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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Amanda Throgmorton</PersonNm>
        <TitleTxt>COO as of Sept 2024</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dana Dalton</PersonNm>
        <TitleTxt>CNO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1108318</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>223147</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>48</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Deaconess Health System</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>600 Mary St</AddressLine1Txt>
            <CityNm>Evansville</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>47710</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Administrative and management</ServicesDesc>
        <CompensationAmt>22569155</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>G&amp;G Anesthesia LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2023 Vadalabene Drive Suite 350</AddressLine1Txt>
            <CityNm>Maryville</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>62062</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Anesthesia Services</ServicesDesc>
        <CompensationAmt>2324014</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Total MSP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>221 W College Ave 2nd Floor</AddressLine1Txt>
            <CityNm>Appleton</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54911</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Contract Nursing &amp; Ancillary Labor</ServicesDesc>
        <CompensationAmt>1972759</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HHS Environmental Services LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12495 Silver Creek Rd</AddressLine1Txt>
            <CityNm>Dripping Springs</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78620</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EVS Contracted Services</ServicesDesc>
        <CompensationAmt>1481076</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HHS Culinary and Nutrition Solutions LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12495 Silver Creek Rd</AddressLine1Txt>
            <CityNm>Dripping Springs</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78620</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Cafeteria/Dietary Services</ServicesDesc>
        <CompensationAmt>779051</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>20</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Revenue</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>130655358</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>130655358</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Affiliate Sublease</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>2935000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2935000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Transport Revenue</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>1728607</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1728607</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Management Revenue</Desc>
        <BusinessCd>541610</BusinessCd>
        <TotalRevenueColumnAmt>1155847</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1155847</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>30401</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30401</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>136505213</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>97994</TotalRevenueColumnAmt>
        <ExclusionAmt>97994</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>2539</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>2539</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>2539</TotalRevenueColumnAmt>
        <ExclusionAmt>2539</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>16782</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-16782</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-16782</TotalRevenueColumnAmt>
        <ExclusionAmt>-16782</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>136588964</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>136505213</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>83751</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>6400</TotalAmt>
        <ManagementAndGeneralAmt>6400</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>27962840</TotalAmt>
        <ProgramServicesAmt>24203953</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3758887</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>186783</TotalAmt>
        <ProgramServicesAmt>161638</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25145</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4649552</TotalAmt>
        <ProgramServicesAmt>4023618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>625934</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2031643</TotalAmt>
        <ProgramServicesAmt>1758138</ProgramServicesAmt>
        <ManagementAndGeneralAmt>273505</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>24522501</TotalAmt>
        <ManagementAndGeneralAmt>24522501</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>117691</TotalAmt>
        <ManagementAndGeneralAmt>117691</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>38761855</TotalAmt>
        <ProgramServicesAmt>23393255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15368600</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>97860</TotalAmt>
        <ProgramServicesAmt>92689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5171</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2666496</TotalAmt>
        <ProgramServicesAmt>2446715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>219781</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>589578</TotalAmt>
        <ProgramServicesAmt>540983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48595</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>3580985</TotalAmt>
        <ProgramServicesAmt>3196219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>384766</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>61839</TotalAmt>
        <ProgramServicesAmt>56753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5086</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>182555</TotalAmt>
        <ProgramServicesAmt>167534</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15021</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>8162408</TotalAmt>
        <ProgramServicesAmt>2475728</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5686680</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>11327253</TotalAmt>
        <ProgramServicesAmt>3963791</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7363462</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>530069</TotalAmt>
