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      <Desc>INFORMATION TECHNOLOGY EPIC ELECTRONIC HEALTH RECORD IMPLEMENTATION IN NOVEMBER 2024, MEMORIAL HEALTH'S BOARD OF DIRECTORS APPROVED THE IMPLEMENTATION OF EPIC AS THE ORGANIZATION'S ELECTRONIC HEALTH RECORD (EHR) OF CHOICE, WITH SIU PARTICIPATING AS A COMMUNITY CONNECT PARTNER. FOLLOWING THIS DECISION, MEMORIAL HEALTH INFORMATION SERVICES LEADERSHIP RECRUITED, HIRED, AND ONBOARDED 2 SYSTEM DIRECTORS, 10 MANAGERS, AND 94 COLLEAGUES BETWEEN JANUARY AND JULY 2025 TO BUILD, SUPPORT, AND SUSTAIN THE NEW EPIC ENVIRONMENT. FROM JULY THROUGH OCTOBER 2025, THESE COLLEAGUES COMPLETED EPIC CERTIFICATION PROGRAMS, WITH THE MAJORITY ACHIEVING CERTIFICATION PRIOR TO PROJECT KICKOFF. ON OCTOBER 28, 2025, MEMORIAL HEALTH OFFICIALLY LAUNCHED ITS 18-MONTH EPIC IMPLEMENTATION IN PARTNERSHIP WITH OPTIMUM HEALTHCARE IT AND EPIC SYSTEMS, BEGINNING ONE OF THE LARGEST TRANSFORMATIONAL INITIATIVES IN THE ORGANIZATION'S HISTORY TO ESTABLISH A UNIFIED EHR ACROSS MEMORIAL HEALTH AND ITS PARTNERS WHILE ADVANCING PATIENT CARE, OPERATIONAL EXCELLENCE, AND LONG-TERM INNOVATION. THE GO-LIVE IS TARGETED FOR FEBRUARY 27, 2027. ENTERPRISE RESOURCE PLANNING (ERP) TRANSFORMATION MEMORIAL HEALTH SUCCESSFULLY COMPLETED THE IMPLEMENTATION AND GO-LIVE OF INFOR CLOUDSUITE FOR FINANCE AND SUPPLY CHAIN IN MARCH 2026, TRANSITIONING FROM INFOR LAWSON TO A MODERN, CLOUD-BASED ERP PLATFORM WITH THE SUPPORT OF RPI, INC. FOLLOWING GO-LIVE, THE ORGANIZATION CONTINUES TO OPTIMIZE CLOUDSUITE OPERATIONS WHILE ADVANCING KEY INTEGRATIONS WITH EPIC AND OTHER ENTERPRISE SYSTEMS. MEMORIAL HEALTH IS ALSO IN THE FINAL STAGES OF IMPLEMENTING WORKDAY HCM AND PAYROLL IN PARTNERSHIP WITH CROSSVUE. THE PROJECT HAS PROGRESSED THROUGH EXTENSIVE TESTING, INTEGRATION DEVELOPMENT, PAYROLL PARALLEL ACTIVITIES, AND ORGANIZATIONAL READINESS EFFORTS AS THE HEALTH SYSTEM PREPARES TO TRANSITION HUMAN RESOURCES AND PAYROLL OPERATIONS FROM LAWSON TO WORKDAY LATER THIS YEAR. TOGETHER, THESE TRANSFORMATIONAL INITIATIVES ARE ESTABLISHING A MODERN ERP FOUNDATION THAT ENHANCES OPERATIONAL EFFICIENCY, STRENGTHENS DATA-DRIVEN DECISION MAKING, AND IMPROVES THE COLLEAGUE EXPERIENCE ACROSS THE ORGANIZATION. INFRASTRUCTURE &amp; OPERATIONS MODERNIZATION AND EPIC READINESS IN 2025, MEMORIAL HEALTH'S INFRASTRUCTURE &amp; OPERATIONS (I&amp;O) DIVISION DELIVERED A FOUNDATIONAL YEAR OF MODERNIZATION, RESILIENCY, AND EPIC-READINESS WORK ACROSS NETWORKING, TELECOM, TECHNICAL OPERATIONS, TECHNICAL SUPPORT, SECURITY OPERATIONS, AND THE NEWLY FORMED EPIC TECHNICAL AND EPIC INTERFACES &amp; CONVERSIONS TEAMS. THESE INVESTMENTS STRENGTHENED PATIENT-FACING PLATFORMS, REDUCED TECHNICAL DEBT, AND POSITIONED MEMORIAL HEALTH FOR ITS ENTERPRISE EPIC TRANSFORMATION TARGETED FOR GO-LIVE IN EARLY 2027. TECHNICAL OPERATIONS DELIVERED THE TECHNICAL OPERATIONS ORGANIZATIONAL RESTRUCTURE CREATING THREE FOCUSED SUB-TEAMS WITH DEFINED TECHNICAL OWNERSHIP AND SUCCESSION PATHWAYS. COMPLETED AN ENTERPRISE-WIDE DATA CENTER STRATEGY ASSESSMENT WITH DELL TECHNOLOGIES CONSULTING SERVICES. COMPLETED A CITRIX ENVIRONMENT REFRESH TO IMPROVE PERFORMANCE, STABILITY, AND SECURITY. EXECUTED ENTERPRISE PURE STORAGE SAN UPGRADES AND CAPACITY EXPANSION. MODERNIZED THE ENTERPRISE PACS STORAGE PLATFORM SUPPORTING IMAGING SERVICES. NETWORKING RENEWED AND EXPANDED THE CISCO ENTERPRISE AGREEMENT TO SUPPORT EPIC ARCHITECTURE REQUIREMENTS. COMPLETED WIRELESS MODERNIZATION AND NETWORK INFRASTRUCTURE UPGRADES AT MULTIPLE FACILITIES. ADVANCED ENTERPRISE FIREWALL AND WIRELESS MODERNIZATION INITIATIVES. DEPLOYED OPENROAMING ACROSS THE ENTERPRISE WIRELESS FOOTPRINT. STRENGTHENED NETWORK SEGMENTATION AND SECURITY CONTROLS FOR PERSONAL DEVICES. TELECOM ADVANCED MIGRATION FROM LEGACY VOICE SYSTEMS THROUGH AVAYA AURA UPGRADES. IMPLEMENTED PROACTIVE VOICE MONITORING CAPABILITIES THROUGH IR PROGNOSIS. TECHNICAL SUPPORT SERVICES COMPLETED A LARGE-SCALE WINDOWS 11 REFRESH AND HARDWARE REPLACEMENT INITIATIVE. MAINTAINED ENTERPRISE PATCHING AND SECURITY OPERATIONS. IMPLEMENTED A NEW DESKTOP SYSTEM ENGINEER CAREER FRAMEWORK. MODERNIZED THE ENTERPRISE SIMULATION LAB IN PARTNERSHIP WITH THE MEMORIAL LEARNING CENTER. SECURITY OPERATIONS &amp; IDENTITY MANAGEMENT ESTABLISHED A DEDICATED SECURITY OPERATIONS FUNCTION AND GOVERNANCE PROCESSES. ADVANCED ENTERPRISE SINGLE SIGN-ON STANDARDIZATION ACROSS AFFILIATES. COMPLETED AN ENTERPRISE CYBERSECURITY RISK ASSESSMENT. EPIC TECHNICAL &amp; INTERFACE READINESS ESTABLISHED EPIC TECHNICAL AND EPIC INTERFACES &amp; CONVERSIONS TEAMS. DELIVERED FOUNDATIONAL EPIC TECHNICAL READINESS MILESTONES. INITIATED COMMUNITY CONNECT ARCHITECTURE PLANNING SUPPORTING SIU PARTICIPATION. CRITICAL ACCESS HOSPITAL SUPPORT CONTINUED SUPPORT AND ADVANCEMENT OF CPSI SYSTEMS AT LINCOLN MEMORIAL HOSPITAL AND TAYLORVILLE MEMORIAL HOSPITAL. COMPLETED ANNUAL PROMOTING INTEROPERABILITY ATTESTATION REQUIREMENTS. SUPPORTED EPIC LEGACY DATA CONVERSION EFFORTS AND AUTOMATED 340B PHARMACY INTEGRATIONS. MAINTAINED REPORTING AND SURVEILLANCE INTEGRATIONS SUPPORTING CLINICAL AND REGULATORY REQUIREMENTS.</Desc>
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        <Desc>BUILDING AND FACILITY EXPANSION AND IMPROVEMENTS MEMORIAL HEALTH'S MISSION IS TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH. SAFE, FUNCTIONAL FACILITIES ARE THE FOUNDATION OF THE HEALTHCARE SERVICES WE PROVIDE. CLINICAL PROJECTS THAT BEGAN IN FY 2025: DMH LINEAR ACCELERATOR ROOM 219 - REPLACEMENT OF TRUEBEAM LINAC VAULT 219 AT THE CANCER CENTER INVOLVES EQUIPMENT REPLACEMENT, FINISH UPGRADES, POWER CONDITIONER MOVES, CHILLER REPLACEMENT AND NELCO REPAIRS TO THE VAULT DOOR. DMH PLAZA WEST RENOVATIONS FOR SIU -WITH 2/3 OF THE BUILDING VACANT AND SIU WANTING MORE SPACE AND A PRESENCE AT DMH, DMH WILL MOVE OUT THE REMAINING NEURO AND GASTRO GROUPS, LEAVING BEHIND ONLY THE ENDO SUITE, LETTING SIU LEASE THE REST OF THE THREE-STORY BUILDING FOR INTERNAL MEDICINE, OB/FMS, PEDIATRICS, AND SURGERY GROUPS. SMH ED CT REPLACEMENT - REPLACEMENT OF ED CT AND BRINGING FINISHES UP TO DATE. THIS WILL INVOLVE PHYSICISTS' TESTS, A REMOVAL OF A WALL TO BRING THE EQUIPMENT IN, AND SOME PHASING WITHIN THE CORRIDORS SURROUNDING THE SPACE. THIS ALSO INCLUDES SOME WORK IN THE CONTROL ROOM INCLUDING SETTING A UPS. SMH BAYLIS ALPHA CT REPLACEMENT - REPLACEMENT OF ALPHA CT IN THE BAYLIS BUILDING AND BRINGING FINISHES UP TO DATE. THIS WILL INVOLVE PHYSICISTS TESTS, A REMOVAL OF A WALL TO BRING THE EQUIPMENT IN, AND SOME PHASING WITHIN THE CORRIDORS SURROUNDING THE SPACE. SMH 5C ICU RENOVATION - THE GOAL IS TO PROVIDE ADDITIONAL RECOVERY BAYS FOR CV &amp; CATH ON 6C BY USING ALL THE EXISTING BAYS AND PATIENT ROOMS ON 6C AS RECOVERY AND MOVING ALL ICU PATIENTS DOWN TO 5C. THIS WOULD HELP WITH THROUGHPUT FOR SURGERIES AND INCREASE VOLUME WHILE STILL MAINTAINING THE AMOUNT OF ICU BEDS NEEDED. 