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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS. THE HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING AREA HOSPITALS: AMITA HEALTH ADVENTIST BOLINGBROOK HOSPITAL, EDWARD-ELMHURST HOSPITALS, AND ASCENSION AMITA HEALTH ST. JOSEPH MEDICAL CENTER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS. NON-HOSPITAL ORGANIZATIONS PARTICIPATING IN THE CHNA INCLUDE THE FOLLOWING: WILL COUNTY HEALTH DEPT., AGAPE MISSIONS NFP, AGENCY ON AGING NORTHEASTERN IL., AUNT MARTHA'S YOUTH SERVICES, BLUESTEM EARTH FESTIVAL, BOLINGBROOK FIRE DEPT., BRAIDWOOD AREA HEALTHY COMMUNITY COALITION, BREAST INTENTIONS OF IL., , CATHOLIC CHARITIES, CHANNAHON PARK DISTRICT, CHESTNUT HEALTH SYSTEMS, CHILD AND FAMILY CONNECTIONS #15, CHILD CARE RESOURCES AND REFERRAL, CITGO PETROLEUM CORP., COLDWELL BANKER RESIDENTIAL, COMMUNITY ALLIANCE &amp; ACTION NETWORK, COMMUNITY LIFELINE MINISTRIES INC., CORNERSTONE SERVICES, C.W.AVERY FAMILY YMCA YMCA, EASTERSEALS JOLIET REGION INC., FOOD ALLERGY RESEARCH &amp; EDUCATION, FOREST PARK CENTER, FRANCISCAN COMMUNITIES INC-MARIAN VILLAGE , GLENWOOD REHAB CENTER, GOVERNOR'S STATE UNIVERSITY, GREATER JOLIET AREA YMCA, GUARDIAN ANGEL COMMUNITY SERVICES, HARVEY BROOKS FOUNDATION, HERITAGE WOODS OF PLAINFIELD, IL. DEPT. OF CHILDREN &amp; FAMILY SERVICES, IL. DEPT. OF EMPLOYMENT SECURITY, J.F. HOLDER FOUNDATION, JOLIET FIRE DEPT., JOLIET JUNIOR COLLEGE, JOLIET POLICE DEPT., JOLIET PUBLIC SCHOOL DISTRICT 86, JOLIET TOWNSHOP GOVT., LAKEWOOD NURSING CENTER, LEWIS UNIVERSITY, MARI GALLAGHER RESEARCH &amp; CONSULTING GROUP, MOKENA POLICE DEPT., MOUNT ZION BAPTIST CHURCH, NEW LIFE CHURCH, PACE SUBURBAN BUS, PLAINFIELD COUNSELING CENTER LLC., AMITA HOME CARE, PT SOLUTIONS PHYSICAL THERAPY, RASMUSSEN COLLEGE, RIVERWALK HOLMES APARTMENTS, SENIOR SERVICES CENTER OF WILL COUNTY, SILVER CROSS HEALTH COMMUNITY COMMISSION,IL. DEPT. OF PUBLIC HEALTH, STEPPING STONES, TEC SERVICES CONSULTING INC., TRINITY SERVICES OF WILL COUNTY, UNITED WAY OF WILL COUNTY, UNIVERSITY OF ILLINOIS EXTENSION, UNIVERSITY OF ST. FRANCIS, VALLEY VIEW SCHOOL DISTRICT, VNA HEALTHCARE, WARREN SHARPE COMMUNITY CENTER, WILL COUNTY ADULT DETENTION FACILITY, WILL COUNTY BOARD, WILL COUNTY BOARD OF HEATH, WILL COUNTY EHALTH DEPT., WILL COUNTY CIRCUIT CLERK, WILL COUNTY COMMUNITY HEALTH CENTER, WILL COUNTY EMERGENCY MGMT. AGENCY, WILL COUNTY EXECUTIVE'S OFFICE, WILL COUNTY FOREST PRESERVE DISTRICT, WILL COUNTY LAND USE, WILL COUNTY GIS, WILL COUNTY MEDICAL RESERVE CORPS, WILL COUNTY RESIDENTS, WILL COUNTY VETERAN'S ASSISTANCE COMMISSION, WILL COUNTY SHERIFF'S OFFICE, WILL GRUNDY CENTER FOR INDEPENDENT LIVING, WILL GRUNDY MEDICAL CLINIC, JOLIET TOWNSHIP GOVERNMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility 1, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS. In consideration of the significant needs identified through the CHNA process and taking into account the hospital's organizational resources, it was determined that Silver Cross Hospital will focus on developing and supporting strategies to 1) improve access to health services, 2)Stabilizing the built environment, 3) Access to Food and Nutrition and 4) Behavioral health and substance abuse disorders and. To increase access to and awareness of health care services: The hospital advanced community outreach programs with a monthly health educational community news letters, e-blasts, videos, website, and social media platforms. The hospital provided 1,890 physician referrals and 520 referral services to patients, including 270 referrals made to Medicare and 138 made to Medicaid patients along with 29 referrals to indigent clinics; the hospital supported the Will-Grundy Medical Clinic through free services as well as $25,000 in monetary donations to the uninsured and underinsured; the hospital accepted patients from the Will-Grundy Medical Clinic for surgical procedures and related services incurring $1.6m in costs; the hospital donated time and services to Catholic Charities Annual Back to School fairs and provided free immunizations, lead screenings, dental check-ups, hair cuts, school supplies and school physicals to uninsured/underinsured