        <ProgramServicesAmt>486379</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43690</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>19884484</TotalAmt>
        <ProgramServicesAmt>19753549</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130935</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other Taxes &amp; Licenses</Desc>
        <TotalAmt>11229563</TotalAmt>
        <ProgramServicesAmt>10303989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>925574</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs &amp; Maintenance</Desc>
        <TotalAmt>1949797</TotalAmt>
        <ProgramServicesAmt>1485860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>463937</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Memberships &amp; Dues</Desc>
        <TotalAmt>202483</TotalAmt>
        <ProgramServicesAmt>185794</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16689</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1580815</TotalAmt>
        <ProgramServicesAmt>1490351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90464</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>160285450</TotalAmt>
        <ProgramServicesAmt>100186936</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60098514</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>13911471</BOYAmt>
        <EOYAmt>17192609</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>36446385</BOYAmt>
        <EOYAmt>29049161</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>3233086</BOYAmt>
        <EOYAmt>3463931</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>873507</BOYAmt>
        <EOYAmt>658532</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>15955612</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4598622</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8446439</BOYAmt>
        <EOYAmt>11356990</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>188487267</BOYAmt>
        <EOYAmt>176429177</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>251398155</BOYAmt>
        <EOYAmt>238150400</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>11248217</BOYAmt>
        <EOYAmt>11073894</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>213692762</BOYAmt>
        <EOYAmt>231370386</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>224940979</BOYAmt>
        <EOYAmt>242444280</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>26457176</BOYAmt>
        <EOYAmt>-4293880</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>26457176</BOYAmt>
        <EOYAmt>-4293880</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>251398155</BOYAmt>
        <EOYAmt>238150400</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-23696486</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-7054570</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>3229072</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4425830</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>85804936</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>133306895</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>133573935</CurrentTaxYearAmt>
        <TotalAmt>360340668</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>4425830</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>85804936</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>133306895</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>133573935</CurrentTaxYearAmt>
        <TotalAmt>360340668</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>360340668</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>771</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5411</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5957</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15412</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>97994</CurrentTaxYearAmt>
        <TotalAmt>125545</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>771</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5411</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5957</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15412</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>97994</CurrentTaxYearAmt>
        <TotalAmt>125545</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus3YearsAmt>1298769</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>1298769</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>3229843</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5730010</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>85810893</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>133322307</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>133671929</CurrentTaxYearAmt>
        <TotalAmt>361764982</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99610</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99420</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00030</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00010</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>34482</OtherCostOrOtherBasisAmt>
        <BookValueAmt>34482</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>163483</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>72205</DepreciationAmt>
        <BookValueAmt>91278</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>11269951</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4526417</DepreciationAmt>
        <BookValueAmt>6743534</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>4487696</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4487696</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11356990</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Affiliate Receivables</Desc>
        <BookValueAmt>35060853</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Operating Lease ROU asset</Desc>
        <BookValueAmt>922120</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Finance lease ROU assets</Desc>
        <BookValueAmt>140446204</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>176429177</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliates</Desc>
        <Amt>72721525</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated health claims liability</Desc>
        <Amt>273000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Third Party Payor Settlem</Desc>
        <Amt>10890087</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Finance Lease Liabilities</Desc>
        <Amt>146573220</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Liability</Desc>
