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        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>TREASURY REGULATION 1.509(A)-4(K)(1) PROVIDES, IN PERTINENT PART, THAT FOR PURPOSES OF IRC 509(A)(3), AN ORGANIZATION WHICH IS OPERATED IN CONJUNCTION WITH AN ORGANIZATION DESCRIBED IN IRS 501(C)(6) SHALL, IF IT OTHERWISE MEETS THE REQUIREMENTS OF IRC 509(A)(3), BE CONSIDERED AN ORGANIZATION DESCRIBED IN IRS 509(A)(3). IF SUCH IRC 501(C)(6) ORGANIZATION WOULD BE DESCRIBED IN IRC 509(A)(2) IF IT WERE AN ORGANIZATION DESCRIBED IN IRC 501(C)(3). THE IRC 501(C)(6) ORGANIZATION, WHICH THE SUPPORTING ORGANIZATION IS OPERATING IN CONJUNCTION WITH, MUST THEREFORE, MEET THE ONE THIRD TESTS OF A PUBLICLY SUPPORTED ORGANIZATION SET FORTH IN IRC 509(A)(2). IHREF PROVIDES SUPPORT TO IHA, AN IRC 501(C)(6) ORGANIZATION. IHREF IS OPERATED, SUPERVISED AND CONTROLLED BY IHA AND, AS A RESULT OF THIS RELATIONSHIP, IHREF WAS ABLE TO CONFIRM THAT IHA MET THE IRC 509(A)(2) TEST IN 2025. THIS CALCULATION IS PERFORMED ON AN ANNUAL BASIS TO CONFIRM THAT IHA RECEIVES AT LEAST 33 1/3 PERCENT OF PUBLIC SUPPORT.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>IHREF IS OPERATING, SUPERVISED AND CONTROLLED BY IHA. TREASURY REGULATION 1.509(A)-4(E) STATES THAT A SUPPORTING ORGANIZATION WILL BE REGARDED AS "OPERATED EXCLUSIVELY" TO SUPPORT ONE OR MORE SPECIFIED PUBLICLY SUPPORTED ORGANIZATIONS ONLY IF IT ENGAGES SOLELY IN ACTIVITIES WHICH SUPPORT OR BENEFIT THE SPECIFIED PUBLICLY SUPPORTED ORGANIZATIONS. IHREF'S SUPPORT TO IHA CONSISTS OF PROVIDING CONTINUING EDUCATION TO HOSPITAL AND OTHER HEALTHCARE PERSONNEL. THESE ACTIVITIES HELP TO SUPPORT IHA'S STATED MISSION TO ADVOCATE FOR AND SUPPORT HOSPITAL OPERATIONS FOR THE SUPPORT OF HEALTHIER COMMUNITIES. THEREFORE, IT IS ABLE TO CONFIRM THAT THE SUPPORT PROVIDED TO IHA WAS USED EXCLUSIVELY FOR IRC 170(C)(2)(B) PURPOSES.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
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      <TotalBookValueOtherAssetsAmt>922825</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ILLINOIS HOSPITAL RESEARCH &amp; EDUCATIONAL FOUNDATION (IHREF) HAS RECEIVED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) STATING THAT IT IS EXEMPT FROM TAXATION ON INCOME RELATED TO THEIR EXEMPT PURPOSES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). AS AN EXEMPT ORGANIZATION, IHREF IS SUBJECT TO FEDERAL AND STATE INCOME TAXES ON INCOME DETERMINED TO BE UNRELATED BUSINESS TAXABLE INCOME. IHREF ACCOUNTS FOR INCOME TAXES USING THE PROVISIONS OF ASC 740, INCOME TAXES. UNDER ASC 740, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR FUTURE TAX CONSEQUENCES ATTRIBUTABLE TO DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS OF EXISTING ASSETS AND LIABILITIES AND THEIR RESPECTIVE TAX BASES, OPERATING LOSS, AND TAX CREDIT CARRYFORWARDS. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES AND LAWS EXPECTED TO APPLY TO TAXABLE INCOME IN THE YEARS IN WHICH THOSE TEMPORARY DIFFERENCES ARE EXPECTED TO BE RECOVERED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN INCOME IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. A VALUATION ALLOWANCE IS PROVIDED WHEN IT IS MORE LIKELY THAN NOT THAT SOME PORTION OF DEFERRED TAX ASSETS WILL NOT BE REALIZED. AS OF DECEMBER 31, 2025 AND 2024, IHREF DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <PersonNm>ARTHUR J WILHELMI</PersonNm>
        <TitleTxt>CHAIRMAN/PRESIDENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>1087413</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>300227</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>3387</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1670531</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>254057</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN HARRIS</PersonNm>
        <TitleTxt>SECRETARY/DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>370280</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>72172</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>27628</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>519248</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRI L ALLEN</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>7708</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>29750</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17670</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>473088</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEAN KIRKEL</PersonNm>
