﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2012v2.2">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-07-14T08:32:44-00:00</Timestamp>
    <TaxPeriodEndDate>2013-08-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>Odum Accounting</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>PO Box 602</AddressLine1>
        <City>Anna</City>
        <State>IL</State>
        <ZIPCode>629060602</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-09-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>371056692</EIN>
      <Name>
        <BusinessNameLine1>Rural Health Inc</BusinessNameLine1>
      </Name>
      <NameControl>RURA</NameControl>
      <Phone>6188334471</Phone>
      <USAddress>
        <AddressLine1>513 North Main Street</AddressLine1>
        <City>Anna</City>
        <State>IL</State>
        <ZIPCode>62906</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Robert A Odum</Name>
      <Title>CFO</Title>
      <Phone>6188334471</Phone>
      <DateSigned>2014-07-14</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Robert Odum</Name>
      <Phone>6188335636</Phone>
      <DatePrepared>2014-07-14</DatePrepared>
      <SelfEmployed>X</SelfEmployed>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="5">
    <IRS990 documentId="990" softwareId="12000057" softwareVersion="12.19.1011.1">
      <NameOfPrincipalOfficerPerson>Cynthia K Flamm</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>513 North Main Street</AddressLine1>
        <City>Anna</City>
        <State>IL</State>
        <ZIPCode>62906</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>6892650</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.ruralhealthinc.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1978</YearFormation>
      <StateLegalDomicile>IL</StateLegalDomicile>
      <ActivityOrMissionDescription>To promote the development, establishment, and expansion of primary health care in Southern Illinois.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>10</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>10</NbrIndependentVotingMembers>
      <TotalNbrEmployees>86</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>1607287</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>1454576</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>4969396</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>5302625</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>13303</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>10211</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>53398</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>125238</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>6643384</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>6892650</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>4838559</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>4941527</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>1938608</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>2041996</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>6777167</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>6983523</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-133783</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>-90873</RevenuesLessExpensesCY>
      <TotalAssetsBOY>4009012</TotalAssetsBOY>
      <TotalAssetsEOY>4901134</TotalAssetsEOY>
      <TotalLiabilitiesBOY>796436</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>1779431</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>3212576</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>3121703</NetAssetsOrFundBalancesEOY>
      <MissionDescription>To promote the development, establishment, and expansion of primary health care in Southern Illinois.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>5486688</Expense>
      <Revenue>6892650</Revenue>
      <Description>Community Health Center - provide and develop primary health care</Description>
      <TotalProgramServiceExpense>5486688</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="990A">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <DonorAdvisedFunds>false</DonorAdvisedFunds>
      <ConservationEasements>false</ConservationEasements>
      <CollectionsOfArt>false</CollectionsOfArt>
      <CreditCounseling>false</CreditCounseling>
      <TermOrPermanentEndowments>false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="990D">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities>false</ReportInvestOthSecurities>
      <ReportProgRelInvest>false</ReportProgRelInvest>
      <ReportOtherAssets>false</ReportOtherAssets>
      <ReportOtherLiabilities>false</ReportOtherLiabilities>
      <ReportFin48Footnote>false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="990D">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt>false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="990J">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>30</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>86</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>10</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>10</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>false</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>false</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>IL</StatesWhereCopyOfReturnIsFiled>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Robert Odum</NamePerson>
        <TelephoneNumber>6188334471</TelephoneNumber>
        <AddressUS>
          <AddressLine1>513 North Main Street</AddressLine1>
          <City>Anna</City>
          <State>IL</State>
          <ZIPCode>62906</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Terry Lingle</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>000.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Leticia Vicente</NamePerson>
        <Title>Vice-Chairperson</Title>
        <AverageHoursPerWeek>000.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Terry Simms</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>000.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Janet Young</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>000.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Del Mowery</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>000.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lindell Croft</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>000.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kim Capel</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>000.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kent Keller</NamePerson>
        <Title>Chairperson</Title>
        <AverageHoursPerWeek>000.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Christopher Clark</NamePerson>
        <Title>Secretary</Title>
        <AverageHoursPerWeek>000.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Tyler Edmonds</NamePerson>
        <Title>Director</Title>
        <AverageHoursPerWeek>000.50</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Cynthia Flamm</NamePerson>
        <Title>CEO</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>131289</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael Johnston</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>85097</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>William Ribbing</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>321242</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Steven Beatty</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>332099</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sridevi Panchamukhi</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>253689</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Qi Liu</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>185826</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John J O'Connor</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>168667</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Christine Lucas</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>134012</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rachel N Myers</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>170307</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Thomas Larkin</NamePerson>