        <Amt>912554</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>231370386</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>136588964</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>136588964</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>136588964</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>160285450</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>160285450</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>160285450</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Deaconess Illinois Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 5: Deaconess Regional Healthcare Services Illinois engaged in a consulting partnership with ICAHN (Illinois Critical Access Hospital Network) to complete the community health needs assessment. Two focus groups met to discuss overall health and wellness in our service area. Members of the focus groups included representatives of healthcare providers, community leaders, community services providers, schools, faith-based organizations, local elected officials, public health, and others.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Deaconess Illinois Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: Deaconess Illinois Medical Center addresses the health needs identified in its 2024 Community Health Needs Assessment (CHNA), adopted June 24, 2024. This was the facility's first CHNA, conducted following its 2022 acquisition, its conversion to not-for-profit status and its integration into Deaconess Health System. The three significant needs identified through that process are: Access to Care; Community Collaboration; and Health Education. The hospital's implementation activities during FY25 (October 1, 2024 September 30, 2025) are described below by priority area.Priority 1: Access to CareThe 2024 CHNA identified access to care as the leading community need, with emphasis on recruiting and retaining specialty care, mental health and substance use treatment providers, and on improving internal hospital processes affecting the patient experience. Community participants ranked specialty care access among the top opportunities in the service area.Deaconess Illinois Medical Center implemented a formal Leader Rounding program during FY25 to strengthen patient engagement, identify concerns in real time and support timely service recovery. The program responds directly to the internal facility service opportunities named by the onsite community group, including registration processes and communication of results.The hospital monitored patient experience through Press Ganey survey results, leader rounding feedback, online reviews and social media engagement, using those inputs to identify trends and prioritize improvement opportunities.Nursing leadership reinforced bedside shift report and high reliability rounding practices throughout FY25 to improve communication, patient involvement in care, safety and overall experience.These activities are consistent with the adopted implementation strategy action to evaluate internal processes within Deaconess Illinois Medical Center to ensure the best customer experience.Specialty care access. On July 1, 2025, the hospital opened a dedicated 22-bed neuroscience unit, the only dedicated neuroscience unit in the region. The unit expands local access to specialty neurological care within the service area, responding directly to the specialty care access gap ranked among the top opportunities by community participants. Mental health and substance use access. The hospital worked with Take Action Today and Arrowleaf to establish a medical respite pathway providing up to 30 days of post-discharge care for patients with mental health and substance use needs who lack a safe place to recover. This activity carries out the adopted strategy action to evaluate mental health and substance abuse service gaps and to work with community partners to fill them.Priority 2: Community CollaborationThe 2024 CHNA identified community coordination as a priority, with food insecurity and fragmented social service referral pathways cited as leading concerns. Inter-agency coordination. Deaconess Illinois Medical Center hosted a monthly Coffee with Case Management session convening local providers and social service agencies to align on referral pathways and reduce duplicated effort. The hospital also participated in the Franklin Williamson Healthy Communities Coalition, representing Deaconess Illinois in ongoing regional health planning. These activities carry out the adopted strategy action to support or develop an inter-agency group that reduces service duplication and improves coordination. Shared resource directory. The hospital's case management team adopted FindHelpSI.org, an electronic community resource directory, as a shared referral tool for hospital staff, partner agencies and residents seeking local services. This activity carries out the adopted strategy action to investigate a shared resource guide for agencies and residents. Food insecurity. Deaconess Illinois Medical Center supported the Lighthouse Family Shelter through a recurring monthly meal program. On the second Wednesday of each month, hospital dietary staff prepared 15 to 25 meals for shelter residents, with the effort coordinated by the hospital marketing department and supported by a hospital budget allocation of $250. The hospital also hosted a weekly mobile farmers market on the hospital campus, open to both employees and the public, offering fresh fruits and vegetables. The market accepts Illinois SNAP benefits, improving affordability of fresh food for lower income households in the service area. Together these activities carry out the adopted strategy action to support local agencies that address food insecurity. Care coordination partnerships. The hospital established an outreach partnership with The Hub, the City of Marion community fitness center, including a referral pathway transitioning cardiac and pulmonary rehabilitation patients into ongoing community-based exercise programming following discharge from formal rehabilitation. This partnership advances the adopted strategy action to develop and maximize health service partnerships that reduce duplication and improve coordination across community agencies.Priority 3: Health EducationThe 2024 CHNA identified health education as a priority, driven by screening and prevention gaps in the service area. Patient education. Following the August 2024 transition from MedHost to Epic, nursing staff received education on using Epic patient education resources, including materials available in multiple languages to better serve diverse patient populations. The hospital standardized patient education workflows within Epic to support consistent delivery of evidence-based education across the care continuum, and continued its emphasis on teach-back methods and patient-specific education to support health literacy and patient understanding of conditions and care plans.Preventive visit outreach. The hospital promoted Medicare Annual Wellness Visits through a MyChart outreach campaign encouraging eligible patients to schedule their annual preventive