5C WOULD INCLUDE FLOORING, CEILING, PAINT, NEW HEADWALL SYSTEMS, REMOVAL OF OLD TUBS, REPAIRS OR NEW CASEWORK THROUGHOUT, POTENTIAL CONTROLS FOR HVAC, AND MORE. JMH LAB AND ED ROOF REPLACEMENT - THE LAB AND ED ROOF AT JMH HAS OUTLIVED ITS LIFE SPAN, AND THE LAST SEVERAL YEARS, HAVE BEEN SUFFERING ROOF LEAKS THROUGHOUT THE YEAR, AND HAVE HAD TO HAVE REPAIR AFTER REPAIR DONE TO THIS AREA. BY REPLACING THE ROOF NOW, WE WILL ELIMINATE THE INCONVENIENCE OF STAINED TILE IN CLINICAL AREAS, AND THE TIME OF ENGINEERING TO REPLACE THE WET TILE, AND CHASE LEAKS DOWN, AS WELL AS THE EXPENSE OF PATCHING THE OLD ROOF. MH BAYLIS RAMP REPAIRS (PHASE III) - THE LAST PHASE OF THE BAYLIS RAMP REPAIRS. THE BAYLIS PARKING RAMP CONTINUED TO SEE HEAVY DETERIORATION TO THE POINT WHERE WE NEEDED TO INVEST MONEY OVER THE NEXT 4 YEARS TO PROLONG THE LIFE OF THE STRUCTURE. WORK INCLUDED SEALING AND COATING ALL DECKS, REPAIRS TO ANY STRUCTURAL DAMAGE, REPAIRS TO CONCRETE STAIRS AND PANS FAILING, UTILITIES THAT ARE A LIFE SAFETY CONCERN DUE TO RUSTING AND EXPOSURE TO WEATHER. MH 2401 W. JEFFERSON EPIC RENOVATION - TO SUPPORT THE OPERATIONAL NEEDS FOR THE EPIC TEAM AND TO OPTIMIZE SPACE UTILIZATION, WE ARE PROPOSING A COMPREHENSIVE RECONFIGURATION OF THE FOURTH FLOOR WITHIN 2401 JEFFERSON. THE OBJECTIVE IS TO ACCOMMODATE 95 ANALYSTS, 11 MANAGER OFFICES, 3 THIS INITIATIVE IS DESIGNED TO PROVIDE ADEQUATE SPACE AND SUPPORT FOR ALL STAFF WHILE PROMOTING TEAM PROXIMITY, OPERATIONAL EFFICIENCY, AND FLEXIBLE WORKSPACE SOLUTIONS. IT ALSO ENSURES THE FLOOR IS CONFIGURED FOR LONG-TERM SUCCESS AND ALIGNS WITH FUTURE PLANS TO SIMILARLY OPTIMIZE ADDITIONAL FLOORS ACROSS THAT BUILDING. SMH SIEMENS AGILE MAX EQUIPMENT REPLACEMENT ROOM A126 - REPLACEMENT OF AGILE MAX EQUIPMENT IN ROOM A126 BRINGING FINISHES UP TO DATE. DMH PLANT ATS REPLACEMENT - REPLACING THE CURRENT 2000A ATS WITH A CLOSED TRANSITION, ISOLATION BYPASS UNIT. REPLACING THIS ATS WILL REQUIRE A SIGNIFICANT AMOUNT OF RE-WORK IN THE PLANT. IT WILL ALSO REQUIRE RENTING OF A TEMPORARY ATS DURING THE DURATION OF THE RE-WORK. THE NEW ATS WILL ALSO INCLUDE A 2000A SERVICE ENTRANCE CIRCUIT BREAKER. THIS BREAKER WILL REPLACE THE EXISTING OBSOLETE BOLT LOCK SERVICE ENTRANCE DISCONNECT THAT FEEDS THIS TRANSFER SWITCH. IT IS THE OPINION OF FACILITIES DESIGN AND CONSTRUCTION THAT THIS WORK BE COMPLETED IN THE NEAR FUTURE. SMH BAYLIS XRAY - WITH ADDITIONAL ORTHO DOCTORS COMING ON AT THE SIU BAYLIS BUILDING WE CANNOT HANDLE THE AMOUNT OF VOLUME WITH THE CURRENT SETUP AT BAYLIS WITH MEDICAL IMAGING. THIS X-RAY WILL SUPPORT THE CURRENT VOLUME AND THE ADDITIONAL VOLUME THAT WILL COME IN WITH THE NEW PHYSICIANS. OTHER PROJECTS COMPLETED FOR HEALTH SYSTEM INCLUDE: SMH 1E ONCOLOGY RENOVATIONS - DUE TO THE CONDITION OF THE 1E ONCOLOGY SPACES - ESPECIALLY THE EXAM ROOM SPACES (FINISHES, SIZE, EFFICIENCIES, ETC.) THE UNIT NEEDED GUTTED. NEW DESIGN INCLUDED 11 NEW APPROPRIATELY SIZED EXAM ROOMS WITH TWO ROOMS BEING INPATIENT FOCUSED. NEW NURSE STATION, RECEPTION, ADDITIONAL PRIVATE DRESSING AREA FOR PATIENTS, NEW BREAK ROOM FOR COLLEAGUES AND SUPPORT SPACES FOR PHYSICIANS, NM, PHYSICIST, AND NPS. NEW IS ROOM. SMH LINEAR ACCELERATOR 2 REPLACEMENT - DUE TO AGE OF EQUIPMENT WE REPLACED LINEAR ACCELERATORS 2, DURING THIS TIME WE WILL ALSO UPGRADED FINISHES AND BROUGHT ANY MEP INFRASTRUCTURE UP TO DATE. JMH IMAGING EQUIPMENT REPLACEMENT - LAST OF THE IMAGING EQUIPMENT REPLACEMENT FOR THE HEALTH SYSTEM. SCOPE INCLUDED REPLACING IMAGING EQUIPMENT ACROSS ALL AFFILIATES (SPRINGFIELD, DECATUR, TAYLORVILLE, LINCOLN, AND JACKSONVILLE) AS WELL AS UPGRADING THE FINISHES WHILE IN THE ROOMS. PROJECT INITIATION DUE TO AGE AND RELIABILITY OF EQUIPMENT BUT DONE AS A SYSTEM ORDER TO BE EFFICIENT AND COST EFFECTIVE. TMH ED AHU REPLACEMENT - REPLACEMENT OF THE AIR HANDLER UNIT IN THE EMERGENCY DEPARTMENT. SMH FIRE ALARM UPGRADES FOR B AND G BUILDINGS - EXISTING DEVICES AND PANELS HAVE BEEN DISCONTINUED AND WE COULD NO LONGER GET PARTS. SWITCHING FROM SIEMENS HEADS TO NOTIFIER, THIS INVOLVED REPLACING DEVICES AND PANELS THEN REFEEDING. SMH CVOR WALLPAPER - RENOVATION OF 4 EXISTING OR ROOMS (W, X, Y, Z), 3 SUB STERILE ROOMS (D630, D627, &amp; D626), AND DECONTAM AND STERILE ROOMS D635A&amp;B IN THE CVOR. THE WORK IN THE ORS IS DIRECTLY TIED TO THE AGE AND CONDITION OF THE ROOMS - WE HAD INFECTION CONTROL ISSUES, PATIENT RISK ISSUES, WORKFLOW AND EFFICIENCY ISSUES, FACILITY COMPLIANCE ISSUES, AND OVERALL DEGRADING CONDITIONS. THIS PROJECT ALSO HAD A DIRECT TIE TO THE CS/SP INTEGRATION PROJECT WITH THAT LOCAL FUNCTION MOVING DOWNSTAIRS TO THE MAIN, THIS OPENED UP REAL ESTATE TO ACTUALLY ADDRESS SOME OF CV'S STORAGE NEEDS. MH BAYLIS RAMP REPAIRS (PHASE II) - THE BAYLIS PARKING RAMP CONTINUED TO SEE HEAVY DETERIORATION TO THE POINT WE NEEDED TO INVEST MONEY OVER THE NEXT 4 YEARS TO PROLONG THE LIFE OF THE STRUCTURE. WORK INCLUDED SEALING AND COATING ALL DECKS, REPAIRS TO ANY STRUCTURAL DAMAGE, REPAIRS TO CONCRETE STAIR AND PANS FAILING, UTILITIES THAT ARE A LIFE SAFETY CONCERN DUE TO RUSTING AND EXPOSURE TO WEATHER. SMH 3 COOLING TOWER REBUILDS - REBUILT COOLING TOWERS 1, 2, AND 3. ALL TOWERS WERE SHOWING SIGNS OF DETERIORATION AND WERE OVER 10 YEARS OLD OR HAD BEEN 10 YEARS SINCE BEING REBUILT. DMH LAB UPDATES - BUILT OUT AREA TO ACCOMMODATE THE NEW BECKMAN COULTER AUTOMATION LINE AS THE OLD AUTOMATION LINE WAS END OF LIFE AND NEW LINE IS MUCH LARGER THAN WHAT THE EXISTING SPACE COULD HOLD. WE DEMOED INTERIOR WALLS, ADJUSTED HVAC, ELECTRICAL, PLUMBING, DATA, FLOORING, DRYWALL, THEN PATCHED AND PAINTED AS WELL AS CREATED OPENING FROM EXISTING LAB INTO THE NEW SPACE. DMH BELIMED CAR WASHER &amp; WATER PURIFICATION SYSTEM - REPLACED CART WASHER DUE TO AGING EQUIPMENT. EQUIPMENT REQUIRED REPAIRS FREQUENTLY IN WHICH THE WASHER WOULD BE OUT OF SERVICE FOR DAYS CAUSING THE NEED FOR COLLEAGUES TO HANDWASH ALL CASE CARTS, STERILIZATION CONTAINERS, BASIS, ETC. WHICH IMPACTED OTHER FUNCTIONS OF THE DEPARTMENT AND TURNOVER TIME FOR SURGERY. BASED ON UPCOMING AAMI STANDARDS, A WATER PURIFICATION SYSTEM WAS INSTALLED AT THIS TIME AS WELL. SMH 501 N 1ST ROOF REPLACEMENT - REPLACED ROOF DUE TO LEAKING AND THE AGE OF THE ROOF. DMH PLAZA WEST NEUROLOGY MOVE TO 304 W HAY STE 218 - PLAZA WEST WAS BEING RENOVATED FOR SIU CLINICS, AND THEY WILL OCCUPY ALL OF THE SECOND FLOOR WHICH IS WHERE NEURO WAS LOCATED. WORK AT 304 INCLUDED REPLACING CARPET WITH NEW CARPET TILE AND STRIP AND WAX EXISTING VCT TO REMAIN, PATCHING AND PAINTING THE ENTIRE SUITE, NEW DOORS AND COUNTER TOPS IN THE EXAM ROOM, NURSE MANAGER OFFICE AND ALSO REPLACED GLASS AT THE RECEPTION DESK.</Desc>
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        <Desc>SENIOR LEADERSHIP GUIDED BY THE VALUES OF MEMORIAL HEALTH, EXECUTIVE LEADERSHIP IS RESPONSIBLE FOR STRATEGIC PLANNING, PRIORITIZING AMONG COMPETING ISSUES AND ENGAGING IN DIALOGUE AND DECISION-MAKING THAT WILL ENABLE MEMORIAL HEALTH TO ACHIEVE ITS MISSION (TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH), ITS VISION (LIFE AT ITS BEST), REALIZE ITS' STRATEGIC GOALS, AND EXECUTE ITS' STRATEGIC PRIORITIES TO BETTER SERVE CENTRAL ILLINOIS AND CONFRONT THE MANY CHALLENGES FACING THE HEALTHCARE INDUSTRY. ALL THE WORK IS GUIDED BY A CORE VALUE, TO PUT PEOPLE FIRST, AND GUIDING SET OF VALUES INCLUDING SERVE WITH KINDNESS, DO THE RIGHT THING, WORK TOGETHER, RETHINK WHAT'S POSSIBLE, AND EXCEED EXPECTATIONS. THESE VALUES ARE CORE ETHICAL PRINCIPLES THAT GUIDE HOW EVERY COLLEAGUE, LEADER, AND PHYSICIAN IN THE ORGANIZATION SHOULD TREAT PATIENTS AND MANAGE RESOURCES. THEY SHAPE ORGANIZATIONAL CULTURE, DICTATE DAILY MEDICAL DECISIONS, AND ENSURE HIGH STANDARDS OF CARE. MEMORIAL ENGAGED AN INDUSTRY LEADING STRATEGIC CONSULTANT, KAUFMAN HALL, TO SUPPORT THEM IN THE EFFORT OF DEVELOPING A NEW STRATEGIC PLAN, KNOWN AS FUTURE IN FOCUS. MEMORIAL HEALTH BELIEVES THE NEXT DECADE OF HEALTHCARE DELIVERY WILL FAVOR SYSTEMS THAT COMBINE CLINICAL INTEGRATION, DISCIPLINED OPERATIONS, AND PURPOSEFUL SCALE WHILE REMAINING DEEPLY CONNECTED TO THE COMMUNITIES THEY SERVE. THE INDUSTRY IS FACING SUSTAINED MARGIN PRESSURE, RISING CAPITAL REQUIREMENTS, WORKFORCE CONSTRAINTS, AND ACCELERATING MIGRATION OF CARE TO OUTPATIENT AND AMBULATORY SETTINGS. IN THIS ENVIRONMENT, LONG-TERM SUCCESS REQUIRES BOTH OPERATING STRENGTH AND STRATEGIC FLEXIBILITY, NOT