        <Title>Dentist</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>133619</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Cheryl Fuller</NamePerson>
        <Title>Nurse Practitioner</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>101488</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dena Taylor</NamePerson>
        <Title>Nurse Practitioner</Title>
        <AverageHoursPerWeek>037.50</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>100438</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2117773</TotalReportableCompFromOrg>
      <NumberIndividualsGT100K>11</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Southern Illinois Psychiatry</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4503 W DeYoung St</AddressLine1>
            <City>Marion</City>
            <State>IL</State>
            <ZIPCode>62959</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Psychiatrists</DescriptionOfServices>
        <Compensation>415389</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Quest Diagnostics</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 14730</AddressLine1>
            <City>St Louis</City>
            <State>MO</State>
            <ZIPCode>631504730</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Laboratory</DescriptionOfServices>
        <Compensation>132704</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Priority Management Group Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 19999</AddressLine1>
            <City>Johnston</City>
            <State>RI</State>
            <ZIPCode>029190999</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Billing Service</DescriptionOfServices>
        <Compensation>419201</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Ron Gobin Enterprises Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1308 Ava Road</AddressLine1>
            <City>Murphysboro</City>
            <State>IL</State>
            <ZIPCode>62966</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction</DescriptionOfServices>
        <Compensation>144063</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Mayfield Electronic Transcription</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>81124 Chenel Road</AddressLine1>
            <City>Folsom</City>
            <State>LA</State>
            <ZIPCode>70437</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Transcription Services</DescriptionOfServices>
        <Compensation>135841</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <GovernmentGrants>1454576</GovernmentGrants>
      <TotalContributions>1454576</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Patient Fees</Description>
        <TotalRevenueColumn>5302625</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5302625</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>5302625</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>10211</TotalRevenueColumn>
        <ExclusionAmount>10211</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>8400</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>8400</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>8400</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Miscellaneous</Description>
        <TotalRevenueColumn>694</TotalRevenueColumn>
        <ExclusionAmount>694</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Unrealized Gain Loss on Investments</Description>
        <TotalRevenueColumn>116144</TotalRevenueColumn>
        <ExclusionAmount>116144</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>116838</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>6892650</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5302625</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>127049</ExclusionAmount>
      </TotalRevenue>
      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>216386</Total>
        <ManagementAndGeneral>216386</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>3928248</Total>
        <ProgramServices>3480651</ProgramServices>
        <ManagementAndGeneral>447597</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>0</Total>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>528862</Total>
        <ProgramServices>444162</ProgramServices>
        <ManagementAndGeneral>84700</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>268031</Total>
        <ProgramServices>225113</ProgramServices>
        <ManagementAndGeneral>42918</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>9079</Total>
        <ManagementAndGeneral>9079</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>13000</Total>
        <ManagementAndGeneral>13000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1280405</Total>
        <ProgramServices>846888</ProgramServices>
        <ManagementAndGeneral>433517</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>5343</Total>
        <ProgramServices>2793</ProgramServices>
        <ManagementAndGeneral>2550</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>18995</Total>
        <ManagementAndGeneral>18995</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>1301</Total>
        <ManagementAndGeneral>1301</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>166869</Total>
        <ProgramServices>93200</ProgramServices>
        <ManagementAndGeneral>73669</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>13247</Total>
        <ProgramServices>3755</ProgramServices>
        <ManagementAndGeneral>9492</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>42520</Total>
        <ProgramServices>25810</ProgramServices>
        <ManagementAndGeneral>16710</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>27836</Total>
        <ProgramServices>27836</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>151904</Total>
        <ProgramServices>107231</ProgramServices>
        <ManagementAndGeneral>44673</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>17881</Total>
        <ProgramServices>12532</ProgramServices>
        <ManagementAndGeneral>5349</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Supplies</Description>
        <Total>160218</Total>
        <ProgramServices>133501</ProgramServices>
        <ManagementAndGeneral>26717</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues and Subscriptions</Description>
        <Total>42529</Total>
        <ProgramServices>14370</ProgramServices>
        <ManagementAndGeneral>28159</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Printing and Postage</Description>
        <Total>5030</Total>
        <ManagementAndGeneral>5030</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Repairs and Maintenance</Description>
        <Total>66910</Total>
        <ProgramServices>66910</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>18929</Total>
        <ProgramServices>1936</ProgramServices>
        <ManagementAndGeneral>16993</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>6983523</Total>
        <ProgramServices>5486688</ProgramServices>
        <ManagementAndGeneral>1496835</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>68653</BOY>
        <EOY>120710</EOY>
      </CashNonInterestBearing>
      <PledgesAndGrantsReceivable>
        <EOY>61109</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1151736</BOY>
        <EOY>1517489</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>18863</BOY>