children; the hospital provides care for patients regardless of insurance coverage or their ability to pay as exemplified by 29% of all visits to the emergency department are classified as non-emergent, and more than 41% percent of those were public aid or uninsured patients; the hospital provided over $7,825 in taxi and bus services to residents who did not have transportation and the hospital has worked with Pace Transportation and city officials to upgrade the Will County public transportation system; the hospital also works with Kaizen health to provide medical rideshare services to patients and we provided $1,105 to our patients this year, the hospital has expanded its Rehabilitation services through partnership with Shirley Ryan Ability Lab by undertaking $104,400 in expenses for rehabilitation student interns. Silver Cross continues to offer robotic surgery services, offering the community four surgical robots including the area's only Mako Robotic Arm Assisted surgery robot and performing over 13,000 robotic procedures; the hospital continues to treat a large portion of the Medicaid and uninsured obstetric population in our community by delivering 1,084 babies which represents 35% of all deliveries. Silver Cross continues to provide care for the indigent and uninsured populations of expectant mothers from the Will County Community health Center and Aunt Martha's Joliet Community Center delivering 676 babies from those two local health centers. The hospital also provides additional level resources for newborns needing extended care in our Level 3 nursery and Neonatal Intensive Care Unit. Silver Cross continues to partner with Ann and Robert H. Lurie Childrens' Hospital to provide neonatal care for all high risk deliveries and Rush University Medical Center for high risk pregnancies. The hospital actively participates in the Joliet Area Breastfeeding Alliance (JABA) and International Lactation Consultation Association and reaches out to mothers in the community who may want to breastfeed regardless of whether they delivered their infant in our facility. The hospital provides expanded emergency and urgent care services in the ED, FEC and Urgent Care facilities serving 78,763 patients; the Hospital also serves as a resource hospital for the EMS system training 46 paramedics from 12 different Fire Departments at a cost of $557,280. Silver Cross Hospital also invests over $15,000 per month and another $9,000 in advertising fees in a partnership with Zipnosis, a national source for asynchronous health services, to provide patients with access to doctors 7 days a week through virtual consults from anywhere, for a small fee. Additionally, the hospital invests in language assistance services to offer interpreter services 24/7, 365 days per year to help treat over 126,000 individuals of Hispanic descent and are Spanish speaking only, but make up 18% of the overall patient population served by Silver Cross. Bilingual physician referral services are also provided on a 24/7 basis along with investing in and using universal signage to help patients, regardless of their ability to speak English, to easily navigate our campus. Silver Cross also developed and implemented Connected Care to address the chronic conditions experienced by more than 70% of Medicare beneficiaries. To date over 2,300 patients are enrolled, resulting in reductions both in inpatient claims and Emergency Department visits per year. To address heart disease within the community, Silver Cross offers affordable and discounted $49 heart scans and have made scheduling mammograms even easier to help address breast cancer diagnosis. To address cancer, Silver Cross held 97 breast and lung cancer conferences in which 675 patients were in attendance. Silver Cross continues to offer several outreach programs aimed at addressing stroke, diabetes, and obesity within its service area. 2) To address behavioral health and substance abuse, Silver Cross Hospital and US Healthvest have joined forces to offer the community a new psychiatric hospital of 110 beds on the west side of Silver Cross campus with easy access to I-355 and Route 6. The Certificate of Need application was granted