﻿<?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="2010v3.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-06-01T13:51:02-05:00</Timestamp>
    <TaxPeriodEndDate>2011-07-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>EIDE BAILLY LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>3999 PENNSYLVANIA AVE SUITE 100</AddressLine1>
        <City>DUBUQUE</City>
        <State>IA</State>
        <ZIPCode>52002</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990EZ</ReturnType>
    <TaxPeriodBeginDate>2010-08-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>371193396</EIN>
      <Name>
        <BusinessNameLine1>MIDDLE MACOUPIN HEALTHCARE SYSTEMS</BusinessNameLine1>
      </Name>
      <NameControl>MIDD</NameControl>
      <Phone>2178543141</Phone>
      <USAddress>
        <AddressLine1>20733 NORTH BROAD STREET</AddressLine1>
        <City>CARLINVILLE</City>
        <State>IL</State>
        <ZIPCode>62626</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>KENNETH REID</Name>
      <Title>CARLINVILLE AREA HOSPITAL CEO</Title>
      <Phone>2178543141</Phone>
      <DateSigned>2012-05-15</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>CARMEN KRANTZ</Name>
      <Phone>5635561790</Phone>
      <DatePrepared>2012-05-15</DatePrepared>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="3">
    <IRS990EZ documentId="RetDoc1234200001" referenceDocumentId="RetDoc10046300000">
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <ScheduleBNotRequired>X</ScheduleBNotRequired>
      <WebSite>N/A</WebSite>
      <Organization501c3 referenceDocumentId="RetDoc1039100001">X</Organization501c3>
      <GrossReceiptsLessThan25000>X</GrossReceiptsLessThan25000>
      <GrossReceipts>0</GrossReceipts>
      <ContributionsGiftsGrantsEtc>0</ContributionsGiftsGrantsEtc>
      <NetAssetsOrFundBalancesBOY>44</NetAssetsOrFundBalancesBOY>
      <OtherChangesInNetAssets>0</OtherChangesInNetAssets>
      <NetAssetsOrFundBalancesEOY>44</NetAssetsOrFundBalancesEOY>
      <CashSavingsAndInvestments>
        <BOY>44</BOY>
        <EOY>44</EOY>
      </CashSavingsAndInvestments>
      <OtherAssetsTotal>
        <BOY>0</BOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>44</BOY>
        <EOY>44</EOY>
      </TotalAssets>
      <NetAssetsOrFundBalances>
        <BOY>44</BOY>
        <EOY>44</EOY>
      </NetAssetsOrFundBalances>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <PrimaryExemptPurpose>PROVIDE SUPPORT AND BENEFIT CARLINVILLE AREA HOSPITAL ASSOCIATION</PrimaryExemptPurpose>
      <ProgramServiceAccomplishment>
        <DescriptionProgramServiceAccom>TO OPERATE FOR THE BENEFIT OF, SUPPORT, PROMOTE, ADVANCE AND STRENGTHEN CARLINVILLE AREA HOSPITAL ASSOCIATION IN THE PROMOTION OF WELLNESS AND IN CHARITABLE FUND RAISING IN AND AROUND THE GREATER CARLINVILLE AREA AND THE ASSOCIATION'S SERVICE AREA.</DescriptionProgramServiceAccom>
        <GrantsAndAllocations>0</GrantsAndAllocations>
        <ProgramServiceExpenses>0</ProgramServiceExpenses>
      </ProgramServiceAccomplishment>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>J RICHARD SCHIEN</PersonName>
        <AddressUS>
          <AddressLine1>20733 NORTH BROAD STREET</AddressLine1>
          <City>CARLINVILLE</City>
          <State>IL</State>
          <ZIPCode>62626</ZIPCode>
        </AddressUS>
        <Title>CHAIRMAN</Title>
        <AvgHoursPerWkDevotedToPosition>0.25</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>JAMES SALSKE</PersonName>
        <AddressUS>
          <AddressLine1>20733 NORTH BROAD STREET</AddressLine1>
          <City>CARLINVILLE</City>
          <State>IL</State>
          <ZIPCode>62626</ZIPCode>
        </AddressUS>
        <Title>VICE CHAIRMAN</Title>
        <AvgHoursPerWkDevotedToPosition>0.25</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>RALPH MARCH</PersonName>
        <AddressUS>
          <AddressLine1>20733 NORTH BROAD STREET</AddressLine1>
          <City>CARLINVILLE</City>
          <State>IL</State>
          <ZIPCode>62626</ZIPCode>
        </AddressUS>
        <Title>SECRETARY</Title>
        <AvgHoursPerWkDevotedToPosition>0.25</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>SHIRLEY BOENTE</PersonName>
        <AddressUS>
          <AddressLine1>20733 NORTH BROAD STREET</AddressLine1>
          <City>CARLINVILLE</City>
          <State>IL</State>
          <ZIPCode>62626</ZIPCode>
        </AddressUS>
        <Title>SECRETARY - PARTIAL YEAR</Title>
        <AvgHoursPerWkDevotedToPosition>0.25</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>PHILIP WILLIAMS</PersonName>
        <AddressUS>
          <AddressLine1>20733 NORTH BROAD STREET</AddressLine1>
          <City>CARLINVILLE</City>
          <State>IL</State>
          <ZIPCode>62626</ZIPCode>
        </AddressUS>
        <Title>TREASURER</Title>
        <AvgHoursPerWkDevotedToPosition>0.25</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>RICHARD WALDEN</PersonName>