SIMPLY SIZE, BUT THE ABILITY TO DEPLOY SCALE WHERE IT CREATES REAL VALUE. MEMORIAL'S BROADER APPROACH IS INFORMED BY MEMORIAL HEALTH'S STRATEGIC PLAN, FUTURE IN FOCUS, WHICH DEFINES LONGTERM DIRECTION TO BE A LEADER IN HIGHQUALITY SPECIALTY CARE, THE EASIEST HEALTH SYSTEM TO ACCESS, AND THE INDUSTRY'S EXAMPLE OF A NOTFORPROFIT SYSTEM THAT EXCELS. MEMORIAL'S STRATEGY IS ANCHORED IN A HUMANCENTERED, PATIENTFIRST CULTURE, SUPPORTED BY FOUR STRATEGIC PRIORITIES: EMPOWERING PEOPLE TO DO THEIR BEST WORK; DELIVERING HIGHQUALITY CARE AND EXCEPTIONAL PATIENT EXPERIENCES; EXPANDING AND REDESIGNING ACCESS; AND ACCELERATING STRATEGIC GROWTH. COLLECTIVELY, THESE PRIORITIES POSITION MEMORIAL TO EVOLVE INTO A MORE INTEGRATED, ACCESSIBLE, AND SUSTAINABLE HEALTH SYSTEM, ONE THAT LEADS IN SPECIALTY CARE, REMOVES FRICTION FROM THE PATIENT EXPERIENCE, AND OPERATES WITH THE DISCIPLINE REQUIRED TO REINVEST THROUGH A DEFINING ELEMENT OF MEMORIAL'S STRATEGY IS ACHIEVING GREATER SCALE WHILE REMAINING COMMUNITYANCHORED. MEMORIAL IS INTENTIONALLY PURSUING GROWTH THAT STRENGTHENS ITS ENTERPRISE CAPABILITIES, SUCH AS DIGITAL INFRASTRUCTURE, ANALYTICS, PHYSICIAN ALIGNMENT, AMBULATORY ACCESS, AND OPERATING CONSISTENCY, WHILE PRESERVING LOCAL RELEVANCE, GOVERNANCE, AND TRUST. MEMORIAL VIEWS PARTNERSHIP, RATHER THAN CONSOLIDATION ALONE, AS THE MOST EFFECTIVE WAY TO ADVANCE THIS MODEL. DURING FY24, MH MANAGEMENT ENGAGED CHARTIS, A HEALTHCARE CONSULTING FIRM, TO ASSESS THE CURRENT EHR ENVIRONMENT AND MH'S VISION FOR AN INTEGRATED EHR PLATFORM, REVIEW INDUSTRY EHR VENDORS, DEVELOP A 10-YEAR COMPARATIVE COST MODEL FOR EHR OPTIONS, AND ASSIST WITH THE ESTABLISHMENT OF AN INTEGRATION ROADMAP. CHARTIS HAS WORKED WITH MH LEADERS AND INDUSTRY EHR VENDORS TO DEVELOP A DETAILED COST MODEL. AFTER REVIEW OF THE CHARTIS MATERIALS, MH INFORMATION SYSTEM INPUT, AND MH LEADERSHIP DISCUSSION, MH SENIOR LEADERSHIP DETERMINED TO PROCEED ALL (INPATIENT AND AMBULATORY) MH EHR PLATFORMS TO THE EPIC EHR SOFTWARE APPLICATION. EPIC IS AN EHR PLATFORM DEVELOPED BY EPIC SYSTEMS CORPORATION, A PRIVATELY OWNED AMERICAN SOFTWARE COMPANY THAT IS A WORLDWIDE INDUSTRY LEADER IN EHR SYSTEMS. THE IMPLEMENTATION ACROSS MH IS TARGETED FOR LATE FEBRUARY, 2027. IN FY22, THE HISTORIC RELIANCE AND COST-INFLATION ASSOCIATED WITH AGENCY LABOR CONTRIBUTED TO MEMORIAL'S FINANCIAL CHALLENGES. IN FY23, SIGNIFICANT PROGRESS WAS MADE IN REDUCING RELIANCE ON COSTLY AGENCY LABOR, WITH EFFORTS AND SAVINGS GAINS CONTINUING TO BE REALIZED IN FY24. GIVEN THE RISE IN INFLATION, MEMORIAL HEALTH CONTINUES TO BE ACTIVE IN RENEGOTIATING HIGHER RATE INCREASES WITH ALL PAYERS. MEMORIAL HEALTH'S LONG-STANDING PERFORMANCE IMPROVEMENT PROGRAM, STRENGTHEN OUR FUTURE (SOF), PROVIDES A DISCIPLINED FRAMEWORK FOR DRIVING REVENUE GROWTH, PROCESS IMPROVEMENT, AND EXPENSE MANAGEMENT. SINCE ITS INCEPTION IN 2012, AND RENEWED POST-PANDEMIC, SOF HAS GENERATED MORE THAN $150M IN ANNUAL SAVINGS THROUGH INITIATIVES SPANNING LABOR, SUPPLY CHAIN, REVENUE CYCLE, PROCESS VARIATION, AND GROWTH. IN FY25, INITIATIVES FOCUSED ON REVENUE CYCLE IMPROVEMENTS, SUPPLY CHAIN SAVINGS, RESTRUCTURING PREMIUM PAY PROGRAMS, RIGHT SIZING THE REAL ESTATE PORTFOLIO, ALOS IMPROVEMENTS, MAXIMIZING NET REIMBURSEMENT THROUGH CHARGEMASTER OPTIMIZATION, AND INCREASING PROCEDURAL VOLUMES. MEMORIAL HEALTH ANTICIPATES CONTINUING TO ENACT MEANINGFUL EFFICIENCIES THROUGH SHARED SERVICES ACROSS REVENUE CYCLE, SUPPLY CHAIN, IT, HR, AND ADMINISTRATIVE FUNCTIONS, WITH A FOCUS ON REDUCING VARIATION, IMPROVING PRODUCTIVITY, AND LEVERAGING SYSTEM SCALE. MEMORIAL HEALTH PROVIDES PATIENT-CENTERED CARE THROUGH AN AMBULATORY ORGANIZATIONAL STRUCTURE THAT WAS DEVELOPED IN FY19 TO ENSURE STRATEGIC ALIGNMENT FOR PROVIDING CARE OUTSIDE OF AN ACUTE CARE SETTING. THIS STRUCTURE PUSHES COORDINATION OF CARE BETWEEN OUR MENTAL HEALTH, HOME SERVICES, HOSPICE, PRIMARY CARE, SPECIALTY CARE, URGENT CARE, WELLNESS, POPULATION HEALTH AND DURABLE MEDICAL EQUIPMENT AFFILIATES. IN TOTAL FOR FY25, THE AMBULATORY GROUP PROVIDED OVER 300,000 PRIMARY CARE VISITS, OVER 138,000 URGENT CARE VISITS, AND ALMOST 97,000 SPECIALTY CARE VISITS. EMPLOYED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS PRACTICE IN THE PRIMARY CARE SETTING SERVING A PANEL OF OVER 140,000 PATIENTS. THIS LARGE PRIMARY CARE INFRASTRUCTURE IS A KEY PART OF MEMORIAL HEALTH'S STRATEGY FOR NAVIGATING THE DYNAMIC AND EVER-CHANGING PAYER MARKET AND SHIFT FROM FEE-FOR-SERVICE HEALTH CARE TO FEE-FOR-VALUE. FROM A BOND RATING PERSPECTIVE, MOODY'S HAS AFFIRMED MEMORIAL HEALTH'S LONG-TERM RATING OF A1 STABLE RATING. S&amp;P HAS ALSO AFFIRMED MEMORIAL HEALTH'S RATING OF A+ WITH A STABLE OUTLOOK.</Desc>
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        <PersonNm>REGINALD BENTON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>SERGIO PECORI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>TANYA ANDRICKS</PersonNm>
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        <PersonNm>WILLIAM PUTMAN MD</PersonNm>
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        <PersonNm>KATHRYN KEIM</PersonNm>
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        <PersonNm>ANNA EVANS JD</PersonNm>
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        <PersonNm>ELISABETH KLAR</PersonNm>
        <TitleTxt>SVP &amp; CHIEF HUMANRESOFF</TitleTxt>
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        <PersonNm>JAMESON ROSZHART</PersonNm>
        <TitleTxt>PRSMHAMGRPTR;PRS&amp;CEOSMH&amp;MBH</TitleTxt>
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        <PersonNm>KEVIN ENGLAND</PersonNm>
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        <PersonNm>AKINDELE ADARAMOLA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER SMH</TitleTxt>
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        <PersonNm>DOLAN DALPOAS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DREW EARLY</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO DMH</TitleTxt>
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        <PersonNm>KIMBERLY BOURNE</PersonNm>
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        <PersonNm>MICHAEL KOS</PersonNm>
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        <PersonNm>AIMEE DAILY PHD</PersonNm>
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        <PersonNm>CHARLES CALLAHAN PHD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>J TRAVIS DOWELL</PersonNm>
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        <PersonNm>MARSHA PRATER PHD</PersonNm>
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        <PersonNm>RAJESH GOVINDAIAH MD</PersonNm>
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        <PersonNm>HENRY HURWITZ</PersonNm>
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        <PersonNm>JOHN RIDLEY</PersonNm>
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        <PersonNm>KIM BEGGS</PersonNm>
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        <PersonNm>TAMAR KUTZ</PersonNm>
