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          <NamePerson>NUMED INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1098</AddressLine1>
            <City>DENTON</City>
            <State>TX</State>
            <ZIPCode>76202</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>NUCLEAR MEDICIN</DescriptionOfServices>
        <Compensation>159007</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SLU SCHOOL OF MEDICINE</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1402 S GRAND BLVD</AddressLine1>
            <City>ST LOUIS</City>
            <State>MO</State>
            <ZIPCode>63104</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN SERVI</DescriptionOfServices>
        <Compensation>153600</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>HEALTHCARE MANAGEMENT SYS INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>3102 WEST END AVE STE 400</AddressLine1>
            <City>NASHVILLE</City>
            <State>TN</State>
            <ZIPCode>37203</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SYSTEM MANAGEME</DescriptionOfServices>
        <Compensation>120573</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>LABCORP</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 12140</AddressLine1>
            <City>BURLINGTON</City>
            <State>NC</State>
            <ZIPCode>272162140</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LAB SERVICES</DescriptionOfServices>
        <Compensation>117072</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <GovernmentGrants>43066</GovernmentGrants>
      <AllOtherContributions>46023</AllOtherContributions>
      <TotalContributions>89089</TotalContributions>
      <ProgramServiceRevenue>
        <Description>INPATIENT &amp; OUTPATIENT SVC</Description>
        <TotalRevenueColumn>16335081</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>16335081</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>16335081</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>709581</TotalRevenueColumn>
        <ExclusionAmount>709581</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Other>54030</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>66291</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>-12261</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-12261</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-12261</RelatedOrExemptFunctionIncome>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>INDEPENDENT LIVING RENT</Description>
        <TotalRevenueColumn>330856</TotalRevenueColumn>
        <ExclusionAmount>330856</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISC INCOME</Description>
        <TotalRevenueColumn>144339</TotalRevenueColumn>
        <ExclusionAmount>144339</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>PHARMACY</Description>
        <TotalRevenueColumn>68059</TotalRevenueColumn>
        <ExclusionAmount>68059</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>41852</TotalRevenueColumn>
        <ExclusionAmount>41852</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>585106</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>17706596</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>16322820</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>1294687</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>287861</Total>
        <ProgramServices>287861</ProgramServices>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>6470494</Total>
        <ProgramServices>6470494</ProgramServices>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>95217</Total>
        <ProgramServices>95217</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1407972</Total>
        <ProgramServices>1407972</ProgramServices>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>470442</Total>
        <ProgramServices>470442</ProgramServices>
      </PayrollTaxes>
      <FeesForServicesAccounting>
        <Total>34990</Total>
        <ProgramServices>34990</ProgramServices>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>773203</Total>
