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      <Form990PartVIISectionA>
        <NamePerson>Margaret J Carroll</NamePerson>
        <Title>Chief Information Officer</Title>
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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
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        <NamePerson>Bryan D Counts</NamePerson>
        <Title>Staff Physician</Title>
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        <OtherCompensation>32880</OtherCompensation>
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        <NamePerson>Arthur M Schroeder</NamePerson>
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        <NamePerson>Mark D Diamond</NamePerson>
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            <City>Chicago</City>
            <State>IL</State>
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        <NameOfContractor>
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            <City>Richardson</City>
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          <NameBusiness>
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          <AddressUS>
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            <City>Naperville</City>
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      <ProgramServiceRevenue>
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        <ExclusionAmount>699000</ExclusionAmount>
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      <OtherRevenueMisc>
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      <OtherRevenueMisc>
        <Description>Medical Records</Description>
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      <MiscellaneousRevenue>
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        <RelatedOrExemptFunctionIncome>2845450</RelatedOrExemptFunctionIncome>
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      <TotalRevenue>
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        <RelatedOrExemptFunctionIncome>331942406</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>8409063</ExclusionAmount>
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      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>3006013</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
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      <PensionPlanContributions>
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        <ManagementAndGeneral>2237582</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ManagementAndGeneral>106803</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ManagementAndGeneral>187291</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ManagementAndGeneral>55616</ManagementAndGeneral>
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        <ManagementAndGeneral>1139507</ManagementAndGeneral>
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        <ManagementAndGeneral>1939108</ManagementAndGeneral>
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        <ManagementAndGeneral>28869</ManagementAndGeneral>
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        <Description>Medical Supplies</Description>
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        <ProgramServices>50270257</ProgramServices>
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        <Description>Illinois Provider Tax</Description>
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      <OtherExpenses>
        <Description>Taxes, Licenses and Reg</Description>
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      </OtherExpenses>
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        <EOY>4673521</EOY>
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        <EOY>624169</EOY>
      </OtherNotesLoansReceivableNet>
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        <EOY>1531486</EOY>
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        <EOY>4517005</EOY>
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        <EOY>255919913</EOY>
      </LandBuildingsEquipmentBasisNet>
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        <EOY>352678512</EOY>
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        <BOY>40299608</BOY>
        <EOY>44271817</EOY>
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      <TotalAssets>
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        <EOY>699718688</EOY>
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      <AccountsPayableAccruedExpenses>
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        <EOY>129130466</EOY>
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        <EOY>268120000</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>44725464</BOY>
        <EOY>44077156</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>436532750</BOY>
        <EOY>441327622</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>251618119</BOY>
        <EOY>258281262</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>162668</BOY>
        <EOY>109804</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>251780787</BOY>
        <EOY>258391066</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>688313537</BOY>
        <EOY>699718688</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>9037806</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-2427527</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
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      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>55616</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>55616</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Explanation of Lobbying Activities:</Identifier>
        <ReturnReference>Part II-B, Line 1:</ReturnReference>
        <Explanation>Illinois Hospital Association dues and American Hospital Association fees attributable to lobbying.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>13882791</OtherCostOrOtherBasis>
        <BookValue>13882791</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>309249132</OtherCostOrOtherBasis>
        <Depreciation>105269482</Depreciation>
        <BookValue>203979650</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>151325396</OtherCostOrOtherBasis>