and the behavioral health hospital opened on January 31, 2019. The hospital coordinated and enhanced access to behavioral and substance use disorders by providing psychiatric, behavioral, and chemical dependency services for children as young as 12 and adults 18 years and older. The hospital works with Silver Oaks to ensure patients in the emergency department are screened timely by mental health experts. The Hospital also created a designated position of Sexual Assault Nurse Examiner to assist victims of sexual assault. The hospital provided educational programs for nursing homes, homeless shelters and local agencies along with participating in the HERO (Heroin Epidemic Relief Organization) and HELPS (Heroin Education Leads to Preventative Solutions) which assists in promoting awareness of the dangers of heroin and help families cope with the epidemic. 2) To address food and nutrition, the hospital has partnered with the Northern Illinois Food Bank to address food insecurity and chronic disease management through nutrition. The Screen &amp; Intervene program was created to target these chronic disease management patients and as a result more than 4,000 patients have been screened for food insecurity and hundreds now have access to a weekly benefit through the online food pantry My Pantry Express (MPX). The hospital has partnered with Warren Sharpe Community Center to serve over 250 meals a week to needy children, as well as multiple lots that have gardens on them, providing both food and physical activity, as well as an education in Agriculture and healthy food choices, The hospital works to decrease Chronic Care issues, such as cancer, stroke, diabetes, pulmonary disease and obesity, and increase awareness of available resources for healthy lifestyles in Will County through the following activities: educational e-newsletters to more than 80,000 email addresses, 400,000 informational text messages sent to community members, a website, and a monthly breast cancer support group directed toward women's health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility 1, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility 1, 2 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS (CONTINUED). 4) To stabilize the built environment, The hospital continued to advance faith-driven community outreach by providing health information to large groups of parishioners at more than 75 churches through educational newsletters and booths at fair's, etc.. about the importance of regular check-ups and screenings and provided additional community support through the Silver Cross Healthy Community Commission ("the Commission") which was launched with community leaders. This year Silver Cross provided approximately $225,000 to fund the Commission's work of scholarships for healthcare workforce development grants and quality of life initiatives to over 50,000 individuals . The hospital partnered with Lewis university College of Nursing to provide student loan repayment support of $27,000 for nursing graduates who pursue a nursing career. Lastly, the hospital partnered with various other organizations to promote health and wellness in the community, such as a community walk day and the promotion of health eating initiatives throughout the community.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SILVER CROSS EMERGICARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>12701 W 143RD STREET</AddressLine1Txt>
            <CityNm>HOMER GLEN</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60491</ZIPCd>
          </USAddress>
          <FacilityTxt>ER-24 HOURS</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B Lines 1-12</FormAndLineReferenceDesc>
        <ExplanationTxt>SILVER CROSS HOSPITAL ANNUALLY WORKS WITH BOTH FINANCIAL AND TAX AUDITORS AS WELL AS OTHER HOSPITALS AND ORGANIZATIONS TO IMPROVE BOTH THEIR CHNA REPORTS AND THEIR UNDERSTANDING OF HOW BETTER TO ADDRESS THE COMMUNITY HEALTH NEEDS OF THE COMMUNITY WE SERVE. AS WITH EACH NEW CHNA THEY DO, SILVER CROSS WILL IMPLEMENT SOME RECOMMENDATIONS FOR IMPROVEMENT AND ENHANCEMENT OF THEIR ABILITY TO PROVIDE OUTSTANDING HEALTHCARE TO THE PEOPLE IN THE WILL COUNTY AND SURROUNDING AREAS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B LINES 13-20</FormAndLineReferenceDesc>