visit, using the visit as a point of contact for age-appropriate screening and health education. Prevention and screening focus areas. The hospital aligned its education and outreach work with a defined set of prevention and screening priorities: depression screening and follow-up planning, diabetes control, breast cancer screening, colorectal cancer screening, tobacco screening and cessation, fall risk screening, blood pressure control, statin therapy for cardiovascular disease and kidney health evaluation. These focus areas guided the community-facing screening and education activities described below.Community health fair. Deaconess Illinois Medical Center hosted a community health fair on the hospital campus carrying out the adopted strategy action to hold a health fair in the community. The hospital has established the resource fair as a recurring annual event held each October.School partnerships. The hospital partnered with area schools to deliver health, diet and exercise education paired with exposure to healthcare careers. Multiple service lines and members of hospital leadership staffed activities and education at the Carterville Elementary School Health Day. Hospital staff from EMS, cardiopulmonary rehabilitation and occupational health delivered a four-visit health education series at Johnston City High School. The hospital also promoted healthcare careers and provided classroom education at Marion High School.Cancer screening access. The hospital conducted Breast Check Fridays across four Fridays in October, supported by a marketing social media campaign, themed activities coordinated by the imaging department and promotion of discounted self-pay pricing through MDsave. To expand radiology lung cancer screenings, the hospital ran a dedicated social media campaign in November and created an educational flier distributed at all community outreach fairs. These activities carry out the adopted strategy actions to increase free or low-cost cancer screenings in the community and to expand radiology lung cancer screenings.Smoking cessation. Hospital respiratory and cardiopulmonary staff provided smoking cessation education at Deaconess Illinois Night at the Ballpark in June 2025, advancing the adopted strategy action to pursue a smoking cessation partnership.Physical activity access. The hospital established a discounted gym membership at The Hub in Marion available to all Deaconess Illinois Medical Center employees, and hospital staff delivered health topic presentations at public forums hosted at the center. These activities support the adopted strategy action to create low-cost or free exercise programs in a community where park access is limited.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Deaconess Illinois Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 13h: In the event there is no evidence to support a patient's eligibility for charity care, the Hospital could, for patients above 200% of the Federal Poverty Guidelines, use outside agencies in determining collectability scoring for the basis of determining charity care eligibility. Presumptive eligibility may also be determined on the basis of individual life circumstances that may include:1. Homeless or received care from a homeless clinic2. Food stamp eligibility3. Patient is deceased with no known estate a. Balances due for deceased minors are excluded from charity care. These balances will remain due.4. For all Medicaid Financial Class Payors, if a denial or edit for a non-covered Medicaid/HIP charge is received, that charge will be adjusted to charity.Services eligible under this Policy will be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. The basis for the amounts the Hospital will charge patients qualifying for financial assistance may also be modified as follows:- Patients whose family income exceeds 350% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the Hospital.-The Hospital Uninsured Patient Discount Act also provides for a maximum collectable amount. During a 12-month period, a hospital may collect no more than 20% of the patient's' family income. The 12-month period begins on the first date the uninsured patient receives health care services eligible for an uninsured discount. Uninsured patients must be permitted to apply for a discount within 90 days of the date of discharge/service.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Form 990, Schedule H, Section B, Lines 7a and 10a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital facility's website for CHNA and Implementation Strategy:https://www.deaconess.com/about-us/community-health-needs-assessment</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Form 990, Schedule H, Section B, Lines 16 a, b, c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital facility's website for Financial Assistance Policy, Application, and Plain Language Summary:https://www.deaconess.com/pay-my-bill/financial-assistance/deaconess-illinois-hospital-financial-assistance</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3c:</FormAndLineReferenceDesc>
        <ExplanationTxt>In the event there is no evidence to support a patient's eligibility for charity care, the Hospital could, for patients above 200% of the Federal Poverty Guidelines, use outside agencies in determining collectability scoring for the basis of determining charity care eligibility. Presumptive eligibility may also be determined on the basis of individual life circumstances that may include:1. Homeless or received care from a homeless clinic2. Food stamp eligibility3. Patient is deceased with no known estate a. Balances due for deceased minors are excluded from charity care. These balances will remain due.4. For all Medicaid Financial Class Payors, if a denial or edit for a non-covered Medicaid/HIP charge is received, that charge will be adjusted to charity.Services eligible under this Policy will be made available to the patient on a sliding fee scale, in accordance with financial need, as determined in reference to Federal Poverty Levels (FPL) in effect at the time of the determination. The basis for the amounts the Hospital will charge patients qualifying for financial assistance may also be modified as follows:- Patients whose family income exceeds 350% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the Hospital.-The Hospital Uninsured Patient Discount Act also provides for a maximum collectable amount. During a 12-month period, a hospital may collect no more than 20% of the patient's' family income. The 12-month period begins on the first date the uninsured patient receives health care services eligible for an uninsured discount. Uninsured patients must be permitted to apply for a discount within 90 days of the date of discharge/service.