturnReference>
        <Explanation>PART I, LINE 4B THE ORGANIZATION PROVIDES CERTAIN SUPPLEMENTAL RETIREMENT BENEFITS TO THE FOLLOWING OFFICERS AND KEY EMPLOYEES: EDGAR J. CURTIS, $143,804, ROBERT W. KAY, $51,493, DOUGLAS L. RAHN, $54,775, FORREST G. HESTER, $21,758, MITCHELL L. JOHNSON, $34,561, ELAINE L. YOUNG, $19,730, KEVIN R. ENGLAND, $25,182, ANNA N. EVANS, $27,520, DAVID GRAHAM, M.D., $42,827, GARY CROMPTON $16,466, RAJESH GOINDAIAH $42,600, EDWARD MCDOWALL, JOSH SAVAGE $3,571, AND BRAD WARREN 28,841. THESE BENEFITS ARE PROVIDED THROUGH A NONQUALIFIED DEFERRED COMPENSATION PLAN, UNDER WHICH THE BENEFITS BEING EARNED ARE SUBJECT TO A "SUBSTANTIAL RISK OF FORFEITURE." THE SUPPLEMENTAL RETIREMENT BENEFITS ARE STRUCTURED TO PROVIDE A RETENTION INCENTIVE THAT HAS BEEN DETERMINED BY THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM TO BE OF SUBSTANTIAL VALUE TO THE ORGANIZATION. 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.</Explanation>
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        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>MEMBERS OF SENIOR MANAGEMENT RECEIVE INCENTIVE COMPENSATION UNDER THE ANNUAL INCENTIVE COMPENSATION PLANS SPONSORED BY MEMORIAL HEALTH SYSTEM. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II). THE PLANS ARE DESIGNED TO CONDITION A PORTION OF COMPENSATION ON PERFORMANCE AGAINST PRE-DETERMINED ORGANIZATIONAL GOALS APPROVED IN ADVANCE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEM. THE LEADERSHIP COMPENSATION COMMITTEE OF THE BOARD HAS REVIEWED THE REASONABLENESS OF ALL SUCH PAYMENTS, AND HAS CONCLUDED, AS THE RESULT OF A PROCESS THAT IS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER FEDERAL TAX LAW, THAT ALL SUCH AMOUNTS ARE REASONABLE AND DO NOT EXCEED FAIR MARKET VALUE FOR THE SERVICES PROVIDED.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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          <BusinessNameLine1>ILLINOIS HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
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        <CUSIPNumber>45200P2U4</CUSIPNumber>
        <DateIssued>2003-12-17</DateIssued>
        <IssuePrice>31000000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
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        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
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        <CUSIPNumber>45200FJ59</CUSIPNumber>
        <DateIssued>2009-12-22</DateIssued>
        <IssuePrice>147401639</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
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        <CreditEnhancement>110306</CreditEnhancement>
        <CapitalExpenditures>19245275</CapitalExpenditures>
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      <Form990ScheduleKPartV>
        <Identifier>SCHEDULE K SUPPLENTAL INFORMATION</Identifier>
        <Explanation>SCHEDULE K: 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. SCHEDULE K PART I, COLUMN (F) CONTINUATIONS: THE PURPOSE OF THE 2003 ISSUE WAS TO REFUND THE 1993 SERIES ISSUED ON 8/5/93 IN THE AMOUNT OF $11,406,560. PROCEEDS WERE ALSO USED TO PAY ISSUANCE EXPENSES AND TO PURCHASE EQUIPMENT AND SOFTWARE FOR MEMORIAL HEALTH SYSTEM. PROCEEDS WERE ALSO USED FOR CONSTRUCTION AND BUILDING IMPROVEMENTS AND TO CONSTRUCT AND EQUIP AN OUTPATIENT PSYCHIATRIC FACILITY. THE PURPOSE OF THE 2009 ISSUE WAS TO PAY ISSUANCE COSTS, CONSTRUCT AND EQUIP A REPLACEMENT HOSPITAL FACILITY FOR ABRAHAM LINCOLN MEMORIAL HOSPITAL, RENOVATE AND REMODEL TAYLORVILLE MEMORIAL HOSPITAL, RENOVATE, REMODEL, AND EQUIP MEMORIAL MEDICAL CENTER, CONSTRUCT A PARKING GARAGE ADJACENT TO MEMORIAL MEDICAL CENTER, CONSTRUCT AND EQUIP A WOUND CARE CENTER, RENOVATE A PAIN CLINIC, CONSTRUCT AND EQUIP A CONSOLIDATED IMAGING SERVICES AREA, PURCHASE VARIOUS PARCELS OF REAL PROPERTY IN SPRINGFIELD, IL AND TAYLORVILLE, IL FOR FUTURE EXPANSION OF EXISTING FACILITIES, CONSTRUCT AND EQUIP A SPACE FOR PHYSICAL THERAPY WITHIN THE NEW YMCA IN SPRINGFIELD, IL, AND ROUTINE CAPITAL EXPENDITURES. SCHEDULE K PART II, LINE 13: FOR THE 2009 ISSUANCE, AS OF SEPTEMBER 30, 2011 THE PROJECTS ARE SUBSTANTIALLY COMPLETE. SCHEDULE K PART II, LINE 16: FOR THE 2009 ISSUANCE, THE BALANCE OF WHAT HAS NOT BEEN SPENT IS IN RESERVE FUNDS. SCHEDULE K PART III, LINE 3C: MEMORIAL HEALTH SYSTEM'S INTERNAL COUNSEL ROUTINELY REVIEWS MANAGEMENT AND SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO FINANCED PROPERTY. SCHEDULE K PART III, LINE 5: ISSUANCE COSTS ARE INCLUDED IN THESE PERCENTAGES. SCHEDULE K PART IV, LINE 1: THE ARBITRAGE REBATE FILING IS ONLY REQUIRED EVERY 5 YEAR; THE 2009 ISSUANCE HAS NOT YET MET THIS REQUIREMENT. SCHEDULE K PART IV, LINE 5: BOND DRAWS ARE NOT FINAL AS OF SEPTEMBER 30, 2011 FOR THE 2009 ISSUANCE.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>SPRINGFIELD CLINIC LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>WILLIAM D. PUTMAN, M.D., BOARD MEMBER AND EMPLOYEE</Relationship>
        <AmountOfTransaction>768793</AmountOfTransaction>