        <ExplanationTxt>SILVER CROSS HOSPITAL CONTINUALLY WORKS TO IMPROVE THEIR POLICIES AND PROCEDURES IN REGARDS TO THE FINANCIAL ASSISTANCE POLICY AND EDUCATION TO PATIENTS OF THOSE POLICIES. USING BOTH OUTSIDE CONSULTANTS AND AUDITORS, SILVER CROSS ANNUALLY LOOKS AT ITS FAP AND STRIVES TO MAKE ENHANCEMENTS AND IMPROVEMENTS TO ENSURE THAT ALL QUALIFIED PATIENTS HAVE ACCESS TO FINANCIAL ASSISTANCE AND HAVE AN UNDERSTANDING OF THE HOSPITAL'S FAP. SILVER CROSS WILL ALSO CONTINUE TO UPDATE THEIR AGB CALCULATIONS FOR BOTH CURRENT YEAR CALCULATIONS AND REVIEW PREVIOUS YEAR'S CALCULATIONS AND MAKE ANY ADJUSTMENTS IF DEEMED TO BE NECESSARY TO THE FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PROVIDES CHARITY CARE ASSISTANCE TO PATIENTS WHO MAINTAIN A HOUSEHOLD INCOME UP TO 400% ABOVE THE FEDERAL POVERTY LEVEL. IN ADDITION, THE HOSPITAL PROVIDES A 50% DISCOUNT OFF OF THE STANDARD HOSPITAL CHARGES TO ALL UNINSURED PATIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>SILVER CROSS HOSPITAL COMPLETES AN ANNUAL COMMUNITY BENEFITS REPORT WHICH IS AVAILABLE ON THE HOSPITAL WEBSITE AND UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BENEFITS DATA DETAIL AND SUMMARY REPORTS ALONG WITH FINANCIAL REPORTS WERE USED TO COMPLETE THE INFORMATION ON PART I LINE 7. NO BAD DEBT IS INCLUDED IN THE CHARITY CARE AND PUBLIC AID AMOUNTS IN THIS SECTION. THE COST/CHARGE RATIO FROM THE MOST RECENT MEDICARE COST REPORT WAS USED TO CALCULATE THE COST OF CHARITY CARE AND BAD DEBT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE NO COMMUNITY BUILDING ACTIVITIES COSTS TO REPORT FOR SILVER CROSS HOSPITAL THAT ARE NOT REPORTABLE IN PART I OF SCHEDULE H. THE SILVER CROSS HEALTHY COMMUNITY COMMISSION WORKS WITH SILVER CROSS HOSPITAL FOR ONGOING COMMUNITY HEALTH IMPROVEMENT ADVOCACY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 COLUMN F</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN ILLINOIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>SILVER CROSS HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN THE STATE OF ILLINOIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>We use the cost to charge ratio from the previous year's cost report filed with CMS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT IS CALCULATED USING COSTING METHODS INCLUDING COST TO CHARGE RATIOFROM PREVIOUS YEARS COST REPORT, USING FINANCIAL STATEMENTS TO DETERMINE COST OF CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS IS AN ESTIMATED AMOUNT BASED ON UNINSURED PATIENTS NOT ATTEMPTING TO QUALIFY FOR CHARITY CARE. BAD DEBT IS INCLUDED AS A COMMUNITY BENEFIT BUT CALCULATED AT COST. FOR THOSE PATIENTS THAT WE BELIEVE TO BE UNABLE TO PAY, WE DO NOT SEEK OUT COLLECTION OF THE BAD DEBT AND THEREFORE BELIEVE THAT THE COST OF THE CARE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES THEIR PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF THEIR MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATIONS ANALYZE CONTRACTUALLY DUE AMOUNTS AND PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (E.G. FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE), THE CORPORATIONS RECORD A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE LOSS SUSTAINED IS A RESULT OF MEDICARE REIMBURSING AT LESS THAN THE OPERATING COST. COSTS WERE OBTAINED USING THE MEDICARE COST REPORT. WE BELIEVE THESE SHOULD BE CONSIDERED A COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS WHICH QUALIFY AS CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS: Line 16a URL: https://www.silvercross.org/patient-family/after-visit/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS: Line 16b URL: https://www.silvercross.org/patient-family/after-visit/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>1 - SILVER CROSS HOSPITAL AND MEDICAL CENTERS: Line 16c URL: https://www.silvercross.org/patient-family/after-visit/financial-assistance/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>SILVER CROSS HOSPITAL PARTICIPATES WITH OTHER HEALTHCARE AND COMMUNITY ORGANIZATIONS TO CREATE THE WILL COUNTY HEALTH NEEDS ASSESSMENT AND PLAN THROUGH PARTICIPATION