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        <NameOfContractor>
          <NamePerson>SLU SCHOOL OF MED</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1402 S GRAND</AddressLine1>
            <City>ST LOUIS</City>
            <State>MO</State>
            <ZIPCode>63104</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN SERVI</DescriptionOfServices>
        <Compensation>175557</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <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>144606</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>128231</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>124378</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <GovernmentGrants>76889</GovernmentGrants>
      <TotalContributions>76889</TotalContributions>
      <ProgramServiceRevenue>
        <Description>INPATIENT &amp; OUTPATIENT SVC</Description>
        <TotalRevenueColumn>15502960</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15502960</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>15502960</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>243232</TotalRevenueColumn>
        <ExclusionAmount>243232</ExclusionAmount>
      </InvestmentIncome>
      <OtherRevenueMisc>
        <Description>INDEPENDENT LIVING RENT</Description>
        <TotalRevenueColumn>302964</TotalRevenueColumn>
        <ExclusionAmount>302964</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISC INCOME</Description>
        <TotalRevenueColumn>128884</TotalRevenueColumn>
        <ExclusionAmount>128884</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>PHARMACY</Description>
        <TotalRevenueColumn>65496</TotalRevenueColumn>
        <ExclusionAmount>65496</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>48231</TotalRevenueColumn>
        <ExclusionAmount>48231</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>545575</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>16368656</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15502960</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>788807</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>298480</Total>
        <ProgramServices>298480</ProgramServices>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>6269242</Total>
        <ProgramServices>6269242</ProgramServices>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>91725</Total>
        <ProgramServices>91725</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>1147799</Total>
        <ProgramServices>1147799</ProgramServices>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>474110</Total>
        <ProgramServices>474110</ProgramServices>
      </PayrollTaxes>
      <FeesForServicesAccounting>
        <Total>32040</Total>
        <ProgramServices>32040</ProgramServices>
      </FeesForServicesAccounting>
      <Advertising>
        <Total>44085</Total>
        <ProgramServices>44085</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>905465</Total>
        <ProgramServices>905465</ProgramServices>
      </OfficeExpenses>
      <Occupancy>
        <Total>370143</Total>
        <ProgramServices>370143</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>52028</Total>
        <ProgramServices>52028</ProgramServices>
      </Travel>
      <Interest>
        <Total>680017</Total>
        <ProgramServices>680017</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>1240954</Total>
        <ProgramServices>1240954</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>231917</Total>
        <ProgramServices>231917</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>1356087</Total>
        <ProgramServices>1356087</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHYSICIANS' FEES</Description>
        <Total>1069221</Total>
        <ProgramServices>1069221</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PROFESSIONAL SERVICES</Description>
        <Total>827650</Total>
        <ProgramServices>827650</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DRUGS</Description>
        <Total>507573</Total>
        <ProgramServices>507573</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
        <Total>396355</Total>
        <ProgramServices>396355</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>553703</Total>
        <ProgramServices>553703</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>16548594</Total>
        <ProgramServices>16548594</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>631497</BOY>
        <EOY>179423</EOY>
      </CashNonInterestBearing>
      <AccountsReceivable>
        <BOY>2154438</BOY>
        <EOY>2412113</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>317540</BOY>
        <EOY>324660</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>240587</BOY>