        <DescriptionOfTransaction>PHYSICIAN FEES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>SORLING NORTHRUP HANNA CULLEN &amp; COCHRAN LTD ATTORNEYS AT LAW</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>MARK H. FERGUSON, BOARD MEMBER</Relationship>
        <AmountOfTransaction>409413</AmountOfTransaction>
        <DescriptionOfTransaction>ATTORNEY FEES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>SORLING NORTHRUP HANNA CULLEN &amp; COCHRAN LTD ATTORNEYS AT LAW</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>WILLIAM R. ENLOW, BOARD MEMBER</Relationship>
        <AmountOfTransaction>409413</AmountOfTransaction>
        <DescriptionOfTransaction>ATTORNEY FEES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 2</Identifier>
        <Explanation>MARK H. FERGUSON AND WILLIAM R. ENLOW, BOTH MEMORIAL HEALTH SYSTEM BOARD MEMBERS, ARE PARTNERS AT THE SAME LAW FIRM, SORLING, NORTHRUP, HANNA, CULLEN &amp; COCHRAN, LTD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>THE CORPORATION CONTAINS 105 INDIVIDUAL MEMBERS WHO ELECT THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>THE INDIVIDUAL MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT THE CORPORATION'S BOARD OF DIRECTORS, AS WELL AS THE POWER AND AUTHORITY TO REMOVE MEMBER ELECTED DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>INDIVIDUAL MEMBERS OF THE CORPORATION HAVE NO VOTING RIGHTS WITH RESPECT TO THE MANAGEMENT, CONTROL OR OPERATION OF THE AFFAIRS AND PROPERTIES OF THE CORPORATION. ONLY THE BOARD OF DIRECTORS CAN MAKE DECISIONS IN THAT REGARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>A FINAL DRAFT COPY OF THE MHS FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE MEMORIAL HEALTH SYSTEM BOARD OF DIRECTORS AND A BOARD COMMITTEE PRIOR TO FILING. AT THE BOARD MEETING, A PRESENTATION IS MADE BY THE CFO TO THE BOARD, FOLLOWED BY A QUESTION AND ANSWER SESSION. ALL QUESTIONS AND COMMENTS ARISING FROM THESE REVIEWS ARE ADDRESSED PRIOR TO SUBMISSION OF THE RETURN TO THE APPROPRIATE TAXING AUTHORITIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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 SYSTEM 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE MEMORIAL HEALTH SYSTEM 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. 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 DISINTERESTED 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 SITUATED 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE GOVERNING DOCUMENTS OF MEMORIAL HEALTH SYSTEM, 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -1,904,938. NONOPERATING RECONCILING ITEMS -51,554. CHANGE IN UNRESTRICTED NET ASSETS -3,160,515. TOTAL TO FORM 990, PART XI, LINE 5: -5,117,007.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FAIR MARKET VALUE FOR RENTAL INCOME RECEIVED</Identifier>
        <ReturnReference>SCHEDULE R, PART V, LINE 2</ReturnReference>
        <Explanation>MEMORIAL HEALTH SYSTEM COLLECTED RENTAL INCOME FROM AFFILIATES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2011. THE VALUES LISTED IN SCHEDULE R, PART V, LINE 2 WERE DETERMINED USING FAIR MARKET VALUE.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>701 NORTH FIRST ST</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>IL</State>
          <ZIPCode>627810001</ZIPCode>
        </AddressUS>
        <EIN>370661220</EIN>
        <PrimaryActivities>HOSPITAL SERVICES</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(B)(1)(A)(III)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEMORIAL HEALTH VENTURES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>701 NORTH FIRST ST</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>IL</State>
          <ZIPCode>627810001</ZIPCode>
        </AddressUS>
        <EIN>363492266</EIN>
        <PrimaryActivities>HEALTHCARE ACTIVITIES</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3) TYPE II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ABRAHAM LINCOLN MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>315 EIGHTH ST</AddressLine1>
          <City>LINCOLN</City>
          <State>IL</State>
          <ZIPCode>62656</ZIPCode>
        </AddressUS>
        <EIN>370723793</EIN>
        <PrimaryActivities>HOSPITAL SERVICES</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(B)(1)(A)(III)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TAYLORVILLE MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>201 EAST PLEASANT</AddressLine1>
          <City>TAYLORVILLE</City>
          <State>IL</State>
          <ZIPCode>62568</ZIPCode>
        </AddressUS>
        <EIN>370661250</EIN>
        <PrimaryActivities>HOSPITAL SERVICES</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(B)(1)(A)(III)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEMORIAL HOME SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>720 NORTH BOND</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>IL</State>
          <ZIPCode>627024915</ZIPCode>
        </AddressUS>
        <EIN>370714225</EIN>
        <PrimaryActivities>HOME HEALTH, HOSPICE, AND CONTINUOUS CARE SERVICES</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEMORIAL PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>701 NORTH FIRST ST</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>IL</State>