IN A COMMUNITY GROUP CALLED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). MAPP HAS ENABLED ORGANIZATIONS TO ENGAGE IN COUNTY-WIDE STRATEGIC PROCESS TO ENSURE THAT AREA RESIDENTS RECEIVE THE BEST POSSIBLE PUBLIC HEALTH SERVICES. SILVER CROSS HOSPITAL HAS USED THE WILL COUNTY NEEDS ASSESSMENT AND STRATEGIC PLAN AS A RESOURCE TOOL TO DEVELOP ITS COMMUNITY PROGRAMMING. SILVER CROSS' PROGRAMS AND SERVICES FALL INTO THE FOLLOWING CATEGORIES: ACCESS TO HEALTHCARE, PREVENTION AND MANAGEMENT OF CHRONIC CARE ISSUES, BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS, AND AWARENESS OF SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>INFORMATION REGARDING ASSISTANCE FOR CHARITY CARE IS PROVIDED TO PATIENTS BY CONDUCTING INTERVIEWS, POSTING NOTICES IN THE HOSPITAL, INFORMATION ON THE HOSPITAL'S WEBSITE, AND ON THE PATIENT BILL. REGISTRATION PERSONNEL PROVIDE FINANCIAL ASSISTANCE INFORMATION TO PATIENTS WITH NO INSURANCE COVERAGE. A FINANCIAL COUNSELING OFFICE WORKS WITH PATIENTS TO ASSIST THEM IN APPLICATIONS FOR CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>SILVER CROSS HOSPITAL CARES FOR PEOPLE WHO RESIDE IN AREAS PRIMARILY LOCATED IN WILL COUNTY AND PORTIONS OF GRUNDY COUNTY AND SOUTHWESTERN COOK COUNTY. MEDIAN INCOMES RANGE BROADLY THROUGHOUT THE COMMUNITY WITH DISTINCT POCKETS THAT HAVE VERY LOW INCOME LEVELS. MEDIAN INCOME IN THE SILVER CROSS SERVICE AREA IS ABOUT $92,000 AND THE TOTAL POPULATION IS APPROXIMATELY 790,000. OUR SERVICE AREA IS COMPOSED OF WIDELY DIVERSE CROSS SECTIONS OF THE POPULATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>SILVER CROSS HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING OVER 100 COMMUNITY OUTREACH PROGRAMS EVRY YEAR WHICH PROMOTE HEALTHIER LIFESTYLES AND IMPROVED HEALTH. THESE INCLUDE EDUCATIONAL SEMINARS, HEALTH PREVENTION SCREENINGS, HEALTH PREVENTION LECTURES, HEALTH FAIRS, EXPOS, CPR/FIRST AID CLASSES, PRENATAL CLASSES, INTERNSHIPS, SPEAKERS BUREAU PRESENTATIONS, AND SUPPORT GROUP MEETINGS. THROUGH THESE PROGRAMS SILVER CROSS HOSPITAL HAS TOUCHED THE LIVES OF 220,000 RESIDENTS IN OUR COMMUNITY, IMPACTING THE HEALTH OF THOUSANDS OF INDIVIDUALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>Silver Cross Hospital is the individual hospital providing inpatient and outpatient health services to the Community. The parent organization is Silver Cross Health System which acts as the ownership organization of the hospital and other entities and provides oversight and management services to its member organizations. Other member organizations include Silver Cross Foundation which is a fund raising entity, Midwest Real Estate Corp. which is the real estate management entity, and Silver Cross Healthy Community Commission which is an entity dedicated to improving healthcare access in the community and assisting in developing additional healthcare workers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>IL</ExplanationTxt>
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      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>Silver Cross Healthy Community Commission</BusinessNameLine1Txt>
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          <AddressLine1Txt>1900 Silver Cross Blvd</AddressLine1Txt>
          <CityNm>New Lenox</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60451</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>operations</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GRANTS WERE PROVIDED TO SILVER CROSS HEALTHY COMMUNITY COMMISSION, A RELATED 501(C)(3) AFFILIATE, AND AS SUCH NO PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS WAS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>RUTH COLBY</BusinessNameLine1Txt>
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        <TitleTxt>ADM DIR PROCEDURAL CARE</TitleTxt>