        <ProgramServices>773203</ProgramServices>
      </FeesForServicesOther>
      <Advertising>
        <Total>48069</Total>
        <ProgramServices>48069</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>1002599</Total>
        <ProgramServices>1002599</ProgramServices>
      </OfficeExpenses>
      <Occupancy>
        <Total>346249</Total>
        <ProgramServices>346249</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>44767</Total>
        <ProgramServices>44767</ProgramServices>
      </Travel>
      <Interest>
        <Total>660844</Total>
        <ProgramServices>660844</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>1381764</Total>
        <ProgramServices>1381764</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>222723</Total>
        <ProgramServices>222723</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>1428203</Total>
        <ProgramServices>1428203</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHYSICIANS' FEES</Description>
        <Total>1376148</Total>
        <ProgramServices>1376148</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DRUGS</Description>
        <Total>610443</Total>
        <ProgramServices>610443</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
        <Total>398620</Total>
        <ProgramServices>398620</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISC</Description>
        <Total>212455</Total>
        <ProgramServices>212455</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>241171</Total>
        <ProgramServices>241171</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>17514234</Total>
        <ProgramServices>17514234</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>179423</BOY>
        <EOY>769123</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>2412113</BOY>
        <EOY>3035452</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>324660</BOY>
        <EOY>335713</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>229112</BOY>
        <EOY>198482</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>20035481</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>9721165</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>11089062</BOY>
        <EOY>10314316</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>5661023</BOY>
        <EOY>6414470</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>45000</BOY>
        <EOY>45000</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>929138</BOY>
        <EOY>315439</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>20869531</BOY>
        <EOY>21427995</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1418157</BOY>
        <EOY>1446951</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>9750000</BOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <EOY>9851217</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>2475896</BOY>
        <EOY>2212404</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>13644053</BOY>
        <EOY>13510572</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>7225478</BOY>
        <EOY>7917423</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>7225478</BOY>
        <EOY>7917423</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>20869531</BOY>
        <EOY>21427995</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>192362</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>499583</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc3">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc4">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <InvestmentCostOrOtherBasis>48400</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>3114</OtherCostOrOtherBasis>
        <BookValue>51514</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>8216479</OtherCostOrOtherBasis>
        <Depreciation>2918168</Depreciation>
        <BookValue>5298311</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1221040</OtherCostOrOtherBasis>
        <Depreciation>522475</Depreciation>