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Charity care expense was converted to cost on line 7a based on an overall cost to charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. Community health improvement services reported on line 7e was determined based on costs in the general ledger. The cost for subsidized health services reported on line 7g was determined using the Medicare Cost Report.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part III, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The estimated amount of the Organization's implicit price concessions attributable to patients eligible under the Organization's charity care policy is calculated based on an approximate 13.3% of individuals living below the poverty level in the service area of Marion, Illinois.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The footnote to the organization's financial statements that describes implicit price concessions is located on pages 13 &amp; 14 of the attached financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>Deaconess Illinois Medical Center is showing a Medicare shortfall. The Hospital provides services to Medicare patients because access to healthcare and individual's health is important to the Hospital. Therefore, the Medicare shortfall is considered a community benefit.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report. The Medicare Cost Report is completed based on the rules and regulations set forth by Centers for Medicare and Medicaid Services. Hospital services reimbursed on a fee schedule are not included in the Medicare calculation per the 990 instructions. Had this been reported the total loss from Medicare services would have increased by $937,059.Medicare fee schedule revenue $ 500,717Medicare estimated costs of care relating to payments (1,437,776)Net (Shortage) $ ( 937,059)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital does not pursue collection activities for patients that qualify for charity care or patients that have set up payment arrangements for their accounts. Also, collection activities are not pursued for patients that are in the process of applying for charity care and patients waiting for approval or denial from public aid. Any personal portion due after financial assistance is established would follow normal collection procedures.No extraordinary collection activities will begin until after 120 days from the time the first post-discharge statement was provided. Accounts remain in a primary collection agency for approximately 250 days. After 250 days accounts may be place with a secondary collection agency.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Community input on desired services is obtained through patient satisfaction surveys that are initiated by the inpatient unit and emergency department that provide a line of communication to identify additional health care services that community desires.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The financial assistance policy is posted in admission areas where patients are present and on the hospital website. Discussions with patients also occur regarding availability of various government programs, such as Medicaid or state programs and assists the patient with qualification with such programs, where applicable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Deaconess Illinois Medical Center, Inc. is a 106-bed acute care hospital located in Marion, Illinois. The Hospital provides health care services in accordance with a Shared Services Agreement with Transcare. The Hospital provides inpatient, outpatient, and emergency care services for residents of southern Illinois.13.3% of the population for whom poverty status is determined in Marion, IL (2.2k out of 16.5k people) live below the poverty line, a number that is higher than the national average of 12.5%. Between 2023 and 2024, the percentage of uninsured citizens in Marion County, IL declined from 7.16% to 5.81%.In 2024, the median household income of the 8.26k households in Marion, IL declined from $56,912 from the previous year's value of $57,281.From 2023 to 2024, employment in Marion, IL grew at a rate of 4.42%, from 7.39k employees to 7.72k employees.The most common job groups, by number of people living in Marion, IL, are Management, Office &amp; Administrative Support, and Sales &amp; Related Occupations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Deaconess Regional Healthcare Services Illinois has a board that is from the community. Medical staff privileges in the Hospital are available to all qualified physicians in the area, consistent with the size and nature of its facilities. The Hospital operates a full-time emergency room and extends treatment to anyone requiring emergency medical care regardless of ability to pay. Any excess funds generally are applied to expansion and replacement of existing facilities and equipment, amortization of indebtedness, improvement in patient care, and medical training, education, and research. Treatment at the Hospital's facilities is available to all those able to pay directly or through third-party reimbursement, including through Medicare and Medicaid. In addition, the Hospital operates in accordance with Section 501(r) of the Code, including through a financial assistance policy pursuant to which the Hospital provides emergency and medically necessary care to patients regardless of their ability to pay.</ExplanationTxt>
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        <PersonNm>Jacob Ivey</PersonNm>
        <TitleTxt>Pharmacy Supervisor</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>283684</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Karon F Waggoner</PersonNm>
        <TitleTxt>Emergency Room RN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>86735</BonusFilingOrganizationAmount>
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        <PersonNm>Kurt R Hermann</PersonNm>
        <TitleTxt>TL Pharmacist</TitleTxt>
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        <PersonNm>Elizabeth Owens</PersonNm>