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          <BusinessNameLine1Txt>JEROME DALY</BusinessNameLine1Txt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) IS A NON-QUALIFIED COMPENSATION PROGRAM DESIGNED TO PROVIDE ADDITIONAL, MARKET-COMPETITIVE RETIREMENT BENEFITS TO CERTAIN MANAGEMENT EMPLOYEES. THE SERP WAS DESIGNED TO PROVIDE RETIREMENT BENEFITS THAT TAKE INTO ACCOUNT AN EMPLOYEE'S TOTAL COMPENSATION WITHOUT REGARD TO THE ANNUAL LIMIT ON COMPENSATION THAT APPLIES UNDER QUALIFIED RETIREMENT PLANS. THE BOARD HAS REVIEWED AND APPROVED THE SERP BENEFITS, CONCLUDING THAT IT IS A MARKET-COMPETITIVE BENEFIT AND THAT THE TOTAL RETIREMENT BENEFITS AND TOTAL COMPENSATION ARE REASONABLE WHEN COMPARED TO THE BENEFITS AND COMPENSATION PROVIDED BY SIMILARLY SITUATED ORGANIZATIONS TO EMPLOYEES IN COMPARABLE POSITIONS. FOR THE REPORTING YEAR THE FOLLOWING REPORTED PERSONS PARTICIPATED IN THE SERP AND RECEIVED THE FOLLOWING EMPLOYER-FUNDED AMOUNTS: RUTH COLBY - $195,075 AND VINCENT PRYOR - $1,125,756</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <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>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I LINE A, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2008A BONDS WERE ISSUED SOLELY FOR THE REFINANCING OF THE 2005B AND 2005D BOND ISSUES, ORIGINALLY ISSUED 12/8/05.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I LINE B, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>2010A BONDS WERE ISSUED TO FINANCE THE CONSTRUCTION AND EQUIPPING OF A REPLACEMENT HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I LINE C, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2015A&amp;B BONDS WERE ISSUED SOLELY FOR THE REFINANCING OF THE 2005 A, B, C, &amp; D BONDS DATED 12/8/05 EITH CUSIP NUMBERS 45200BSW9 AND 45200BSY5.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I LINE D, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2015 BONDS WERE ISSUED SOLELY FOR THE REFINANCING OF THE 2009 BOND ISSUE DATED 6/11/09 WITH CUSIP NUMBER 45200FXY0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I LINE A, COLUMN (E)</FormAndLineReferenceDesc>
        <ExplanationTxt>DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS IN PART II-3 COL A DUE TO INTEREST INCOME ON DEBT SERVICE RESERVE, BOND SINKING FUND, AND INTEREST FUND HELD WITH TRUSTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I LINE B, COLUMN (E)</FormAndLineReferenceDesc>
        <ExplanationTxt>DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS IN PART II-3 COL B DUE TO INTEREST RECEIVED BEFORE FULL PROCEEDS SPENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I LINE C, COLUMN (E)</FormAndLineReferenceDesc>
        <ExplanationTxt>DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS IN PART II-3 COL C DUE TO INTEREST RECEIVED IN REFUNDING ESCRO ACCOUNT AS WELL AS THE TRANSFER OF FUNDS FROM CLOSING OUT THE DEBT SERVICE RESERVE, BOND SINKING FUND, AND INTEREST FUNDS FROM THE ESCROWED 2005 ISSUANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I LINE D, COLUMN (E)</FormAndLineReferenceDesc>
        <ExplanationTxt>DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS IN PART II-3 COL C DUE TO INTEREST RECEIVED IN REFUNDING ESCROW ACCOUNT AS WELL AS THE TRANSFER OF FUNDS FROM CLOSING OUT THE DEBT SERVICE RESERVE, BOND SINKING FUND, AND INTEREST FUNDS FROM THE ESCROWED 2009 ISSUANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2008 BONDS WERE RESTRUCTURED TO INCLUDE A SWAP AGREEMENT WITH BARCLAY'S. THIS RESTRUCTURING CREATED THE ABILITY TO ELIMINATE THE 2008 DEBT SERVICE RESERVE FUND AND USE THE FUNDS TO PARTIALLY DEFEASE SOME OF THE 2008 BONDS DUE IN 2030, THE FINAL YEAR OF THE DEBT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II LINE 15 C&amp;D</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTH OF THE ADVANCED REFUNDING ESCROWS THAT WERE PART OF THE 2015A/B AND 2015C ISSUES HAVE BEEN CLOSED OUT AND ALL BONDS HAVE BEEN REFUNDED THAT WERE PART OF THE ESCROWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (c)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINAL PAYMENT OF $25,000 FOR 2015 A&amp;B BONDS DUE 8/15/24 WAS MADE EARLY DURING FY23 AND ALL 2015 A&amp;B BONDS HAVE NOW BEEN PAID OFF AND COMPLETE</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 06/13/2023</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: IFA/FIRST MIDWEST/PNC BANKS The calculation for computing no rebate due was performed on 12/27/2020</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN C</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: IFA/FIRST MIDWEST/PNC BANKS The calculation for computing no rebate due was performed on 04/10/2020</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN D</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: ILLINOIS FINANCE AUTHORITY The calculation for computing no rebate due was performed on 04/28/2020</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TO ESTABLISH, CONDUCT, MAINTAIN AND OPERATE HOSPITALS AND COMMUNITY MEDICAL CENTERS AND TO FURNISH OTHER FACILITIES FOR THE CARE OF PERSONS SUFFERING FROM ILLNESSES OR INJURY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 A &amp; B</FormAndLineReferenceDesc>
        <ExplanationTxt>SILVER CROSS HOSPITAL AND MEDICAL CENTERS DOES NOT COMPENSATE ITS CEO AND OTHER OFFICERS AND DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>SILVER CROSS HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF SILVER CROSS HOSPITAL AND MEDICAL CENTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>SILVER CROSS HEALTH SYSTEM MAY APPOINT MEMBERS TO THE BOARD OF DIRECTORS OF SILVER CROSS HOSPITAL AND MEDICAL CENTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DECISIONS MADE BY THE DIRECTORS OF SILVER CROSS HOSPITAL AND MEDICAL CENTERS ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF SILVER CROSS HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PROVIDED TO THE CHAIRMAN OF THE GOVERNANCE AND MANAGEMENT EFFECTIVENESS COMMITTEE OF THE BOARD OF DIRECTORS. THE FORM IS PREPARED WITH THE ASSISTANCE OF A PUBLIC ACCOUNTING FIRM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY CONFLICT OF INTEREST ON THE PART OF A DIRECTOR, OFFICER, OR KEY EMPLOYEE SHALL BE DISCLOSED ON AN ANNUAL BASIS USING A QUESTIONNAIRE TOOL AND IS MONITORED AND REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. IDENTIFIED CONFLICTS MAY BE REVIEWED BY THE BOARD AND WHEN SUCH INTEREST BECOMES A MATTER OF BOARD ACTION, THE DIRECTORS SHALL NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND SHALL NOT BE COUNTED IN A QUORUM FOR A MEETING AT WHICH BOARD ACTION IS TO BE TAKEN ON THE INTEREST. IF IT IS DETERMINED THAT A DIRECTOR, OFFICER, OR KEY EMPLOYEE IS NON-COMPLIANT WITH THE CONFLICT OF INTEREST POLICY, THE INDIVIDUAL MAY BE SUBJECT TO DISCIPLINARY ACTIONS UP TO AND INCLUDING DISMISSAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO INDIVIDUALS UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Other - Total Revenue: -1481038, Related or Exempt Function Revenue: -1481038, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTING - Total Expense: 206776, Program Service Expense: 206776, Management and General Expenses: , Fundraising Expenses: ; MEDICAL EDUCATION - Total Expense: 4000, Program Service Expense: 4000, Management and General Expenses: , Fundraising Expenses: ; CONTRACTED LABOR - Total Expense: 11494542, Program Service Expense: 11494542, Management and General Expenses: , Fundraising Expenses: ; OTHER PURCHASED SERVICES - Total Expense: 28141608, Program Service Expense: 28141608, Management and General Expenses: , Fundraising Expenses: ; MED DIRECTOR FEES - Total Expense: 11031712, Program Service Expense: 11031712, Management and General Expenses: , Fundraising Expenses: ; MARKETING - Total Expense: 1314, Program Service Expense: 1314, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGE IN FUND BALANCE - 116;</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>NEW LENOX</CityNm>
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          <ZIPCd>60451</ZIPCd>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>1900 SILVER CROSS BLVD</AddressLine1Txt>
          <CityNm>NEW LENOX</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60451</ZIPCd>
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        <EIN>363185350</EIN>
        <PrimaryActivitiesTxt>FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SCHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MIDWEST COMMUNITY REAL ESTATE CORP</BusinessNameLine1Txt>
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          <AddressLine1Txt>1900 SILVER CROSS BLVD</AddressLine1Txt>
          <CityNm>NEW LENOX</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60451</ZIPCd>
        </USAddress>