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        <ExplanationTxt>MEMORIAL HEALTH'S (37-1110690) SUPPORTED ORGANIZATIONS ARE NOT LISTED BY NAME IN MEMORIAL HEALTH'S GOVERNING DOCUMENTS. HOWEVER, MEMORIAL HEALTH IS LISTED IN THE SUPPORTED ORGANIZATIONS' GOVERNING DOCUMENTS AS THE SOLE CORPORATE MEMBER (PARENT) OF THE SUPPORTED ORGANIZATION (SPRINGFIELD MEMORIAL HOSPITAL, JACKSONVILLE MEMORIAL HOSPITAL, LINCOLN MEMORIAL HOSPITAL, TAYLORVILLE MEMORIAL HOSPITAL, DECATUR MEMORIAL HOSPITAL, MEMORIAL BEHAVIORAL HEALTH, LINCOLN MEMORIAL FOUNDATION, TAYLORVILLE MEMORIAL FOUNDATION, JACKSONVILLE MEMORIAL FOUNDATION, MEMORIAL HOME CARE, MEMORIAL MEDICAL GROUP, MEMORIAL HEALTH VENTURES) OR IS THE SOLE CORPORATE MEMBER (PARENT) OF THE SOLE CORPORATE MEMBER (SUBSIDIARY) LISTED IN THE SUPPORTED ORGANIZATION'S GOVERNING DOCUMENTS (SPRINGFIELD RESIDENTIAL SERVICES, JACKSONVILLE CRNA'S, SPRINGFIELD MEMORIAL FOUNDATION, DECATUR MEMORIAL FOUNDATION). ALL SUPPORTED ORGANIZATIONS ARE CONSIDERED RELATED ORGANIZATIONS OF THE FILING ORGANIZATION AND ARE DISCLOSED ON SCHEDULE R, PART II. MEMORIAL HEALTH HAS SUPPORTED THESE RELATED ORGANIZATIONS SINCE EACH ORGANIZATION BECAME A RELATED ORGANIZATION IN FURTHERANCE OF MEMORIAL HEALTH'S TAX-EXEMPT MISSION, THUS DEMONSTRATING THE EXISTENCE OF A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN THE SUPPORTING ORGANIZATION AND ITS SUPPORTED ORGANIZATIONS. ALL SUPPORTED ORGANIZATIONS OF MEMORIAL HEALTH ARE DESIGNATED BY THE CLASS AND/OR PURPOSE, WHICH AS STATED IN MEMORIAL HEALTH'S GOVERNING DOCUMENTS IS DESCRIBED AS FOLLOWS: "TO ESTABLISH, ACQUIRE, SUPPORT, ERECT, MAINTAIN, OWN AND EQUIP HEALTH CARE PROVIDERS AND INSTITUTIONS, INCLUDING, WITHOUT LIMITING THE FOREGOING, HOSPITALS, NURSING HOMES, SKILLED NURSING FACILITIES, INTERMEDIATE CARE FACILITIES AND AMBULATORY CARE CENTERS; TO CONDUCT, SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE CHARITABLE, EDUCATIONAL, SCIENTIFIC AND SCHOLASTIC PROGRAMS AND ACTIVITIES AND OTHER ACTIVITIES AND PROGRAMS ANCILLARY TO AND IN SUPPORT OF THE FOREGOING; TO FOSTER, PROMOTE, SUPPORT, DEVELOP, ENCOURAGE, MAINTAIN, RECEIVE AND ACCEPT FUNDS, GIFTS AND CONTRIBUTIONS FOR AND ON BEHALF OF SUCH ACTIVITIES; AND TO ESTABLISH, CONDUCT, SPONSOR, ACQUIRE, OWN, MAINTAIN AND OPERATE SUCH OTHER ENTITIES AND ACTIVITIES WHICH IN THE OPINION OF THE BOARD OF DIRECTORS AND AT ITS DISCRETION, WILL SUPPORT THE FOREGOING, EXCLUSIVELY FOR THE BENEFIT OF AN TO CARRY OUT SOME OR ALL OF THE PURPOSES OF ORGANIZATIONS DESCRIBED IN EITHER SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, OR ANY SUBSEQUENT LAW OF THE UNITED STATES. IN NO INSTANCES, HOWEVER, WILL THE CORPORATION ENGAGE IN THE PRACTICE OF MEDICINE."</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION D, LINE 3 SUPP. ORG. HAVE SIGNIFICANT VOICE IN INVESTMENT POLICIES</FormAndLineReferenceDesc>
        <ExplanationTxt>MH EXISTS TO SUPPORT THE SUPPORTED ORGANIZATIONS AS AN ADMINISTRATIVE PARENT ORGANIZATION. EACH SUPPORTED ORGANIZATION POOLS ITS INVESTMENTS UNDER MH INVESTMENT POLICY AND GOVERNANCE. THE ASSETS AND INCOME OF MH ARE USED TO SUPPORT THE OPERATION AND ADMINISTRATION TO SUPPORT ALL SUPPORTED ORGANIZATIONS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION E, LINE 3A ORGANIZATION HAVE THE POWER TO REGULARLY APPOINT OR ELECT A</FormAndLineReferenceDesc>
        <ExplanationTxt>MH IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART IV, SECTION E, LINE 3B SUBSTANTIAL DIRECTION OVER POLICIES/PROGRAMS/ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL HEALTH IS THE PARENT AND SOLE CORPORATE MEMBER OF EACH OF ITS SUPPORTED ORGANIZATIONS. IN ITS CAPACITY AS THE SOLE CORPORATE MEMBER, MEMORIAL HEALTH PROVIDES OVERALL DIRECTION, MANAGEMENT AND CONTROL OVER ITS SUPPORTED ORGANIZATIONS. MEMORIAL HEALTH ALSO HAS CERTAIN RESERVED POWERS. FOR EXAMPLE, ALL CAPITAL AND OPERATING BUDGETS MUST BE APPROVED BY MEMORIAL HEALTH.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
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      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>242500</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>242500</TotalLobbyingExpendituresAmt>
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        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL HEALTH ENGAGES LOBBYISTS TO ASSIST IT IN SECURING FEDERAL GRANTS AND MONITORING STATE REGULATIONS IN SUPPORT OF FURTHERING THE MEMORIAL HEALTH MISSION, WHICH IS "TO IMPROVE LIVES AND BUILD STRONGER COMMUNITIES THROUGH BETTER HEALTH". THIS INCLUDES ASSISTING MEMORIAL HEALTH IN DEVELOPING PRESENTATIONS TO THE ILLINOIS CONGRESSIONAL DELEGATION, REQUESTING APPROPRIATIONS FOR PRIORITY PROJECTS INVOLVING LOCAL PATIENT SAFETY, QUALITY IMPROVEMENT AND IMPROVED LOCAL ACCESS TO MEDICAL CARE. THE LOBBYISTS ALSO ASSIST MEMORIAL IN COMMUNICATING THE IMPORTANCE OF ADEQUATE MEDICAID FUNDING IN SUPPORT OF THE SUBSTANTIAL SERVICES MEMORIAL'S AFFILIATES PROVIDE TO THOSE IN POVERTY AND IN MONITORING LEGISLATIVE AND REGULATORY DEVELOPMENTS THAT WOULD AFFECT MEMORIAL HEALTH'S ABILITY TO CONTINUE DELIVERING ITS SUBSTANTIAL COMMUNITY BENEFIT.</ExplanationTxt>
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        <DepreciationAmt>97203450</DepreciationAmt>
        <BookValueAmt>10554043</BookValueAmt>
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        <InvestmentCostOrOtherBasisAmt>844258</InvestmentCostOrOtherBasisAmt>
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      <TotalBookValueLandBuildingsAmt>172072527</TotalBookValueLandBuildingsAmt>
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        <Desc>CASH SURRENDER VALUE LIFE INSURANCE</Desc>
        <BookValueAmt>876851</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INTERCOMPANY DEBT FROM RELATED ENTITIES</Desc>
        <BookValueAmt>151675644</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>EMPLOYEE LOAN</Desc>
        <BookValueAmt>2942213</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DEFERRED TAX ASSET &amp; VALUATION</Desc>
        <BookValueAmt>4260</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>ASC842 RIGHT OF USE ASSET</Desc>
        <BookValueAmt>3667006</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OP LEASE RECEIVABLE</Desc>
        <BookValueAmt>414713</BookValueAmt>
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        <Desc>NON CURRENT INSURANCE RECOVERIES</Desc>
        <BookValueAmt>12672959</BookValueAmt>
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      <OtherAssetsOrgGrp>
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        <Desc>FEDERAL INCOME TAXES</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>29453329</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>PROFESSIONAL LIABILITY &amp; WORKERS COMPENSATION</Desc>
        <Amt>52430363</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER EMPLOYEE BENEFITS</Desc>
        <Amt>11990334</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO AFFILIATES</Desc>
        <Amt>2133338</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RESTORATION PLAN</Desc>
        <Amt>3572554</Amt>
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        <Desc>ASC842 LIABILITY</Desc>
        <Amt>3733326</Amt>
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      <OtherLiabilitiesOrgGrp>
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        <Amt>259624</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE NONCURRENT</Desc>
        <Amt>6095456</Amt>
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      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>0</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>0</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>0</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>0</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH OF MH'S SUBSIDIARIES, EXCLUDING THOSE DESCRIBED IN THE FOLLOWING PARAGRAPH, IS A SEPARATELY INCORPORATED NOT-FOR-PROFIT CORPORATION AS DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE AND IS TAX-EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THEY DO, HOWEVER, OPERATE CERTAIN PROGRAMS THAT MAY RESULT IN UNRELATED BUSINESS INCOME. UPON REVIEW AS REQUIRED BY ASC 740, INCOME TAXES, NO TAX PROVISION WAS RECORDED FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2025 OR 2024. MH IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2021. QALICB, MCDEKK, AND MHP ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES AND ARE EXEMPT FROM INCOME TAX. MHSCI IS A TAXABLE FOR-PROFIT CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EDUCATION GRANT</GrantTypeTxt>