        <TitleTxt>ASSISTANT TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>252715</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>30959</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>24440</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN BOMHER</PersonNm>
        <TitleTxt>FORMER DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25609</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>25609</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ILLINOIS HEALTH AND HOSPITAL ASSOCIATION, A RELATED ENTITY, USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION FOR THE ORGANIZATION'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING AMOUNTS WERE CONTRIBUTED TO A NONQUALIFIED RETIREMENT PLAN: ARTHUR J. WILHELMI $243,052 THE FOLLOWING AMOUNTS WERE DISTRIBUTED DURING THE YEAR FROM THE NONQUALIFIED RETIREMENT PLAN (CODA): ARTHUR J. WILHELMI: $254,057</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL COMPENSATION LISTED IN SCHEDULE J, PART II IS FROM THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. NO TRUSTEE RECEIVED COMPENSATION FROM THE FILING ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ILLINOIS HEALTH AND HOSPITAL ASSOCIATION, A RELATED ENTITY, IS THE EMPLOYER OF THE FOLLOWING OFFICERS AND DIRECTORS OF THE ENTITY: TERRI L. ALLEN, KAREN HARRIS, JEAN KIRKEL, AND ARTHUR J. WILHELMI. THE ENTITY'S BOARD IS COMPRISED OF THE FOLLOWING INDIVIDUALS WHO ARE ALSO ON THE BOARD(S) OR AN OFFICER OF ONE OR MORE RELATED ORGANIZATIONS: TERRI L. ALLEN, KAREN HARRIS, AND ARTHUR J. WILHELMI. THE ENTITY'S FOLLOWING OFFICERS ARE INDIVIDUALS WHO ARE ALSO ON THE BOARD(S) OR AN OFFICER OF ONE OR MORE RELATED ORGANIZATIONS: JEAN KIRKEL, TERRI L. ALLEN, KAREN HARRIS, AND ARTHUR J. WILHELMI.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ILLINOIS HOSPITAL RESEARCH &amp; EDUCATIONAL FOUNDATION'S BYLAWS WERE AMENDED TO SPECIFICALLY NAME ILLINOIS HEALTH AND HOSPITAL ASSOCIATION (IHA) AS A SUPPORTED ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOUNDATION HAS ONE MEMBER, THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION (IHA).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER HAS THE POWER TO APPOINT ALL DIRECTORS OF THE ORGANIZATION AND THE POWER TO REMOVE OFFICERS AND DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBER SHALL HAVE THE FOLLOWING RIGHTS AND OBLIGATIONS: (A) TO APPROVE ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; (B) TO APPOINT AND REMOVE THE DIRECTORS OF THE CORPORATION; (C) TO APPOINT AND REMOVE THE BOARD CHAIR, PRESIDENT, SECRETARY, AND TREASURER OF THE CORPORATION; (D) TO TAKE ACTION WITH REGARD TO EACH ANNUAL OPERATING AND CAPITAL BUDGET OF THE CORPORATION BEFORE EXPENDITURES MAY BE MADE FROM THE OPERATING AND CAPITAL BUDGET; (E) TO APPROVE EACH LONG-RANGE PLAN OF THE CORPORATION BEFORE EXPENDITURES MAY BE MADE; (F) TO APPROVE ANY INDEBTEDNESS OF THE CORPORATION WHICH WAS NOT INCLUDED IN THE ANNUAL BUDGET AND WHICH EXCEEDS 10% OF THE APPROVED BUDGET; (G) TO APPROVE ANY EXPENDITURE OR INVESTMENT OF THE CORPORATION WHICH EXCEEDS 10% OF THE APPROVED BUDGET; (H) TO APPROVE ANY PLAN OF MERGER OR CONSOLIDATION; (I) TO APPROVE A VOLUNTARY PARTIAL OR TOTAL DISSOLUTION OF THE CORPORATION; (J) TO APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION; (K) TO APPROVE THE CREATION OF CONTROLLED OR OWNED SUBSIDIARIES OR AFFILIATES BY THE CORPORATION; (L) TO APPROVE, INITIATE, OR IMPLEMENT THE SELECTION OR USE OF AUDITORS AND/OR LEGAL COUNSEL, ACCOUNTING POLICIES, COMPENSATION POLICIES, AND OTHER OPERATIONAL POLICIES OF THE CORPORATION; AND (M) TO ESTABLISH COMPENSATION, IF ANY, OF DIRECTORS AND OFFICERS FOR SERVICES TO THE CORPORATION AS DIRECTORS AND OFFICERS, IRRESPECTIVE OF ANY PERSONAL INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>WITH ASSISTANCE FROM THE LEGAL DEPARTMENT OF IHA, THE INFORMATION NEEDED TO PREPARE THE FOUNDATION'S FORM 990 IS PREPARED BY THE FINANCE STAFF OF THE FOUNDATION'S PARENT, ILLINOIS HEALTH AND HOSPITAL ASSOCIATION (IHA). THE FORM IS THEN PREPARED AND REVIEWED BY THE ASSOCIATION'S OUTSIDE TAX ADVISORS, RSM US LLP. AFTER RSM'S REVIEW, THE FORM IS FURTHER REVIEWED BY THE ASSOCIATION'S CHIEF ACCOUNTING OFFICER. EACH BOARD MEMBER RECEIVES A COPY OF THE FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST DISCLOSURE FORMS ARE REVIEWED, COMPLETED AND SIGNED BY BOARD MEMBERS AND OFFICERS OF THE ENTITY. THESE ARE REVIEWED BY HUMAN RESOURCES STAFF AND SENIOR MANAGEMENT. WHEN A DIRECTOR OR OFFICER IS AWARE OF A CONFLICT OR POTENTIAL CONFLICT OF INTEREST FOR HIMSELF/HERSELF OR A FAMILY MEMBER, THE DIRECTOR OR OFFICER MUST DISCLOSE IT TO THE BOARD OR THE COMPLIANCE OFFICER OF ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST, THE REMAINING BOARD MEMBERS OR OFFICERS, AS THE CASE MAY BE, WOULD DECIDE IF A CONFLICT EXISTS. IF A CONFLICT IS DEEMED TO EXIST, THAT BOARD MEMBER OR OFFICER, AS THE CASE MAY BE, IS NOT ALLOWED TO VOTE ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE OF ILLINOIS HEALTH AND HOSPITAL ASSOCIATION, A RELATED ENTITY, COMPRISED OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION OF THE CEO, OTHER OFFICERS AND KEY EMPLOYEES. AN INDEPENDENT COMPENSATION CONSULTANT, AS WELL AS COMPENSATION STUDIES OF OTHER SIMILAR ORGANIZATIONS ARE UTILIZED IN THE PROCESS. THE COMPENSATION COMMITTEE DOCUMENTS ALL COMPENSATION DECISIONS ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ILLINOIS HOSPITAL RESEARCH AND EDUCATIONAL FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TRUSTEES OF IHREF ARE EMPLOYEES OF THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. APPROXIMATELY 2.5% OF EACH INDIVIDUALS TIME IS DEVOTED TO THE ACTIVITIES OF THE FOUNDATION, FOR WHICH THE ASSOCIATION RECEIVES NO REIMBURSEMENT.</ExplanationTxt>
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          <CityNm>NAPERVILLE</CityNm>
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          <ZIPCd>60563</ZIPCd>
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        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>LINE 12A, TYPE I</PublicCharityStatusTxt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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          <AddressLine1Txt>1120 EAST DIEHL ROAD SUITE 200</AddressLine1Txt>
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          <AddressLine1Txt>1120 EAST DIEHL ROAD SUITE 200</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <EIN>363063484</EIN>
        <PrimaryActivitiesTxt>PURCH PRG &amp; DATA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>AVC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ILLINOIS RISK MANAGEMENT SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1120 EAST DIEHL ROAD SUITE 200</AddressLine1Txt>
          <CityNm>NAPERVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60563</ZIPCd>
        </USAddress>
        <EIN>363100207</EIN>
        <PrimaryActivitiesTxt>CLAIMS RISK MGT.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AVC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>MEDICAL ALLIANCE INSURANCE COMPANY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1120 EAST DIEHL ROAD SUITE 200</AddressLine1Txt>
          <CityNm>NAPERVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60563</ZIPCd>
        </USAddress>
        <EIN>320097644</EIN>
        <PrimaryActivitiesTxt>PHYS PL INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AVC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MCHC - SERVICE CORPORATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1120 EAST DIEHL ROAD SUITE 200</AddressLine1Txt>
          <CityNm>NAPERVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60563</ZIPCd>
        </USAddress>
        <EIN>363404171</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AVC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>IHA HUMAN CAPITAL SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1120 EAST DIEHL ROAD SUITE 200</AddressLine1Txt>
          <CityNm>NAPERVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60563</ZIPCd>
        </USAddress>
        <EIN>320541199</EIN>
        <PrimaryActivitiesTxt>HR SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AVC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>