        <BookValue>698565</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>10546448</OtherCostOrOtherBasis>
        <Depreciation>6280522</Depreciation>
        <BookValue>4265926</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>10314316</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP CONTRACTS</Description>
        <Amount>998429</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCUMULATED BENEFIT OBLIGATION</Description>
        <Amount>635346</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>THIRD PARTY REIMBURSEMENT PROGRAMS</Description>
        <Amount>265000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CURRENT OBLIG-CAPITAL LEASES</Description>
        <Amount>152664</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>L-T OBLIGATION-CAPITAL LEASES</Description>
        <Amount>132965</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CURRENT ACCUM BENEFIT OBLIGATION</Description>
        <Amount>28000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2212404</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY UPON THE ADOPTION OF ASC TOPIC 740-10-25 OR AT JUNE 30, 2011.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc6">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>108585</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>108585</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00620</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>2915936</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1995281</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>920655</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05260</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>3024521</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1995281</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1029240</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05880</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>162684</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>162684</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00930</PercentOfTotalExpense>
      </CommunityHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>162684</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>162684</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00930</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>3187205</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1995281</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1191924</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06810</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>796937</BadDebtExpenseAmount>
      <AmountAttributableTo>159387</AmountAttributableTo>
      <AmountReimbursedByMedicare>7746893</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>7900915</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-154022</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>MARSHALL BROWNING HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>900 N WASHINGTON ST</AddressLine1>
          <City>DUQUOIN</City>
          <State>IL</State>
          <ZIPCode>62832</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
        <Other>OUTPATIENT PHYSICIAN CLINIC</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>MARSHALL BROWNING HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>100.0</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>10.0</FPGDiscountPercent>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MARSHALL BROWNING HOSPITAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>MEDICAL CLINIC</AddressLine1>
            <AddressLine2>900 N WASHINGTON STREET</AddressLine2>
            <City>DUQUOIN</City>
            <State>IL</State>
            <ZIPCode>62832</ZIPCode>
          </Address>
          <FacilityType>RURAL HEALTH CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY EXPLANATION</Identifier>
        <ReturnReference>PART I LINE 7</ReturnReference>