        <TitleTxt>Pharmacy Manager</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>William Davis, Regional President Deaconess Illinois, is compensated by Deaconess Health System, an unrelated organization, through a management agreement for services to the Hospital and related entities. Deaconess Health System uses some of the processes described in Part I, Question 3 to determine compensation, including comparability data and an independent compensation consultant. Compensation approval is done by the Board of Directors or Compensation Committee of Deaconess Health System.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Page 1, J website:</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.deaconess.com/illinois/deaconess-illinois-medical-center</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>William Davis, Regional President Deaconess Illinois, Amber Lipe, CFO, and Dana Dalton, CNO, are employed by Deaconess Health System, an unrelated organization. Amanda Throgmorton, COO was employed by Deaconess IL Specialty Clinic and Deaconess Health System, both unrelated organizations. Compensation is provided through a management agreement for services to Deaconess Illinois Red Bud Regional Hospital, Deaconess Illinois Union County Hospital, Deaconess Illinois Crossroads, and Deaconess Regional Healthcare Services Illinois. All four are related entities. The Regional President Deaconess Illinois position has the responsibility of supervising the management, administration, and operation of the organizations. The CFO has the responsibility of managing the financial operations of the organizations. The CNO oversees and leads the nursing and patient care services. The COO oversees daily operations to ensure efficient, high-quality patient care while managing staff, resources, and performance outcomes. Calendar year 2024 compensation and benefits are provided below. Compensation Benefits William Davis 475,235 45,846 Amber Lipe 338,795 5,785 Dana Dalton 259,995 40,755 Amanda Throgmorton 187,180 27,059</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Deaconess Health System, Inc. has authority to appoint and remove two Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>At least one of the two Deaconess Health System, Inc. Directors must approve the following actions along with affirmative vote of two-thirds of all serving Directors. 1. Approval of any capital and operating budgets for the Corporation, or of any amount that is un-budgeted and in excess of an agreed upon threshold over budgeted amounts approved in an annual capital or operating budget. 2. Any acquisition, purchase, sale, lease, mortgage, or other transfer or encumbrance of any property in excess of $500,000 or any real property of the Corporation, irrespective of the value, or any affiliation or management agreement, or any creation or substantive amendment of any agreement to which the Corporation is a party which involves an obligation, or a potential obligation, on the part of the Corporation, including without limitation any borrowings or guarantees, in excess of an agreed upon threshold set by Board policy; 3. Creation, elimination or modification of any Board policy or policies. 4. Any dissolution, merger, consolidation, change of control, sale, or other corporate restructuring of the Corporation, or the filing of any voluntary petition in bankruptcy or any other petition or pleading seeking any reorganization, receivership or similar relief under federal or state law. 5. Creation, ownership, or acquisition (whether in whole or in part) and dissolution of any subsidiary or affiliate of the Corporation. 6. Any of the foregoing reserve powers with respect to any subsidiary or affiliate of the Corporation</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization does not have committees with authority to act on behalf of the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is provided to the Illinois governing board before it is filed. The Finance and Management team of Deaconess Health System review the Form 990 before providing to the Illinois governing Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflict of interest review and compliance is completed on an annual basis or as conflicts arise by officers, directors, and key employees. These individuals are required to complete a conflict of interest questionnaire. The document serves to ensure interested persons have an appropriate and timely manner in which to disclose any potential conflicts. Conflicts are considered with respect to outside interest, investments, outside activities, and business interests among the interested persons as well as their family members. On a periodic basis, reviews occur to ensure the Corporation operates in a manner consistent with its charitable purpose. The Board officers and CEO review and investigate any potential conflicts. An interested person with a conflict will abstain from voting on the matter and may be asked to leaving the meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the CEO and CFO is determined and approved by the Deaconess Health System's Compensation Committee. Deaconess Regional Healthcare Services Illinois board can only make recommendation to the Deaconess Health System's Compensation Committee. The Compensation Committee is appointed by the Board of Directors of Deaconess Health System Inc. and must meet independence requirements. The Committee has the power and authority to: 1. Annually review, approve, and recommend to the Board of Directors for its final approval for the Executive compensation. 2. Monitor broadly the structure, philosophy or competitiveness of the system's general hiring or compensation practices. 3. Oversee the establishment and administration of the company's broad-based benefit plans and programs. 4. Review or approve significant amendments or changes to the plans and programs. 5. Retain and terminate any compensation consultant to be used to assist in the evaluation of compensation. 6. Sole authority to approve the consultant's fees and other retention terms. 7. Obtain advice and assistance from internal or external legal, accounting, or other advisors. 8. Make regular reports to the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased Services: Program service expenses 23,393,255. Management and general expenses 15,368,600. Fundraising expenses 0. Total expenses 38,761,855.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11a:</FormAndLineReferenceDesc>
        <ExplanationTxt>Management fees consist of officer salaries and benefits, swing bed liaison billings, and other services paid to Deaconess Health System.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>During the year ended September 30, 2025, there was an overstatement of amounts previously reported for patient accounts receivable and patient service revenue as of and for the year ended September 30, 2024. Accordingly, patient receivables, patient service revenue, and net assets were restated for the year ended September 30, 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>Transcare Medical Transport and Logistics LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3333 W Deyoung</AddressLine1Txt>
          <CityNm>Marion</CityNm>
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      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
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          <BusinessNameLine1Txt>Deaconess Illinois Crossroads</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>General ledger</MethodOfAmountDeterminationTxt>
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