        <EOY>229112</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>20672729</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>9632067</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>11266216</BOY>
        <EOY>11040662</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>6745797</BOY>
        <EOY>5754423</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>192233</BOY>
        <EOY>929138</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>21548308</BOY>
        <EOY>20869531</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1284270</BOY>
        <EOY>1418157</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>10005000</BOY>
        <EOY>9750000</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>2849062</BOY>
        <EOY>2475896</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>14138332</BOY>
        <EOY>13644053</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>7409976</BOY>
        <EOY>7225478</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>7409976</BOY>
        <EOY>7225478</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>21548308</BOY>
        <EOY>20869531</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <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>
        <OtherCostOrOtherBasis>3114</OtherCostOrOtherBasis>
        <BookValue>3114</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>8571357</OtherCostOrOtherBasis>
        <Depreciation>3003610</Depreciation>
        <BookValue>5567747</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1080918</OtherCostOrOtherBasis>
        <Depreciation>456649</Depreciation>
        <BookValue>624269</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>11017340</OtherCostOrOtherBasis>
        <Depreciation>6171808</Depreciation>
        <BookValue>4845532</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>11040662</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP CONTRACTS</Description>
        <Amount>1191200</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCUMULATED BENEFIT OBLIGATION</Description>
        <Amount>635346</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CURRENT OBLIG-CAPITAL LEASES</Description>
        <Amount>299151</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>L-T OBLIGATION-CAPITAL LEASES</Description>
        <Amount>285629</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>THIRD PARTY REIMBURSEMENT PROGRAMS</Description>
        <Amount>36570</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CURRENT ACCUM BENEFIT OBLIGATION</Description>
        <Amount>28000</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2475896</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>SUPPLEMENTAL FINANCIAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 4, PART XIV</ReturnReference>
        <Explanation>SCHEDULE D PART X, LINE 2. TEXT FROM FOOTNOTE OF THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. 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, 2010.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc4">
      <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>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>92398</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>92398</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00560</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>2725077</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1350472</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1374605</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08310</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>2817475</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1350472</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1467003</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08860</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>168655</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>168655</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01020</PercentOfTotalExpense>
      </CommunityHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>168655</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>168655</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01020</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>2986130</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1350472</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1635658</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09880</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>739067</BadDebtExpenseAmount>
      <AmountAttributableTo>147814</AmountAttributableTo>