        <RecipientCnt>23</RecipientCnt>
        <CashGrantAmt>43876</CashGrantAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS</FormAndLineReferenceDesc>
        <ExplanationTxt>EDUCATIONAL GRANTS - MEMORIAL HEALTH'S EDUCATIONAL GRANT PROGRAM PROVIDES THE OPPORTUNITY FOR COLLEAGUES TO PURSUE ADDITIONAL EDUCATION IN EXCHANGE FOR A WORK COMMITMENT ONCE THE EDUCATION IS COMPLETED. EDUCATION GRANTS ARE AVAILABLE TO THOSE PURSUING HEALTH CARE CAREERS THAT ARE DEEMED CRITICAL TO THE ORGANIZATION'S PRESENT OR PROJECTED STAFFING NEEDS. GRANT APPLICATIONS FOR ALL OTHER CAREERS WILL BE REVIEWED ON A CASE-BY-CASE BASIS WITH A FINAL DETERMINATION TO BE MADE BY THE MH WORKFORCE STRATEGIES ADVISORY COUNCIL.</ExplanationTxt>
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    </IRS990ScheduleI>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>EDGAR CURTIS</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO (THRU MAR25)</TitleTxt>
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        <BonusFilingOrganizationAmount>567113</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>33450</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>24265</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>2607083</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHRYN KEIM</PersonNm>
        <TitleTxt>SVP &amp; CFO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>1130982</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>52631</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES CALLAHAN PHD</PersonNm>
        <TitleTxt>PRS.MHHOSPGROUP(THRUJUN24)</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>355156</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>576070</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>122224</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18465</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1071915</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>81169</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AIMEE DAILY PHD</PersonNm>
        <TitleTxt>FORMER SVP &amp; CTO</TitleTxt>
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        <OtherCompensationFilingOrgAmt>436509</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>RAJESH GOVINDAIAH MD</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>479580</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>101049</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2078</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>882802</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>51100</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARSHA PRATER PHD</PersonNm>
        <TitleTxt>FORMER SVP &amp; CNO</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>382054</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>407339</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN ENGLAND</PersonNm>
        <TitleTxt>SVP &amp; CAO (THRU JUL25)</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>158403</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24658</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1207115</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>41745</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNA EVANS JD</PersonNm>
        <TitleTxt>SVP &amp; GENERAL COUNSEL (THRU JUN25)</TitleTxt>
        <BaseCompensationFilingOrgAmt>466070</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>200814</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>90734</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>124428</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34828</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>916874</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>46580</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELISABETH KLAR</PersonNm>
        <TitleTxt>SVP &amp; CHIEF HUMANRESOFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>443919</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>189720</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15958</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>76424</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33559</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>759580</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMESON ROSZHART</PersonNm>
        <TitleTxt>PRSMHAMGRPTR;PRS&amp;CEOSMH&amp;MBH</TitleTxt>
        <BaseCompensationFilingOrgAmt>566293</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>256620</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>77844</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>97384</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34528</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1032669</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>37957</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>J TRAVIS DOWELL</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO MMG (THRU JUN24)</TitleTxt>
        <BaseCompensationFilingOrgAmt>165795</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>302808</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>45396</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9913</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>523912</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>26408</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AKINDELE ADARAMOLA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER SMH</TitleTxt>
        <BaseCompensationFilingOrgAmt>428714</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>128552</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>17082</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>97380</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3755</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>675483</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIMBERLY BOURNE</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO TMH</TitleTxt>
        <BaseCompensationFilingOrgAmt>306099</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>93294</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>55266</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>58155</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21337</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>534151</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>27683</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOLAN DALPOAS</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO LMH</TitleTxt>
        <BaseCompensationFilingOrgAmt>336148</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>100845</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>59664</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>65130</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>126</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>561913</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>29952</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DREW EARLY</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO DMH</TitleTxt>