        <Explanation>THE MARSHALL BROWNING HOSPITAL ASSOCIATION THE ASSOCIATION USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTOCHARGES INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINES 7A AND 7B OF PART I OF SCHEDULE H</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 4</ReturnReference>
        <Explanation>THE ASSOCIATION CALCULATED BAD DEBT EXPENSE AT COST USING THE COST TO CHARGE RATIO AS CALCULATED USING WORSHEET 2 OF THE SCHEDULE H INSTRUCTIONS PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT ONLY AFTER ALL COLLECTION PROCEDURES HAVE BEEN EXHAUSTED AS OUTLINED IN SCHEDULE H PART III LINE 9B PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AFTER ALL DISCOUNTS AND PAYMENTS HAVE BEEN APPLIED BASED ON THE ASSOCIATIONS EXPEREINCE WITH ALL ITS PATIENTS THEY ESTIMATE THAT IT IS LIKELY THAT UP TO 20 OF THE PATIENTS ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOOSE NOT TO APPLY THEREFORE 20 OF THE BAD DEBT EXPENSE WAS INCLUDED ON PART III LINE 3 AT COST THE FOLLOWING DESCRIPTION OF BAD DEBT EXPENSE UNCOMPENSATED CAREIS INCLUDED IN THE COMMUNITY BENEFIT NOTE TO THE ASSOCIATIONS AUDITED FINANCIAL STATEMENTS THE HOSPITAL ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE FOR PATIENTS WHICH IS NOT INCLUDED ABOVE BUT IS REPORTED ON THE STATEMENT OF OPERATIONS AS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS MANY OF THOSE PATIENTS ARE UNINSURED OR UNDERINSURED BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE DURING THE YEAR ENDED JUNE 30 2011 THE HOSPITAL REPORTED BAD DEBT EXPENSE AT COST OF 797000</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 8</ReturnReference>
        <Explanation>FISCAL YEAR 2010 MEDICARE COST REPORT WAS USED TO DETERMINE THE UNPAID COST OF MEDICARE UNPAID COST OF MEDICARE REPRESENTS THE COST OF PROVIDING SERVICES TO PRIMARILY ELDERLY BENEFICIARIES OF THE MEDICARE PROGRAM IN EXCESS OF PAYMENTS FOR THOSE SERVICES IRS REVENUE RULING 69545 WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT BENEFITS INCLUDING MEDICARE THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 9B</ReturnReference>
        <Explanation>THE MARSHALL BROWNING HOSPITAL ASSOCIATION APPLIES ITS COLLECTION PRACTICES EQUALLY TO ALL PATIENTS BOTH CHARITY CARE ELIGIBLE AND NONCHARITY CARE PATIENTS THE PROCEDURES FOR COLLECTION ON PATIENT ACCOUNTS ARE AS FOLLOWS IT IS THE RESPONSIBILITY OF THE CREDIT AND COLLECTION MANAGER WITHIN THE PATIENT ACCOUNTS OFFICE TO SECURE PAYMENT ARRANGEMENTS FOR ALL ACCOUNTS ON WHICH INSURANCE BENEFITS ARE NOT AVAILABLE OR IF BENEFITS HAVE BEEN APPLIED AND A BALANCE IS DUE FROM THE PATIENT 1CREDIT AND COLLECTION MANAGER ACREDIT AND COLLECTION MANAGER REVIEWS ALL ADMISSION FOLDERS FOR INSURANCE INFORMATION OR ABILITY TO PAY MONDAY SATURDAY BCREDIT AND COLLECTION MANAGER CHECKS WITH RN ON THE PATIENT UNIT REGARDING THE PATIENTS CONDITION OR FAMILY WHEREABOUTS IF PATIENT IS A MINOR OR UNABLE PHYSICALLY OR MENTALLY TO MAKE A FINANCIAL DECISION CAFTER AN INTERVIEW WITH PATIENT OR FAMILY CREDIT AND COLLECTION MANAGER DETERMINES APPROPRIATE PAYMENT ARRANGEMENT WITH THE BEST INTERESTS OF THE PATIENT AND THE HOSPITAL IN MIND DCREDIT AND COLLECTION MANAGER DETERMINES IF PATIENTS NEEDS WOULD BE BETTER SERVED BY DEPARTMENT OF PUBLIC AID ASSISTANCE EIF IT IS DETERMINED THAT THE PATIENTS NEEDS WOULD BE BETTER SERVED THROUGH DPA THEN THE PATIENT CARE COORDINATORS OFFICE IS NOTIFIED FOR COMPLETION OF DPA APPLICATION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>MARSHALL BROWNING HOSPITAL HAS A COMMUNITY BENEFITS TEAM WHICH IS COMPRISED OF HOSPITAL EMPLOYEES FROM VARIOUS DEPARTMENTS OF THE HOSPITAL THE MISSION OF THE TEAM IS TO PROVIDE ONGOING ASSESSMENTS OF THE HEALTHCARE NEEDS OF PERRY COUNTY AND THE SURROUNDING COMMUNITIES AND STRIVE TO MEET THE NEEDS IDENTIFIED THE TEAM MEETS PERIODICALLY TO PLAN AND DISCUSS EDUCATIONAL SEMINARS AND EVENTS TO HELP MEET THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY THE HOSPITAL ALSO UNDERWENT A STRATEGIC PLAN AND MARKET ANALYSIS IN 2010 WHICH PROVIDED VALUABLE INFORMATION LINKING THE HOSPITAL STRATEGIC PLAN WITH SPECIAL ATTENTION GIVEN TO THOSE MOST IN NEED IN THE COMMUNITY