        <AddressUS>
          <AddressLine1>20733 NORTH BROAD STREET</AddressLine1>
          <City>CARLINVILLE</City>
          <State>IL</State>
          <ZIPCode>62626</ZIPCode>
        </AddressUS>
        <Title>MEMBER</Title>
        <AvgHoursPerWkDevotedToPosition>0.25</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>KENNETH REID</PersonName>
        <AddressUS>
          <AddressLine1>20733 NORTH BROAD STREET</AddressLine1>
          <City>CARLINVILLE</City>
          <State>IL</State>
          <ZIPCode>62626</ZIPCode>
        </AddressUS>
        <Title>CEO - CARLINVILLE HOSPITAL</Title>
        <AvgHoursPerWkDevotedToPosition>0.25</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <OfficerDirectorTrusteeKeyEmpl>
        <PersonName>GREG WARD</PersonName>
        <AddressUS>
          <AddressLine1>20733 NORTH BROAD STREET</AddressLine1>
          <City>CARLINVILLE</City>
          <State>IL</State>
          <ZIPCode>62626</ZIPCode>
        </AddressUS>
        <Title>CFO - CARLINVILLE HOSPITAL</Title>
        <AvgHoursPerWkDevotedToPosition>0.25</AvgHoursPerWkDevotedToPosition>
        <Compensation>0</Compensation>
        <ContriToEmplBenefitPlansEtc>0</ContriToEmplBenefitPlansEtc>
        <ExpenseAccountOtherAllowances>0</ExpenseAccountOtherAllowances>
      </OfficerDirectorTrusteeKeyEmpl>
      <InfoInScheduleOPartV>X</InfoInScheduleOPartV>
      <ActivitiesNotPreviouslyRpt>0</ActivitiesNotPreviouslyRpt>
      <MadeChangesToOrgnzngEtcDoc>0</MadeChangesToOrgnzngEtcDoc>
      <OrganizationHadUBI>0</OrganizationHadUBI>
      <OrganizationDissolvedEtc>0</OrganizationDissolvedEtc>
      <DirectIndirectPoliticalExpend>0</DirectIndirectPoliticalExpend>
      <MadeLoansToFromOfficers>0</MadeLoansToFromOfficers>
      <TaxImposedUnderIRC4911>0</TaxImposedUnderIRC4911>
      <TaxImposedUnderIRC4912>0</TaxImposedUnderIRC4912>
      <TaxImposedUnderIRC4955>0</TaxImposedUnderIRC4955>
      <EngagedInExcessBenefitTrans>0</EngagedInExcessBenefitTrans>
      <AmountOfTaxImposedOnOrgMgr>0</AmountOfTaxImposedOnOrgMgr>
      <AmountOfTaxReimbursedByOrg>0</AmountOfTaxReimbursedByOrg>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <StatesWhereCopyOfReturnIsFiled>IL</StatesWhereCopyOfReturnIsFiled>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>GREG WARD</BusinessNameLine1>
        </NameBusiness>
        <AddressUS>
          <AddressLine1>20733 NORTH BROAD STREET</AddressLine1>
          <City>CARLINVILLE</City>
          <State>IL</State>
          <ZIPCode>62626</ZIPCode>
        </AddressUS>
        <TelephoneNumber>2178543141</TelephoneNumber>
      </TheBooksAreInCareOf>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ForeignOffice>0</ForeignOffice>
      <MaintainAnyDonorAdvisedFunds>0</MaintainAnyDonorAdvisedFunds>
      <DoesOrgHaveHospital>0</DoesOrgHaveHospital>
      <TanningServicesProvided>0</TanningServicesProvided>
      <RelatedOrgControlledEntity>1</RelatedOrgControlledEntity>
      <TransactionWithControlEntity>0</TransactionWithControlEntity>
      <EngagePoliticalCmpgnActivities>0</EngagePoliticalCmpgnActivities>
      <EngageInLobbyingActivities>0</EngageInLobbyingActivities>
      <OperatingSchool>0</OperatingSchool>
      <TrnsfrsExemptNonCharRelatedOrg>0</TrnsfrsExemptNonCharRelatedOrg>
      <PartVIOfCompOfHighestPaidEmpl>NONE</PartVIOfCompOfHighestPaidEmpl>
      <PartVIAHghstPaidCntrctProfSer>NONE</PartVIAHghstPaidCntrctProfSer>
      <FiledScheduleA>1</FiledScheduleA>
    </IRS990EZ>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type3FuncInt>X</SupportingOrg509a3Type3FuncInt>
      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>0</ContribByControllingIndividual>
      <ContributionByRelatedParty>0</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>0</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>CARLINVILLE AREA HOSPITAL ASSOCIATION</BusinessNameLine1>
        </Name>
        <EIN>370645239</EIN>
        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
        <SupportedOrganizationNotified>0</SupportedOrganizationNotified>
        <OrganizedInUS>0</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>1</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>0</SumOfAmounts>
      <GeneralExplanation>SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: FORM 990, SCHEDULE A, PART I, LINE 11I: THE SUPPORT OF CARLINVILLE AREA HOSPITAL IS PROVIDED THROUGH CARLINVILLE AREA HOSPITAL FOUNDATION PROVIDING GRANTS TO CARLINVILLE AREA HOSPITAL ASSOCIATION. MIDDLE MACOUPIN HEALTHCARE SYSTEMS IS THE SOLE CORPORATE MEMBER OF BOTH ENTITIES.</GeneralExplanation>
    </IRS990ScheduleA>
    <TransferPrsnlBnftContractsDecl documentId="RetDoc10046300000">
      <Declaration>THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.</Declaration>
    </TransferPrsnlBnftContractsDecl>
  </ReturnData>
</Return>