        <BaseCompensationFilingOrgAmt>455756</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>140918</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>83080</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>74577</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>36381</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>790712</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>33329</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL KOS</PersonNm>
        <TitleTxt>VP REV CYCLE</TitleTxt>
        <BaseCompensationFilingOrgAmt>319109</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>95753</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>44753</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>55815</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>193</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>515623</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIM BEGGS</PersonNm>
        <TitleTxt>PRESIDENT MMG &amp; VP MMG (FRM JUL24)</TitleTxt>
        <BaseCompensationFilingOrgAmt>278751</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>93300</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>12356</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>39064</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12279</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>435750</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HENRY HURWITZ</PersonNm>
        <TitleTxt>CHRMHC(JAN25);SYSADNPP&amp;HMEHLTH;BRDMEMMMG(JAN25)</TitleTxt>
        <BaseCompensationFilingOrgAmt>261585</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>42451</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2265</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18709</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33862</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>358872</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMAR KUTZ</PersonNm>
        <TitleTxt>BRDMEMMHC;DMH VP QUAL&amp;OPS</TitleTxt>
        <BaseCompensationFilingOrgAmt>286639</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>87060</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8473</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>52217</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3932</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>438321</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN RIDLEY</PersonNm>
        <TitleTxt>FRMBRDMEMMHC/FRMSYSADMNAMB</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>217088</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>217088</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING LISTED INDIVIDUALS RECEIVED THE FOLLOWING AMOUNTS IN THE FORM OF SEVERANCE BENEFITS, IN CONNECTION WITH A QUALIFYING TERMINATION OF EMPLOYMENT DURING OR PRIOR TO THE YEAR BEING REPORTED: CHARLES CALLAHAN, PH.D. $335,570. AIMEE DAILY, PH.D. $436,509, J. TRAVIS DOWELL $183,529, RAJ GOVINDAIAH $279,450, AND MARSHA PRATER $382,054. ALL SEVERANCE PAY AMOUNTS WERE PROVIDED UNDER PREVIOUSLY APPROVED SEVERANCE PAY AGREEMENTS AND ARE TRIGGERED ONLY BY CERTAIN TYPES OF EMPLOYMENT TERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN LISTED INDIVIDUALS PARTICIPATE IN NONQUALIFIED DEFERRED COMPENSATION PLANS OF MEMORIAL HEALTH SYSTEM (MHS), A RELATED ORGANIZATION AND CENTRAL ORGANIZATION OF THE GROUP EXEMPTION. MHS CREDITS ANNUAL CONTRIBUTION AMOUNTS TO THESE PLANS, AND THESE AMOUNTS SERVE TO PROVIDE SUPPLEMENTAL RETIREMENT INCOME TO THESE INDIVIDUALS. ALL CREDITED AMOUNTS ARE REVIEWED AND APPROVED BY A COMMITTEE OF THE MHS BOARD AS PART OF REASONABLE TOTAL COMPENSATION. ALL AMOUNTS CREDITED ARE UNVESTED WHILE THE EXECUTIVE IS REQUIRED TO PROVIDE SUBSTANTIAL FUTURE SERVICES, AND THEN ARE TAXED IN FULL WHEN THE SERVICE PERIOD IS COMPLETED AND THE AMOUNTS BECOME VESTED. ALL AMOUNTS CREDITED TO THESE EXECUTIVES UNDER THESE PLANS ARE INCLUDED IN COLUMN (C) AS UNVESTED, NONTAXABLE DEFERRED COMPENSATION WHEN FIRST CREDITED, AND THEN ARE AGAIN INCLUDED IN COLUMN (B)(III) WHEN THE AMOUNTS BECOME VESTED AND ARE SUBJECT TO TAX. THE AMOUNTS INCLUDED IN COLUMN (F) FOR CERTAIN INDIVIDUALS REPRESENT AMOUNTS THAT WERE REPORTED ON PRIOR FORM 990S FOR PRIOR YEARS, AND SHOULD BE SUBTRACTED FROM THE TOTAL COMPENSATION IN COLUMN (E) TO RESULT IN A MORE ACCURATE TOTAL COMPENSATION FOR CALENDAR YEAR 2024. THE FOLLOWING CURRENT OR FORMER OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES RECEIVED DEFERRED COMPENSATION PAYOUTS IN THE CALENDAR YEAR FROM MHS OR A RELATED ORGANIZATION: CHARLES CALLAHAN, PH.D. $101,708, EDGAR CURTIS $731,851, DOLAN DALPOAS $44,126, J. TRAVIS DOWELL $31,914, DREW EARLY $33,329, KEVIN ENGLAND $87,365, ANNA EVANS, J.D. $70,668, RAJESH GOVINDAIAH $99,234, KATHRYN KEIM $72,124, MICHAEL KOS $30,492 AND JAMESON ROSZHART $54,053. TO BECOME ENTITLED TO THE BENEFITS PROVIDED, EACH COVERED EMPLOYEE MUST MEET SUBSTANTIAL REQUIREMENTS RELATING TO FURTHER EMPLOYMENT. UNTIL THOSE REQUIREMENTS ARE SATISFIED, IF EVER, THE EMPLOYEE IS NOT ENTITLED TO THESE AMOUNTS. IF THE EMPLOYEE WERE TO HAVE TERMINATED EMPLOYMENT VOLUNTARILY IN THE YEAR TO WHICH THIS RETURN APPLIES AND NOT MET THESE SUBSTANTIAL REQUIREMENTS, THESE SUPPLEMENTAL RETIREMENT BENEFITS WOULD HAVE BEEN FORFEITED. THESE SUPPLEMENTAL RETIREMENT BENEFITS ARE PART OF A RETIREMENT PROGRAM THAT PROVIDES RETIREMENT INCOME FOR ALL YEARS OF SERVICE THAT THE EMPLOYEE PROVIDES TO THE ORGANIZATION. ACCORDINGLY, ANY RETIREMENT BENEFITS SHOULD BE VIEWED AS APPLYING TO THE ENTIRE LENGTH OF THE EMPLOYEE'S SERVICE. THE LEADERSHIP COMPENSATION COMMITTEE OF THE MHS BOARD APPROVES ALL RETIREMENT BENEFITS, TOGETHER WITH ALL OTHER FORMS OF COMPENSATION AND BENEFITS FOR THESE AND OTHER SENIOR LEADERS, IN A MANNER INTENDED TO QUALIFY FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER FEDERAL INCOME TAX LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REPORTED COMPENSATION AND BENEFITS RECEIVED BY EDGAR CURTIS, PRESIDENT AND CEO OF MEMORIAL HEALTH SYSTEM, FOR CALENDAR YEAR 2024 WAS COMPRISED OF THE FOLLOWING COMPONENTS: BASE COMPENSATION, INCENTIVE COMPENSATION, OTHER COMPENSATION, DEFERRED COMPENSATION AND OTHER NONTAXABLE BENEFITS. BASE COMPENSATION FOR MR. CURTIS WAS DETERMINED BASED ON THE METHODS DESCRIBED IN PART I, LINE 3 CONDUCTED BY INDEPENDENT COMPENSATION CONSULTANTS. BASE COMPENSATION LEVELS WERE SET BY THE LEADERSHIP COMPENSATION COMMITTEE, WHICH IS A COMMITTEE OF THE MHS BOARD CONSISTING ENTIRELY OF MHS BOARD MEMBERS WHO ARE INDEPENDENT AND WHO ARE FREE OF ANY CONFLICTS OF INTEREST. BASE COMPENSATION IS SET AT OR AROUND THE MIDDLE OF THE MARKET BASE SALARY DATA FOR HEALTHCARE ORGANIZATIONS SIMILAR TO MHS, AS MEASURED AND PRESENTED TO THE COMMITTEE BY THE INDEPENDENT COMPENSATION CONSULTANT. INCENTIVE COMPENSATION WAS CONTINGENT ON THE ACHIEVEMENT OF SPECIFIC, RIGOROUS PERFORMANCE MEASURES ACROSS ALL OF MHS, AND THOSE PERFORMANCE MEASURES WERE REVIEWED AND APPROVED IN ADVANCE BY THE LEADERSHIP COMPENSATION COMMITTEE. RETIREMENT BENEFITS IN COLUMN (B)(III) IS COMPRISED OF A $503,112 DISTRIBUTION OF VESTED AMOUNTS FROM A PENSION BENEFIT WHICH HAS BEEN EARNED OVER MANY YEARS OF SERVICE THAT WAS PREVIOUSLY ACCUMULATED WITH HIS TOTAL PENSION OBLIGATION BUT IS DISTRIBUTED DIRECTLY BECAUSE MR. CURTIS IS FULLY VESTED. ALSO INCLUDED IN RETIREMENT BENEFITS IN COLUMN (B)(III) IS A VESTED AMOUNT OF $228,739 THAT WAS PREVIOUSLY DEPOSITED IN A DEFERRED COMPENSATION PLAN BUT ARE NOW ALSO DISTRIBUTED DIRECTLY DUE TO BEING FULLY VESTED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="24020961" softwareVersionNum="2024v5.1">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ILLINOIS FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>861091967</BondIssuerEIN>