THE DIRECTOR OF MARKETING DIRECTOR OF INFECTION CONTROLEMPLOYEE HEALTH AND DIRECTOR OF REHAB SERVE ON THE PERRY COUNTY COMMUNITY WELLNESS AND HEALTH COALITION THE ASSISTANT DIRECTOR OF NURSING DIRECTOR OF EDUCATION AND CFO SERVE ON THE BOARD OF DIRECTORS FOR THE PERRY COUNTY DEPARTMENT OF PUBLIC HEALTH THE DIRECTOR OF INFECTION CONTROL SERVES ON THE PERRY COUNTY INTERAGENCY COUNCIL PARTICIPATION IN EACH OF THESE GROUPS ASSISTS THE HOSPITAL IN CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITY</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>PATIENT EDUCATION REGARDING ELIGIBILITY FOR ASSISTANCE PROVIDED IN THE FOLLOWING MEDIUMS HOSPITAL BROCHURE HOSPITAL WEBSITE POSTED IN ADMITTING PATIENTS ARE CONTACTED BY A PATIENT ACCOUNTS REPRESENTATIVE DURING AND AFTER THEIR HOSPITAL STAY REGARDING ELIGIBILITY FOR ASSISTANCE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>PERRY COUNTY IS A RURAL AREA WITH AN ESTIMATED POPULATION OF 22562 THE AVERAGE HOUSEHOLD INCOME IN 2008 INFLATION ADJUSTED DOLLARS WAS 40751 THE PERCENTAGE OF INDIVIDUALS BELOW POVERTY LEVEL WAS 112 PINCKNEYVILLE COMMUNITY HOSPITAL LOCATED 12 MILES AWAY ALSO SERVES THE HEALTHCARE NEEDS OF PERRY COUNTY RESIDENTS MARSHALL BROWNING HOSPITAL PRIMARILY SERVES RESIDENTS IN RURAL AREAS OF SEVEN ZIP CODES PRIMARILY BUT NOT EXCLUSIVELY WITHIN PERRY COUNTY WHICH COMPRISED APPROXIMATELY 88 OF THE HOSPITALS 692 INPATIENT DISCHARGES IN CALENDAR YEAR 2009 THOSE ZIP CODES ARE 62832DUQUOIN 62888 TAMAROA 62274 PINCKNEYVILLE 62932 ELKVILLE 62927DOWELL 62884 SESSER AND 62865 MULKEYTOWN THIS PRIMARY SERVICE AREA HAD A POPULATION OF 26764 IN THE YEAR 2006 AND IS PROJECTED TO HAVE A POPULATION OF 27247 IN 2011 AGE DISTRIBUTION OF POPULATION IN THE PRIMARY SERVICE AREA IN YEAR 2006 INCLUDED UNDER 15 17 1524 13 254426 4564 28 6574 7 AND OVER 75 9 AGE DISTRIBUTION OF POPULATION PROJECTED FOR 2015 IS UNDER 15 15 1524 13 2544 274564 27 6574 10 AND OVER 75 8 DESPITE THE EXPECTED FLAT TOTAL POPULATION GROWTH THROUGH 2015 THE PERCENTAGE OF THE POPULATION IN THE HIGHEST HEALTH CARE DEMAND AGE GROUPS IS INCREASING THE PROPORTION OF PEOPLE IN THE OVER 65 AGE GROUP IS EXPECTED TO INCREASE FROM 16 IN 2006 TO 18 IN 2015 IN THE PRIMARY SERVICE AREAS SOURCES COMPDATA AND USCENSUS BUREAU</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>MARSHALL BROWNING HOSPITAL PROVIDES ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELFSUPPORTING ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR FUNDING SOME EXAMPLES INCLUDE FREE OR LOWCOST CLINICS SUCH AS THE SPORTS PHYSICAL CLINIC WHEREBY THE FEES ARE DONATED BACK TO THE STUDENTS SCHOOL ALL PHYSICIANS AND STAFF DONATE THEIR TIME THE HOSPITAL PROVIDES THE SALARY OF OUR ATHLETIC TRAINER TO ATTEND ALL PRACTICES AND BALLGAMES FOR ATHLETIC TRAINING SERVICES TO DU QUOIN HIGH SCHOOL ATHLETES THE HOSPITAL EMPLOYEES ALSO COLLECT MONEY OR FOOD ON AN ANNUAL BASIS FOR THE LOCAL FOOD PANTRY THE HOSPITAL ALSO OFFERED A HEALTH FAIR FOR THE COMMUNITY IN APRIL 2009 WHICH PROVIDED FREE SCREENINGS SLEEP APNEA SKIN CANCER PULMONARY FUNCTION BLOOD PRESSURE CHILD ID LIPID PROFILE BLOOD GLUCOSE AND HEALTH INFORMATION THE HOSPITAL PROVIDES A TWODAY HEALTH FAIR FOR GENERAL CABLE MANUFACTURING COMPANY EMPLOYEES MBH EMPLOYEES ALSO PARTICIPATED IN COLLECTING MONEY FOR THE ALZHEIMERS ASSOCIATION AMERICAN CANCER SOCIETY AND AMERICAN HEART ASSOCIATION MARSHALL BROWNING HOSPITAL PARTICIPATES WITH THE PERRY COUNTY HEALTH DEPARTMENT IN PROVIDING PSA TESTING FOR THEIR MENS HEALTH FAIR THE HOSPITAL OFFERS MANY FREE CLASSES WHEN AVAILABLE THROUGHOUT THE YEAR INCLUDING TOPICS SUCH AS DIABETES BETTER BREATHERS BASIC LIFE SUPPORT HEALTHY GRIEVING SLEEP APNEA SMOKING CESSATION EXERCISE AND DIET BUILDING A BETTER MEMORY COPD HEART HEALTH SKIN CANCER NUTRITION ALZHEIMERS DISEASE ILLINOIS CARES RX AND CIRCUIT BREAKER PROGRAM PNEUMONIA VACCINE CPAPBIPAP CLINICS MEDICARE DRUG COVERAGE CLASSES ETC THE HOSPITAL OFFERS DISCOUNTED MAMMOGRAMS DURING THE MONTH OF OCTOBER IN HONOR OF BREAST CANCER AWARENESS MONTH THE REHAB