        <Depreciation>113267924</Depreciation>
        <BookValue>38057472</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>255919913</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Investment in Affiliate</Description>
        <BookValue>2300931</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Collateral Received for Securities Loaned</Description>
        <BookValue>33400000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Deferred Financing Costs</Description>
        <BookValue>4154669</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Malpractice Insurance Receivable</Description>
        <BookValue>4416217</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>44271817</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Obligation for Collateral Received for Securities Loaned</Description>
        <Amount>33400000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Tax Exempt Bond Liability Premium</Description>
        <Amount>6991198</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Provider Tax Liability</Description>
        <Amount>3685958</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>44077156</TotalOfAmounts>
      <TotalRevenue>340998104</TotalRevenue>
      <TotalExpenses>331960298</TotalExpenses>
      <ExcessOrDeficitForYear>9037806</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-2427527</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>-2427527</TotalAdjustments>
      <ExcessOrDeficitPerFS>6610279</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>338338815</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-2427527</NetUnrealizedGainsInvestments>
      <OtherRevenues>911430</OtherRevenues>
      <RevenueNotRptdF990>-1516097</RevenueNotRptdF990>
      <RevenueSubtotal>339854912</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>1139507</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>3685</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>1143192</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>340998104</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>331675672</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>854881</OtherExpensesIncluded>
      <ExpensesNotRptdF990>854881</ExpensesNotRptdF990>
      <ExpensesSubtotal>330820791</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>1139507</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>1139507</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>331960298</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>The Hospital has received a determination letter from the Internal Revenue Service stating that it is exempt from the payment of income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, income taxes are not provided for in the accompanying financial statements. The Hospital adopted the FASB-issued guidance for accounting for uncertainty in income taxes on January 1, 2007. The Hospital files a Form 990 (Return of Organization Exempt from Income Tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to hospitals include such matters as the following: the tax exempt status of the entity, the continued tax exempt status of bonds issued by the obligated group, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBIT). UBIT is reported on Form 990T, as appropriate. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying balance sheet along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Upon the adoption of the FASB issued guidance at January 1, 2007, and since that date through December 31, 2011, there were no unrecognized tax benefits identified and recorded as a liability.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Rental Expense 854,881. Net Assets Released from Restrictions 56,549.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Temporarily Restricted Contributions 3,685.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Rental Expense 854,881.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>1000.000000000000</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>13182247</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13182247</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03970</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>22199497</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10990152</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>11209345</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03380</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>35381744</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10990152</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>24391592</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07350</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>924869</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>136320</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>788549</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00240</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>32507011</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>24610046</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>8163563</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02460</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <TotalCommunityBenefitExpense>0</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
      </Research>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>165560</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>165560</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
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        <TotalCommunityBenefitExpense>33597440</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>24746366</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9117672</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02750</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>68979184</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>35736518</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>33509264</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10100</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>3419327</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>124509000</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>140846135</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-16337135</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Palos Community Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>12251 South 80th Avenue</AddressLine1>