        <CUSIPNum>45204EQ22</CUSIPNum>
        <BondIssuedDt>2019-02-05</BondIssuedDt>
        <IssuePriceAmt>148436538</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ILLINOIS FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>861091967</BondIssuerEIN>
        <BondIssuedDt>2020-09-11</BondIssuedDt>
        <IssuePriceAmt>55510000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>ILLINOIS FINANCE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>861091967</BondIssuerEIN>
        <BondIssuedDt>2024-12-04</BondIssuedDt>
        <IssuePriceAmt>10645000</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>20975000</RetiredAmt>
        <TotalProceedsAmt>148436538</TotalProceedsAmt>
        <CapitalExpendituresAmt>42654388</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>105782150</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2019</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>6410000</RetiredAmt>
        <TotalProceedsAmt>55510000</TotalProceedsAmt>
        <RefundingEscrowAmt>54930000</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>580000</IssuanceCostsFromProceedsAmt>
        <SubstantialCompletionYr>2020</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
        <TotalProceedsAmt>10645000</TotalProceedsAmt>
        <OtherSpentProceedsAmt>10645000</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2024</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.0008</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.021</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0218</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>false</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>false</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0024</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0024</TotalPrivateBusinessUsePct>
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        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>false</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.0195</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0195</TotalPrivateBusinessUsePct>
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        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <TermOfHedgePct>0</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <TermOfGICPct>0</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>false</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <TermOfHedgePct>0</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <TermOfGICPct>0</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>false</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <TermOfHedgePct>0</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <TermOfGICPct>0</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>false</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I GENERAL</FormAndLineReferenceDesc>
        <ExplanationTxt>ONE SCHEDULE K WAS COMPLETED AT THE PARENT LEVEL ONLY. HOWEVER, EACH AFFILIATE IS STILL SHOWING ITS ALLOCATION OF THE LIABILITY ON THE BALANCE SHEET, AS CAN BE SEEN ON THE GROUP RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE 2019 ISSUE WAS TO REFINANCE THE 2009 SERIES AND UPGRADE THE SPRINGFIELD CAMPUS'S EMERGENCY POWER SYSTEM; UPGRADE MEMORIAL HEALTH SYSTEMS REVENUE CYCLE SOFTWARE; RENOVATE AND EQUIP MEMORIAL MEDICAL CENTER'S OR, ICU AND SEVERAL OTHER AREAS IN MEMORIAL MEDICAL CENTER, AND ROUTINE CAPITAL EXPENDITURES. THE PURPOSE OF THE TAX-EXEMPT 2020 ISSUE WAS TO FULLY REFINANCE THE 2014B SERIES FOR $55,510,000 AND PAY ASSOCIATED ISSUANCE COSTS. THE 2024 ISSUE REFUNDED THE 2015 SERIES WHICH REFUNDED THE CITY OF JACKSONVILLE ILLINOIS ADJUSTABLE RATE DEMAND INDUSTRIAL REVENUE IMPROVEMENT BONDS, SERIES 2006B.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>$10,645,000 OF THE 2024 ISSUE, REFUNDED THE 2015 SERIES WHICH REFUNDED THE 2006B SERIES. $105,782,150 OF THE 2019 ISSUE WAS USED TO REFINANCE THE 2009 SERIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART III, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMORIAL HEALTH SYSTEM'S INTERNAL COUNSEL, AS WELL AS EXTERNAL BOND COUNSEL, ROUTINELY REVIEWS MANAGEMENT AND SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATING TO FINANCED PROPERTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ARBITRAGE REBATE FILING IS ONLY REQUIRED EVERY 5 YEARS, AND NO RELATABLE ARBITRAGE HAS BEEN EARNED FOR ISSUES AT SUCH 5 YEAR ANNIVERSARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 2C COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: ILLINOIS FINANCE AUTHORITY THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 02/05/2024</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 2C COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUER NAME: ILLINOIS FINANCE AUTHORITY THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 09/11/2025</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="24020961" softwareVersionNum="2024v5.1">
      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>ELISABETH KLAR</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RETENTION</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>203274</OriginalPrincipalAmt>
        <BalanceDueAmt>304911</BalanceDueAmt>
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        <BoardOrCommitteeApprovalInd>false</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
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      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DREW EARLY</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RETENTION</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>211365</OriginalPrincipalAmt>
        <BalanceDueAmt>317048</BalanceDueAmt>
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        <BoardOrCommitteeApprovalInd>false</BoardOrCommitteeApprovalInd>
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      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>AKINDELE ADARAMOLA MD</BusinessNameLine1Txt>
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        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RETENTION</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>206100</OriginalPrincipalAmt>
        <BalanceDueAmt>309150</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>false</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
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      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JENNIFER BOND</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RETENTION</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>142515</OriginalPrincipalAmt>
        <BalanceDueAmt>213773</BalanceDueAmt>
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        <WrittenAgreementInd>true</WrittenAgreementInd>
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      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>EVAN DAVIS</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RETENTION</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>141795</OriginalPrincipalAmt>
        <BalanceDueAmt>212693</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>false</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>JANELL FRONTONE</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>EMPLOYEE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RETENTION</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>126000</OriginalPrincipalAmt>
        <BalanceDueAmt>0</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>false</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>1357575</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>HENRY HURWITZ</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE; SON OF JOSEPH HURWITZ, MH BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>393264</TransactionAmt>