DEPARTMENT EACH YEAR SPONSORS A 5K RUNWALK TO PROMOTE THE IMPORTANCE OF FITNESS THE HOSPITAL SUPPLIES A REGISTERED NURSE FOR THREE DAYS FOR THE DEPARTMENT OF SOIL AND WATER CONSERVATIONS CONSERVATION FAIR FOR AREA SCHOOL CHILDREN THE REGISTERED NURSE MAINTAINS A FIRST AID STATION THROUGHOUT THE FAIR THE HOSPITAL PROVIDES FREE AED TRAINING FOR THE POLICE DEPARTMENT PERRY COUNTY COUNSELING CENTER AND OTHER AGENCIES WHEN REQUESTED THE HOSPITAL PROVIDES RANDOM DRUG SCREENS FOR HIGH SCHOOL STUDENTS AT COST MARSHALL BROWNING REHAB STAFF PROVIDES EXERCISE CLASSES FOR THE RESIDENTS OF OUR INDEPENDENT LIVING FACILITY THE HOSPITAL PROVIDED SLEEP SCREENS FOR THE PERRY COUNTY FLU CLINIC AND PROVIDED BLOOD PRESSURE CHECKS AT THE FARMERS MARKET AND OTHER COMMUNITY EVENTS THE HOSPITAL PROVIDES A FREE SPORTS INJURY CHECK EACH SATURDAY MORNING DURING FOOTBALL SEASON THE HOSPITAL HOSTS SIX BLOOD DRIVES AT THEIR FACILITY EACH YEAR PUBLIC SERVICE ANNOUNCEMENTS ARE PROVIDED THROUGH WDQN RADIO STATION TO EDUCATE THE COMMUNITY ABOUT BREAST CANCER MARSHALL BROWNING HOSPITAL PROVIDES OVERHEAD AND SPACE FOR COMMUNITY ORGANIZATION MEETINGS MARSHALL BROWNING HOSPITAL PROVIDES EDUCATIONAL PROGRAMS TO CAMPERS DURING CAMPING CONVENTIONS AT THE DU QUOIN STATE FAIR DIABETES HEART HEALTH</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MARSHALL BROWNING HOSPITAL LINE NUMBER 1 PART V LINE 19D</Identifier>
        <ReturnReference>PART V LINE 19D</ReturnReference>
        <Explanation>THE HOSPITAL OFFERS A 10 DISCOUNT IF PAID IF FULL WITHIN 7 DAYS OF THE FIRST BILLING STATEMENT</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc7">
      <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>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM HUFF</NamePerson>
        <BaseCompensationFilingOrg>144713</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3044</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5583</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>153340</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TERRENCE HALL</NamePerson>
        <BaseCompensationFilingOrg>275077</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3196</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4153</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>282426</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JERRY PRIOR</NamePerson>
        <BaseCompensationFilingOrg>176344</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3702</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4153</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>184199</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GLADSTONE TUCKER</NamePerson>
        <BaseCompensationFilingOrg>175101</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3505</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2358</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>180964</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc8">
      <GeneralExplanation>
        <Identifier>EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS</Identifier>
        <ReturnReference>FORM 990, PAGE 1, PART I, LINE 6</ReturnReference>
        <Explanation>VOLUNTEERS ARE PART OF THE HOSPITAL AUXILIARY WHO RUN FUNDRAISERS ON BEHALF OF THE HOSPITAL AND OPERATE THE GIFT SHOP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FIRST ACHIEVEMENT DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4A</ReturnReference>