        <EOY>30745</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>16611</BOY>
        <EOY>18275</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>4999667</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2199428</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2516726</BOY>
        <EOY>2800239</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>236423</BOY>
        <EOY>352567</EOY>
      </InvestmentsPubTradedSecurities>
      <TotalAssets>
        <BOY>4009012</BOY>
        <EOY>4901134</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>634248</BOY>
        <EOY>709111</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>162188</BOY>
        <EOY>645081</EOY>
      </DeferredRevenue>
      <UnsecuredNotesLoansPayable>
        <EOY>425239</EOY>
      </UnsecuredNotesLoansPayable>
      <TotalLiabilities>
        <BOY>796436</BOY>
        <EOY>1779431</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3212576</BOY>
        <EOY>3121703</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>3212576</BOY>
        <EOY>3121703</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>4009012</BOY>
        <EOY>4901134</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-90873</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="12000057" softwareVersion="12.19.1011.1">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>1301528</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1406297</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1944792</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1607287</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1454576</CurrentTaxYear>
        <Total>7714480</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>1301528</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1406297</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1944792</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1607287</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1454576</CurrentTaxYear>
        <Total>7714480</Total>
      </Total170>
      <PublicSupportTotal170>7714480</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>20819</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>14279</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>33202</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>42924</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>134755</CurrentTaxYear>
        <Total>245979</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>1174</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>871</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>957</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>23777</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>694</CurrentTaxYear>
        <Total>27473</Total>
      </OtherIncome170>
      <TotalSupport>7987932</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>25678848</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.96580</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.97900</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <PublicSupportPercentage509>0.00000</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0.00000</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D" softwareId="12000057" softwareVersion="12.19.1011.1">
      <IncludedOnFS>false</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>90500</OtherCostOrOtherBasis>
        <BookValue>90500</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>2701074</OtherCostOrOtherBasis>
        <Depreciation>805446</Depreciation>
        <BookValue>1895628</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>684956</OtherCostOrOtherBasis>
        <Depreciation>108043</Depreciation>
        <BookValue>576913</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1523137</OtherCostOrOtherBasis>
        <Depreciation>1285939</Depreciation>
        <BookValue>237198</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>2800239</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Financial derivatives and other financial products</Description>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Closely-held equity interests</Description>
      </OtherSecurities>
      <OtherLiabilities>
        <Description>Federal income taxes</Description>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Security Deposit</Description>
      </OtherLiabilities>
      <TotRevenueEtcAuditedFinclStmt>6892650</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>6892650</RevenueSubtotal>
      <TotalRevenuePerForm990>6892650</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>6983523</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>6983523</ExpensesSubtotal>
      <TotalExpensesPerForm990>6983523</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J" softwareId="12000057" softwareVersion="12.19.1011.1">
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>William Ribbing</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>206000</BaseCompensationFilingOrg>
        <BonusFilingOrg>89823</BonusFilingOrg>
        <OtherCompensationFilingOrg>25419</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>17707</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>338949</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Steven Beatty</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>272250</BaseCompensationFilingOrg>
        <BonusFilingOrg>59849</BonusFilingOrg>
        <NontaxableBenefitsFilingOrg>17864</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>349963</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Sridevi Panchamukhi</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>230000</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>23689</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>16727</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>270416</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Qi Liu</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>150000</BaseCompensationFilingOrg>
        <BonusFilingOrg>1983</BonusFilingOrg>
        <OtherCompensationFilingOrg>33843</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>15743</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>201569</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John J O'Connor</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>165000</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>3667</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>15495</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>184162</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rachel N Myers</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>145000</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>25307</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>15518</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>185825</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O" softwareId="12000057" softwareVersion="12.19.1011.1">
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 11b Board of directors was given a copy of the 990 for their review at their July board meeting</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section B Line 15a Board of directors determine compensation for CEO by obtaining comparable data and performing annual evaluations</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part VI Section C Line 19 Governing documents, policies, and financial statements are made available upon request</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990 Part IX Line 11g Contractual services - 995,264 Reference Lab - 140,148 Janitorial Services - 88,626 Service Contracts - 21,551 Collection Expenses - 21,280 PPO Administration Fees - 10,174 Other Fees - 3,362</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>