          <ZIPCode>627810001</ZIPCode>
        </AddressUS>
        <EIN>371181194</EIN>
        <PrimaryActivities>HEALTH CLINICS</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3) TYPE II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1 MEMORIAL PLAZA</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>IL</State>
          <ZIPCode>62781</ZIPCode>
        </AddressUS>
        <EIN>371110301</EIN>
        <PrimaryActivities>GRANTS TO HOSPITALS, OTHER CHARITABLE ORGANIZATIONS, AND SCHOLARSHIPS</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(B)(1)(A)(V)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TAYLORVILLE MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>201 EAST PLEASANT</AddressLine1>
          <City>TAYLORVILLE</City>
          <State>IL</State>
          <ZIPCode>62568</ZIPCode>
        </AddressUS>
        <EIN>371337485</EIN>
        <PrimaryActivities>GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)TYPE III-FI</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>710 NORTH EIGHTH ST</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>IL</State>
          <ZIPCode>627026395</ZIPCode>
        </AddressUS>
        <EIN>370646367</EIN>
        <PrimaryActivities>TRAINING, PSYCHIATRIC, AND RESIDENT SERVICES FOR MENTALLY ILL AND DISABLED</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(B)(1)(A)(VI)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ABRAHAM LINCOLN HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>315 EIGHTH ST</AddressLine1>
          <City>LINCOLN</City>
          <State>IL</State>
          <ZIPCode>62656</ZIPCode>
        </AddressUS>
        <EIN>363492268</EIN>
        <PrimaryActivities>GRANTS TO OTHER CHARITABLE ORGANIZATIONS AND HOSPITALS</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>170(B)(1)(A)(VI)</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>701 NORTH FIRST STREET</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>IL</State>
          <ZIPCode>62781</ZIPCode>
        </AddressUS>
        <EIN>371190216</EIN>
        <PrimaryActivity>PROVIDE DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO PATIENTS</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HEALTHCARE NETWORK ASSOCIATES OF SANGAMON</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>720 NORTH BOND ST</AddressLine1>
          <City>SPRINGFIELD</City>
          <State>IL</State>
          <ZIPCode>62702</ZIPCode>
        </AddressUS>
        <EIN>364156479</EIN>
        <PrimaryActivity>HEALTHCARE ACTIVITIES</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>1</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>1</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HEALTH VENTURES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>454079</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HOME SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>138128</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>2292563</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>1073252</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HOME SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>450000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>9478000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>6300000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>80000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>G</TransactionType>
        <AmountInvolved>356388</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HEALTH VENTURES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>454079</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MEMORIAL HOME SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>36351027</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ABRAHAM LINCOLN MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TAYLORVILLE MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HOME SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HEALTH VENTURES</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ABRAHAM LINCOLN MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>200000</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HEALTH VENTURES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>241808</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HEALTH VENTURES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HOME SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1470334</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL PHYSICIAN SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ABRAHAM LINCOLN MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ABRAHAM LINCOLN MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>103372</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TAYLORVILLE MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>104097</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TAYLORVILLE MEMORIAL HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>55412</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>977037</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MEMORIAL HOME SERVICES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>138128</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>