          <City>Palos Heights</City>
          <State>IL</State>
          <ZIPCode>60463</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>PALOS COMMUNITY HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>200.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>1000.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <OtherFactors>X</OtherFactors>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <CollectionActivities>0</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>1</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>4</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Orland Primary Care Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>15300 West Avenue Suite 122</AddressLine1>
            <City>Orland Park</City>
            <State>IL</State>
            <ZIPCode>60462</ZIPCode>
          </Address>
          <FacilityType>Primary Care Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Palos Immediate Care Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7340 W College Drive</AddressLine1>
            <City>Palos Heights</City>
            <State>IL</State>
            <ZIPCode>60463</ZIPCode>
          </Address>
          <FacilityType>Immediate Care Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Homer Family Health Center</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>15327 W 143rd Street</AddressLine1>
            <City>Lockport</City>
            <State>IL</State>
            <ZIPCode>60441</ZIPCode>
          </Address>
          <FacilityType>Primary Care Center</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PCH Home Health Services</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>15295 E 127th Street</AddressLine1>
            <City>Lemont</City>
            <State>IL</State>
            <ZIPCode>60439</ZIPCode>
          </Address>
          <FacilityType>Home Health Services</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 3c: PCH's charity care is based on a sliding scale of the Federal Poverty Guidelines. PCH set the sliding scale to far exceed the minimum amounts set forth by the State of Illinois in The Hospital Uninsured Patient Discount Act by extending discounted care up to 1000% of the FPG vs. the minimum 600% as dictated by this law.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: The best available data was used to calculate the cost amounts reported in Item 7. This includes the overall hospital cost to charge ratio as well as direct and indirect costs for certain specific departments of the hospital.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part II: The health of the communities that PCH serves is a very important piece of PCH's mission statement. To date, our focus has been on providing the care needed within our community at high level of quality. As such we have implemented and/or maintained programs that we feel help to improve the wellness of the people we serve. PCH believes that given limited resources and time this serves our community better than community building activities as defined in this schedule.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: PCH calculates Charity Care cost using the hospital wide cost to charge ratio and applying that ratio to the charges written off to charity care per the hospital policy. No other Bad Debt amounts are included in the community benefit report.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: Medicare costs are calculated using the hospital wide cost to charge ratio. PCH does include the Medicare shortfall in our Illinois state community benefits report since PCH continues to treat our Medicare community despite the fact that our costs for these patients exceed our reimbursement.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: It is the policy of PCH not to pursue collection practices against patients known to qualify under the Charity Care policy. In some cases, this determination is not immediately known and collection processes are followed, but once it has been determined that a patient does qualify for charity care, these practices are ceased.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PALOS COMMUNITY HOSPITAL</Identifier>
        <Explanation>Part V, Section B, Line 11h: Living expenses, family size and credit reports are also used for calculating amounts charged to patients.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PALOS COMMUNITY HOSPITAL</Identifier>
        <Explanation>Part V, Section B, Line 13g: The measures used to publicize the Financial Assistance Policy within the community served by the hospital facility are not explicitly written in the Financial Assistance Policy. However, the Hospital publicizes the policy in the listed ways as a general guideline of the organization.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PALOS COMMUNITY HOSPITAL</Identifier>
        <Explanation>Part V, Section B, Line 19d: Palos Community Hospital takes its commitment to serving the uninsured and underinsured members of its community very seriously and as a result has implemented a financial assistance policy that goes above and beyond the requirements of Illinois Public Act 095-0965 "Hospital Uninsured Patient Discount Act". This State Law was enacted with an effective date of April 1, 2009 and required that hospitals offer uninsured patients who met the minimum financial requirements (i.e. earnings less than 600% of the FPG and certain asset limitations) a rate equal to 135% of the hospital's most recently filed Medicare cost to charge ratio. PCH expanded the reach of this policy by extending the minimum financial requirements to 1000% of the FPG to help more of our community qualify for a financial benefit and giving families that earn a lower % of the FPG deeper discounts. This policy was also extended to all clinically necessary procedures and was not limited to emergency care only. Using the FPG, we created a set of discounts for patients without insurance that ranged from free care for those who earned less than 200% of the FPG to a 40% discount off of regularly billed charges for any uninsured patient who earned less than 1000% of the FPG. We also created a policy to help those who are underinsured. Similar to our uninsured policy, this creates a set of discounts that can be applied to co-payments and deductibles owed for those patients that earn less than 300% of the FPG.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PALOS COMMUNITY HOSPITAL</Identifier>