        <Explanation>HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY WILL BE CONSIDERED WHERE THE NEED AND/OR INDIVIDUAL'S INABILITY TO PAY COEXISTS. THE COMMUNITY BENEFITS CAN BE MEASURED IN MANY WAYS INCLUDING: DIRECT PATIENT CARE, SCREENINGS, EDUCATION, FUNDRAISING AND COMMUNITY SERVICE EFFORTS OF OUR COLLEAGUES. MARSHALL BROWNING HOSPITAL RECORDED 2,854 PATIENT DAYS. 2,318 OF THOSE DAYS WERE MEDICARE PATIENT DAYS, WHILE 209 CONSISTED OF MEDICAID DAYS. DURING FY 2011 THE HOSPITAL ADMITTED 587 PATIENTS AND DISCHARGED 589. THE AVERAGE LENGTH OF STAY FOR A PATIENT IS 5 DAYS. THE HOSPITAL PROVIDED 99,667 OUTPATIENT OCCASIONS OF SERVICE WHICH INCLUDED 6,243 EMERGENCY ROOM VISITS. THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, PROVIDING SERVICES TO BOTH MEDICARE AND MEDICAID PATIENTS. CHARITY CARE IS ALSO PROVIDED THROUGH THE HOSPITAL'S INTERNAL POLICY AND IN FY 2011 THIS AMOUNTED TO 109,000. MARSHALL BROWNING HOSPITAL OFFERS VARIOUS PROGRAMS AND SERVICES THAT SUPPORT THE HEALTH OF OUR COMMUNITY. HERE ARE A FEW EXAMPLES: AS PART OF OUR MISSION, THE HOSPITAL ANNUALLY PROVIDES ATHLETIC TRAINING SERVICES TO DUQUOIN HIGH SCHOOL ATHLETES. SERVICES ARE PROVIDED AT PRACTICES AS WELL AS AT SCHOOL SPORTING EVENTS AT NO COST TO THE SCHOOL. THE HOSPITAL ALSO PROVIDES RANDOM DRUG TESTING SERVICES AT COST-ONLY TO THE LOCAL HIGH SCHOOL. HOSPTIAL MANAGERS ARE FREQUENTLY GUEST SPEAKERS AT SCHOOLS ON VARIOUS HEALTH TOPICS AND HEALTHCARE CAREERS. HIGH SCHOOL STUDENTS PARTCIPATE IN JOB SHADOWING AND COOPERATIVE EDUCATION PROGRAMS AT THE HOSPITAL. MARSHALL BROWNING HOSPITAL ANNUALLY PROVIDES TWO SPORTS PHYSICAL CLININCS TO AREA JUNIOR HIGH AND HIGH SCHOOL STUDENTS AT A COST OF 10. THE FEE IS THEN RETURNED TO THE SCHOOLS. THE HOSPITAL ALSO SERVES AS A CLINICAL SITE FOR JOHN A. LOGAN COLLEGE NURSING STUDENTS. MARSHALL BROWNING HOSPITAL PROVIDES A VARIETY OF COMMUNITY SERVICES TO CITIZENS AND EMPLOYEES FOR WHICH WE RECEIVE NO REIMBURSEMENT SUCH AS HEALTH FAIRS, FIRST AID STATIONS, AND CLASSES FOR AUTOMATIC ELECTRONIC DEFIBULATOR'S (AED) AND BASIC LIFE SUPPORT (BLS). ADDITIONALLY, COLLEAGUES FROM MBH REACH HUNDREDS OF PEOPLE WITH PRESENTATIONS ON A WIDE VARIETY OF TOPICS INCLUDING HEART HEALTH, NUTRITION, ASTHMA, DIABETES, ALZHEIMER'S DISEASE, SLEEP APNEA, HEALTHLY GRIEVING, ARTHRITUS, BREAST CANCER, EXCERCISE AND DIET, SMOKING CESSATION, PNEUMONIA VACCINE, CIRCUIT BREAKER, AND IL CARE RX TO NAME A FEW. THE HOSPITAL ANNUALLY PROVIDES A FOUR-YEAR 1,000 SCHOLARSHIP TO A LOCAL HIGH SCHOOL SENIOR ENTERING THE HEALTHCARE FIELD. WE ALSO SPONSER A 5K RUN/WALK, GOLF TOURNAMENT, SPEAKERS FOR CAMPING CONVENTIONS AND SCREENINGS FOR LOCAL MANUFACTURING COMPANIES. THE HOSPITAL HOSTS FIVE AMERICAN RED CROSS BLOOD DRIVES EACH YEAR. MBH EMPLOYEES CONTINUE TO GROW THEIR TRADITION OF SUPPORTING THE COMMUNITY THROUGH PARTICIPATION IN A VARIETY OF FUNDRAISING WALKS FOR AMERICAN HEART ASSOCAITION AND AMERICAN CANCER SOCIETY. THEY ALSO FREQUENTLY RAISE FUNDS FOR THE LOCAL FOOD PANTRY AND HUMANE SHELTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>ALL BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW AND COMMENT BEFORE IT IS FILED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE CEO'S SALARY IS DETERMINED BY THE BOARD OF DIRECTOR'S IN WHICH THEY REVIEW MARKET WAGE DATA FOR COMPARABILITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>ALL OTHER OFFICERS AND EMPLOYEES ARE APPROVED BY THE CEO THROUGH THE HOSPITAL'S NORMAL WAGE AND SALARY POLICY. ALL EMPLOYEES WAGES ARE COMPARED TO MARKET RATES IN THE HEALTHCARE INDUSTRY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>COPIES OF THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, FINANCIAL STATEMENTS, AND THE FEDERAL FORM 990 TAX RETURN ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATIVE OFFICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>CHANGE IN NET UNREALIZED GAINS AND LOSSES ON OTHER THAN TRADING SECURITIES 306,812 NET GAIN ON HEDGING ACTIVITY DUE TO CHANGE IN FAIR VALUE OF SWAP CONTRACT 192,771</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc9">
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DUQUOIN CLINIC INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>4 WEST MAIN ST</AddressLine1>
          <AddressLine2>PO BOX 192</AddressLine2>
          <City>DUQUOIN</City>
          <State>IL</State>
          <ZIPCode>62832</ZIPCode>
        </AddressUS>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>IL</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>26982</ShareOfTotalIncome>
        <ShareOfEOYAssets>255814</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>