        <TransactionDesc>MEMORIAL HEALTH PAID COMPENSATION AND BENEFITS OF $393,264 TO HENRY HURWITZ RELATED TO EMPLOYMENT SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2025. HENRY HURWITZ IS THE SON OF JOSEPH HURWITZ, MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>HURWITZ ENTERPRISE</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER IS 100% OWNER HURWITZ ENTERPRISE</RelationshipDescriptionTxt>
        <TransactionAmt>1135104</TransactionAmt>
        <TransactionDesc>MEMORIAL HEALTH PAID FEES OF $1,135,104 TO HURWITZ ENTERPRISE FOR THE YEAR ENDED SEPTEMBER 30, 2025. JOSEPH HURWITZ IS A MEMBER OF MEMORIAL HEALTH'S BOARD OF DIRECTORS. ALL FEES ARE NEGOTIATED AT FAIR MARKET VALUE FOR THE SERVICES PROVIDED.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MADELINE SCHULTE</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EMPLOYEE; DAUGHTER OF CHARLES CALLAHAN, KEY EMPLOYEE</RelationshipDescriptionTxt>
        <TransactionAmt>80412</TransactionAmt>
        <TransactionDesc>MEMORIAL HEALTH PAID COMPENSATION AND BENEFITS OF $80,412 TO MADELINE SCHULTE RELATED TO EMPLOYMENT SERVICES FOR THE YEAR ENDED SEPTEMBER 30, 2025. MADELINE SCHULTE IS THE DAUGHTER OF CHARLES CALLAHAN, KEY EMPLOYEE OF MEMORIAL HEALTH. THE COMPENSATION PAID WAS NEGOTIATED AT ARM'S LENGTH AND REPRESENTS FAIR MARKET VALUE FOR THE SERVICES PROVIDED.</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES</FormAndLineReferenceDesc>
        <ExplanationTxt>(EXPENSES $ 89,245,172 INCLUDING GRANTS OF $ 43,876)(REVENUE $ 100,996,806) OTHER PROGRAM SERVICES THROUGH MEMORIAL HEALTH PARTNERS (MHP), MEMORIAL HEALTH HAS ENTERED INTO RISK-BASED CONTRACTS TO PROVIDE IN-NETWORK MEDICAL SERVICES VIA SPRINGFIELD MEMORIAL HOSPITAL (SMH). UNDER THESE ARRANGEMENTS, MHP RECEIVES CAPITATION PAYMENTS BASED ON THE DEMOGRAPHIC CHARACTERISTICS OF COVERED MEMBERS IN EXCHANGE FOR PROVIDING CERTAIN MEDICAL SERVICES TO THOSE MEMBERS. DURING FY2024, MHP HAD MORE THAN 10,500 MEMBER LIVES COVERED IN ITS NETWORK AND RECOGNIZED BOTH CAPITATION REVENUES FOR THAT COVERAGE AS WELL AS PURCHASED MEDICAL SERVICE EXPENSES PAID TO MEMBERS' PROVIDERS, INCLUDING SMH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1A PART V, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF VENDORS REPORTED ON THE 1096 IS FOR ALL MEMORIAL HEALTH AFFILIATES. MEMORIAL HEALTH IS A COMMON PAY AGENT FOR ALL THE AFFILIATES AND REPORTS ALL VENDORS UNDER ITS EIN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 2A PART V, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF EMPLOYEES REPORTED ON THE W-3 IS FOR ALL MEMORIAL HEALTH AFFILIATES. MEMORIAL HEALTH IS A COMMON PAY AGENT FOR ALL THE AFFILIATES AND REPORTS ALL EMPLOYEES UNDER ITS EIN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS</FormAndLineReferenceDesc>
        <ExplanationTxt>MICHAEL AIELLO - BUSINESS RELATIONSHIP, JENNIFER GILL - BUSINESS RELATIONSHIP, SERGIO PECORI - BUSINESS RELATIONSHIP, JOE HURWITZ - BUSINESS RELATIONSHIP, EDGAR CURTIS - BUSINESS RELATIONSHIP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT COPY OF THE MH FORM 990 AND ALL ATTACHMENTS IS PROVIDED TO ALL OF THE MEMORIAL HEALTH BOARD OF DIRECTORS AND A BOARD COMMITTEE PRIOR TO FILING. ALL QUESTIONS AND COMMENTS ARISING FROM THESE REVIEWS ARE ADDRESSED PRIOR TO SUBMISSION OF THE RETURN TO THE APPROPRIATE TAXING AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE CORPORATION ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND COMPLETE A SPECIFIC DISCLOSURE STATEMENT WHICH IS ATTACHED TO THE POLICY. MEMORIAL HEALTH MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY IDENTIFYING ANY POTENTIAL CONFLICTS AT THE TIME EACH MEETING AGENDA IS PREPARED. ANY OFFICER OR DIRECTOR WHO HAS A CONFLICT IS NOTIFIED OF SUCH CONFLICT, AS WELL AS THEIR OBLIGATION TO ABSTAIN FROM THE DISCUSSION AND VOTE ON ANY CONFLICTED ISSUE(S). SUCH ABSTENTION(S), IF REQUIRED, ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE THEIR CONFLICT OF INTEREST DISCLOSURE STATEMENTS PROMPTLY IN THE EVENT OF ANY CHANGE IN PERSONAL OR BUSINESS ACTIVITIES THAT WOULD REQUIRE SUCH DISCLOSURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMORIAL HEALTH BOARD OF DIRECTORS HAS APPOINTED A LEADERSHIP COMPENSATION COMMITTEE MADE UP OF PAST AND PRESENT INDEPENDENT MEMBERS OF THE BOARD OF DIRECTORS, AND HAS DELEGATED TO IT THE RESPONSIBILITY OF ADMINISTERING, OVERSEEING AND APPROVING ALL FORMS OF COMPENSATION AND BENEFITS PROVIDED TO EXECUTIVE LEADERSHIP, INCLUDING THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER AND OTHER SENIOR VICE PRESIDENTS, WHO ARE KEY EMPLOYEES. THE BOARD HAS ADOPTED A LEADERSHIP COMPENSATION PHILOSOPHY STATEMENT DESCRIBING THE ROLE AND RESPONSIBILITIES OF THE COMMITTEE. THIS PHILOSOPHY EXPRESSLY STATES THE COMMITTEE'S INTENT, ON BEHALF OF THE CORPORATION, TO TAKE ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES. THE COMMITTEE ANALYZES EVERY ELEMENT OF COMPENSATION (INCLUDING CURRENT, INCENTIVE AND DEFERRED COMPENSATION) AND BENEFITS (INCLUDING QUALIFIED AND NON-QUALIFIED BENEFITS). THE COMMITTEE CONDUCTS ITS REVIEW AND APPROVAL PROCESS AT LEAST ANNUALLY, AND APPROVES COMPENSATION AND BENEFITS ONLY TO THE EXTENT THAT THE COMMITTEE HAS CONCLUDED THAT THE COMPENSATION AND BENEFITS CONSTITUTE NO MORE THAN REASONABLE COMPENSATION FOR EACH EXECUTIVE. IN CONNECTION WITH THE MOST RECENT REVIEW AND APPROVAL PROCESS, THE COMMITTEE RECEIVED PROFESSIONAL ADVICE FROM AN INDEPENDENT CONSULTANT AND OUTSIDE LEGAL COUNSEL. THE COMMITTEE CONSISTS ENTIRELY OF PAST AND PRESENT DISINTEREST MEMBERS OF THE BOARD OR DISINTERESTED COMMITTEE MEMBERS WHO UNDER STATE CORPORATE LAW MAY SERVE ON SUCH A COMMITTEE. THE COMMITTEE WORKS WITH ITS COMPENSATION CONSULTANT TO PREPARE AND REVIEW IN ADVANCE COMPREHENSIVE DATA SHOWING THE COMPENSATION PROVIDED BY SIMILARLY SITUATE ORGANIZATIONS FOR FUNCTIONALLY SIMILAR POSITIONS. THE COMMITTEE ALSO PREPARES A TIMELY AND THOROUGH WRITTEN RECORD OF ITS PROCEDURAL CRITERIA NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS OF MEMORIAL HEALTH, SUCH AS ARTICLES OF INCORPORATION AND ANY AMENDMENTS THERETO, ARE AVAILABLE TO THE GENERAL PUBLIC THROUGH THE ILLINOIS SECRETARY OF STATE'S OFFICE. THESE GOVERNING DOCUMENTS, AS WELL AS THE BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS, ARE AVAILABLE UPON REQUEST FROM THE CORPORATION. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF TIME AS SET FORTH IN IRC SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII, LINE 11D OTHER MISCELLANEOUS REVENUE</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER - TOTAL REVENUE: 36672, RELATED OR EXEMPT FUNCTION REVENUE: 36672, UNRELATED BUSINESS REVENUE: , REVENUE EXCLUDED FROM TAX UNDER SECTIONS 512, 513, OR 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES</FormAndLineReferenceDesc>
        <ExplanationTxt>NONOPERATING RECONCILING ITEMS - -3768593; CHANGE IN UNRESTRICTED NET ASSETS - 49066765; INCOME STATEMENT BOOK/TAX DIFFERENCE - -27238; TOTAL - 45270934;</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>JACKSONVILLE CRNA'S INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>MEMORIAL MEDICAL GROUP</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>DECATUR MEMORIAL FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>2300 NORTH EDWARD STREET</AddressLine1Txt>
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      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
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