        <Explanation>Part V, Section B, Line 20: Palos Community Hospital takes its commitment to serving the uninsured and underinsured members of its community very seriously and as a result has implemented a financial assistance policy that goes above and beyond the requirements of Illinois Public Act 095-0965 "Hospital Uninsured Patient Discount Act". This State Law was enacted with an effective date of April 1, 2009 and required that hospitals offer uninsured patients who met the minimum financial requirements (i.e. earnings less than 600% of the FPG and certain asset limitations) a rate equal to 135% of the hospital's most recently filed Medicare cost to charge ratio. PCH expanded the reach of this policy by extending the minimum financial requirements to 1000% of the FPG to help more of our community qualify for a financial benefit and giving families that earn a lower % of the FPG deeper discounts. This policy was also extended to all clinically necessary procedures and was not limited to emergency care only. Using the FPG, we created a set of discounts for patients without insurance that ranged from free care for those who earned less than 200% of the FPG to a 40% discount off of regularly billed charges for any uninsured patient who earned less than 1000% of the FPG. We also created a policy to help those who are underinsured. Similar to our uninsured policy, this creates a set of discounts that can be applied to co-payments and deductibles owed for those patients that earn less than 300% of the FPG. Because our financial assistance policy so generously extends to patients who earn up to 1000% of the FPG, it is possible that those patients could be responsible for charges that exceed an individual with insurance. If this situation arose, Palos Community Hospital would make every effort to work with the patient to limit their liability to a reasonable amount.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: PCH consistently seeks to serve the needs of its community in a variety of ways. In order to better identify these needs, PCH teamed up with the Metropolitan Chicago Healthcare Council (MCHC) to prepare a Community Health Assessment for the primary counties that PCH serves. This Community Health Assessment is a systematic, data-driven approach to determining the health status, behaviors and needs of residents in Cook, DuPage and Lake counties, Illinois. This Community Health Assessment will serve as a tool toward reaching three basic goals:- To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life.- To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors which have historically had a negative impact on residents' health.- To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: PCH utilizes several techniques to communicate a patient's eligibility for assistance under various programs. At the time of registration, each patient is referred to a copy of PCH's Charity Care Policy and asked to fill out a simple registration form that may help them qualify for Charity Care. This policy clearly lays out the eligibility requirements and what the patient must do to qualify. Also at registration, any patient without insurance is advised as to what other programs they may qualify for and are given assistance in applying as necessary. PCH employs a company that helps patients apply for Medicaid coverage and SSI disability. Upon discharge, each patient receives a summary bill that includes information related to eligibility for the Charity Care Policy. All inpatients without insurance are visited by a financial counselor who helps direct the patient and their families to the appropriate level of assistance. Finally, PCH proudly displays the assistance polices on their website along with a Charity application form.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: Palos Community Hospital serves growing communities that expect to experience further growth in the coming years. Communities within the hospital's service area have seen overall growth in population of approximately 7.6% from 2000 to 2011 with a current estimated population of 603,793. Continued growth is anticipated. From 2011 to 2016, the population is expected to reach 624,638. Of those living within the service area of Palos Community Hospital: 50.91% are female87.62% are white82.41% are English speakingThe median age is 37.74 years31.60% are high school graduates30.12% have had some college, and 28.36% have earned a bachelor's degree or beyond.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 5: PCH will assure the availability of quality inpatient, outpatient, emergency and home care services to the community at all times. Access to these services will be determined by clinical presentation and medical needs of the patient without consideration of the patient's ability to pay.PCH will be a resource for health education and wellness initiatives for residents of the service area.PCH will monitor the health care needs of its service area to assure the need for the services it offers and evaluate the opportunity to develop new programs and services as necessary.PCH will work together with and in support of other not-for-profit, educational, governmental, civic or community organizations, as appropriate, to promote health and wellness through awareness, education, research, access or support.PCH will have policies and procedures in place to provide for charity care for patients without financial resources, including the unreimbursed costs of government sponsored indigent health care.PCH will provide language assistance services as necessary to assure effective communication in the delivery of patient care.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: Palos Community Hospital is not part of an affiliated health care system.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Reports Filed With States</Identifier>