        <EIN>363461020</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SCHS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>SILVER CROSS HEALTHY COMMUNITY COMM</BusinessNameLine1Txt>
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          <AddressLine1Txt>1900 SILVER CROSS BLVD</AddressLine1Txt>
          <CityNm>NEW LENOX</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60451</ZIPCd>
        </USAddress>
        <EIN>263094005</EIN>
        <PrimaryActivitiesTxt>COMMUNITY DEVLOPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SCH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UCMCSCH ONCOLOGY JV LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1850 SILVER CROSS BLVD</AddressLine1Txt>
          <CityNm>NEW LENOX</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60451</ZIPCd>
        </USAddress>
        <EIN>322436795</EIN>
        <PrimaryActivitiesTxt>CANCER DIAGNOSIS AND TREATMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>UNIVERSITY OF CHICAGO MEDICAL CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfEOYAssetsAmt>11851782</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PRIME MEDICAL IMAGING</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1900 SILVER CROSS BLVD</AddressLine1Txt>
          <CityNm>NEW LENOX</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60451</ZIPCd>
        </USAddress>
        <EIN>825161758</EIN>
        <PrimaryActivitiesTxt>OUTPATIENT RADIOLOGICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Essential Health Partners LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1900 Silver Cross Blvd</AddressLine1Txt>
          <CityNm>New Lenox</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>604519509</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Healthcare Provider Network</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SILVER CROSS HOSPITAL AND MEDICAL CENTERS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>718543</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>-73613</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.6</OwnershipPct>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SILVER CROSS MSO LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1900 SILVER CROSS BLVD</AddressLine1Txt>
          <CityNm>NEW LENOX</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60451</ZIPCd>
        </USAddress>
        <EIN>853005773</EIN>
        <PrimaryActivitiesTxt>MANAGED CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SILVER CROSS HOSPITAL AND MEDICAL CENTERS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>135697</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>52287036</ShareOfEOYAssetsAmt>
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        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>HEALTH SERVICES SYSTEMS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>1900 SILVER CROSS BLVD</AddressLine1Txt>
          <CityNm>NEW LENOX</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60451</ZIPCd>
        </USAddress>
        <EIN>363262450</EIN>
        <PrimaryActivitiesTxt>PHYSICIAN SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SILVER CROSS HEALTH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
        <OwnershipPct>0</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MIDWEST COMMUNITY REAL ESTATE CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>2180141</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MIDWEST COMMUNITY REAL ESTATE CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>S</TransactionTypeTxt>
        <InvolvedAmt>950000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MIDWEST COMMUNITY REAL ESTATE CORPORATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>98115</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SILVER CROSS HEALTHY COMMUNITY COMMISSION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>173665</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SILVER CROSS FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>818629</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SILVER CROSS FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
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