        <ReturnReference>Part VI, Line 7</ReturnReference>
        <Explanation>IL</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
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      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Dr Mark Sinibaldi</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>195000</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>83690</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>Thomas J Lavery</NamePerson>
        <BaseCompensationFilingOrg>459702</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <DeferredCompFilingOrg>18375</DeferredCompFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>David B Manchester</NamePerson>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>Hugh A Rose</NamePerson>
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        <DeferredCompFilingOrg>18375</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>9475</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>Randall J Oles</NamePerson>
        <BaseCompensationFilingOrg>322469</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>16500</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>18375</DeferredCompFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>Timothy J Brosnan</NamePerson>
        <BaseCompensationFilingOrg>339866</BaseCompensationFilingOrg>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>Marion J Baron</NamePerson>
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        <NameOfInterestedPerson>
          <NamePerson>Thomas F Courtney Associates</NamePerson>
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        <Relationship>Thomas F. Courtney, Director, is owner of Thomas F. Courtney &amp; Associates</Relationship>
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          <NamePerson>Kathleen Wright</NamePerson>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>St. George Corporation is the sole Corporate Member.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>St. George Corporation holds the power to appoint members of the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>St. George Corporation can exercise action on the following matters: (a) removal of directors, with or without cause; (b) all amendments to these bylaws or the Corporation's Articles of Incorporation; (c) The sale or transfer of substantially all of the property of the corporation, except for leases in excess of one year; (d) all long term borrowing in excess of one year; (e) merger or consolidation by the Corporation with any other institution, hospital, corporation or legal entity; (f) formal affiliation with a medical school or research facility; (g) acceptance of any gift, bequest or legacy that imposes a permanent or continuing obligation on the Corporation for a period of more than one year; (h) decisions to authorize voluntary dissolution of the Corporation or to revoke proceedings therefor; (i) adoption of a plan for the distribution of the assets of the Corporation; and (j) any other matters required by law to be submitted to the Corporate Member or which the Board determines by resolution to submit.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>Before filing the Form 990, the organization will present the completed Form 990 to the Finance Committee of the Board for their review and approval. After the Finance Committee has approved the Form 990, it will be submitted to the Board for final approval. Copies of the Form 990 will be available to the Board as requested.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>On an annual basis key personnel (VP, department heads (budget administrators)) and all purchasing staff must complete a Conflict of Interest Form disclosing any conflict of interests that may exist or perceived to exist between themselves and/or family members and vendors, contractors and others PCH has a contract/transaction agreement. These annual disclosure statements are reviewed by the VP of Human Resources. Any issue identified as part of this annual disclosure is referred to the President of PCH for disposition. The Conflict of Interest Policy is 1-2-9 in the Administrative Policy Book. The policy includes a copy of the annual disclosure statement.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The CEO contract is a management contract with the religious order. The Executive Committee of the Board of Directors has the responsibility for the contract and fees. Annually Human Resources gathers market data on executive positions from a variety of published survey sources such as Metropolitan Healthcare Council (MCHC), Mercer, Watson Wyatt, etc. The market data is analyzed for organizations of our size and characteristics (FTE's, revenue, beds, region, non-for profit, stand alone institutions, etc.) The mean, median and if available the 90th percentile rates are provided to the President/CEO for consideration and reviewed with the Board of Directors. Discussion and process are contemporaneously documented in the minutes.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>All policies, governing documents and financial statements required to be available to the public are available upon request. Requests can be made from the Financial Department of Palos Community Hospital.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Hours Devoted For A Related Organization</Identifier>
        <ReturnReference>Form 990, Part VII</ReturnReference>
        <Explanation>The following Trustees and Officers have devoted time to St. George Corporation: Sister Margaret Wright - President - 1 hour Sister Ann Doyle - Secretary - 1 hour Thomas F. Courtney - Director - 1 hour James Reilly - Director - 1 hour Hugh Rose - VP Finance/CFO - 10 hours Mark R. Sinibaldi - Director - 40 hours The following Trustees and Officers have devoted time to St. George Wellness Center: Sister Margaret Wright - President - 1 hour Hugh Rose - VP Finance/CFO - 1 hour Timothy J. Brosnan - VP Planning/Community Relations - 2 hours Marion J. Baron - VP Facilities &amp; System Management - 1 hour</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: -2,427,527.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <State>IL</State>
          <ZIPCode>60463</ZIPCode>
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