      <AmountReimbursedByMedicare>7355476</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>7499664</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-144188</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>MARSHALL BROWNING HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>900 N WASHINGTON ST</AddressLine1>
          <City>DUQUOIN</City>
          <State>IL</State>
          <ZIPCode>62832</ZIPCode>
        </Address>
        <ChildrensHospital>X</ChildrensHospital>
        <CriticalAccessHospital>X</CriticalAccessHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <CostingMethodUsed>THE MARSHALL BROWNING HOSPITAL ASSOCIATION (THE ASSOCIATION) USED A COST TO CHARGE RATIO AS CALCULATED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, INCLUDED IN THE SCHEDULE H INSTRUCTIONS TO DETERMINE THE AMOUNTS ON LINES 7A AND 7B OF PART I OF SCHEDULE H.</CostingMethodUsed>
        <BadDebtFootnote>THE ASSOCAITION 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 ASSOCIATION'S 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 ASSOCIATION'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE THAT SPECIFICALLY ADDRESSES BAD DEBTS HOWEVER THE PROVISION FOR BAD DEBTS IS CLEARLY OUTLINED ON THE STATEMENT OF OPERATIONS. THE PROVISION FOR BAD DEBTS REPRESENTS UNCOMPENSATED CARE FOR PATIENTS OF WHICH A MAJORITY ARE UNINSURED OR UNDERINSURED, BUT DID NOT APPLY FOR OR QUALIFY FOR CHARITY CARE.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>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 69-545, 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.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>THE MARSHALL BROWNING HOSPITAL ASSOCIATION APPLIES ITS COLLECTION PRACTICES EQUALLY TO ALL PATIENTS, BOTH CHARITY CARE ELIGIBLE AND NON-CHARITY 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. 1.CREDIT AND COLLECTION MANAGER: A.CREDIT AND COLLECTION MANAGER REVIEWS ALL ADMISSION FOLDERS FOR INSURANCE INFORMATION OR ABILITY TO PAY (MONDAY - SATURDAY). B.CREDIT AND COLLECTION MANAGER CHECKS WITH RN ON THE PATIENT UNIT REGARDING THE PATIENT'S CONDITION OR FAMILY WHEREABOUTS (IF PATIENT IS A MINOR OR UNABLE PHYSICALLY OR MENTALLY TO MAKE A FINANCIAL DECISION). C.AFTER 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. D.CREDIT AND COLLECTION MANAGER DETERMINES IF PATIENT'S NEEDS WOULD BE BETTER SERVED BY DEPARTMENT OF PUBLIC AID ASSISTANCE OR POSSIBLE HILL-BURTON GRANT. E.IF IT IS DETERMINED THAT THE PATIENT'S NEEDS WOULD BE BETTER SERVED THROUGH DPA AND H/B APPLICATION, THEN THE PATIENT CARE COORDINATOR'S OFFICE IS NOTIFIED FOR COMPLETION OF DPA AND H/B APPLICATIONS. 2.PATIENT CARE COORDINATOR: A.PATIENT CARE COORDINATOR INTERVIEWS PATIENT/FAMILY AND COMPLETES FORMS FOR DPA AND HILL-BURTON. B.IF PATIENT IS DENIED DPA ASSISTANCE AND HILL-BURTON IS AVAILABLE FOR ACCOUNT, CREDIT AND COLLECTION MANAGER OR CHIEF FINANCIAL OFFICER IS TO BE NOTIFIED PRIOR TO PATIENT/FAMILY FOR FINAL APPROVAL. C.REASONS FOR DPA DENIAL AND POSSIBLE HILL-BURTON CHARITY GRANT: 1.IF DPA DENIES FOR: FAILURE TO KEEP AN APPOINTMENT - HILL-BURTON REJECTION 2.IF DPA DENIES FOR: TOO MANY ASSETS - HILL-BURTON REJECTION 3.IF DPA DENIED OR NO APPLICATION MADE - HILL-BURTON REJECTION</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>1 RURAL HEALTH CLINIC</NumberOfFacilityTypeExpln>
        <NeedsAssessment>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 CONTROL/EMPLOYEE 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.</NeedsAssessment>
        <PatientEducationAssistance>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 THEIR HOSPITAL STAY REGARDING ELIGIBILITY FOR ASSISTANCE</PatientEducationAssistance>
        <CommunityInformation>PERRY COUNTY IS A RURAL AREA WITH AN ESTIMATED POPULATION OF 22,562. THE AVERAGE HOUSEHOLD INCOME (IN 2008 INFLATION ADJUSTED DOLLARS) WAS 40,751. THE PERCENTAGE OF INDIVIDUALS BELOW POVERTY LEVEL WAS 11.2%. 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 HOSPITAL'S 692 INPATIENT DISCHARGES IN CALENDAR YEAR 2009. THOSE ZIP CODES ARE: 62832(DUQUOIN); 62888 (TAMAROA); 62274 (PINCKNEYVILLE); 62932 (ELKVILLE); 62927(DOWELL); 62884 (SESSER); AND 62865 (MULKEYTOWN). THIS PRIMARY SERVICE AREA HAD A POPULATION OF 26,764 IN THE YEAR 2006 AND IS PROJECTED TO HAVE A POPULATION OF 27,247 IN 2011. AGE DISTRIBUTION OF POPULATION IN THE PRIMARY SERVICE AREA IN YEAR 2006 INCLUDED: UNDER 15 (17%), 15-24 (13%), 25-44(26%), 45-64 (28%), 65-74 (7%), AND OVER 75 (9%). AGE DISTRIBUTION OF POPULATION PROJECTED FOR 2015 IS: UNDER 15 (15%), 15-24 (13%), 25-44 (27%),45-64 (27%), 65-74 (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 U.S.CENSUS BUREAU)</CommunityInformation>
        <OtherInformation>MARSHALL BROWNING HOSPITAL PROVIDES ACTIVITIES AND SERVICES FOR WHICH NO PATIENT BILL EXISTS. THESE SERVICES ARE NOT EXPECTED TO BE FINANCIALLY SELF-SUPPORTING, ALTHOUGH SOME MAY BE SUPPORTED BY OUTSIDE GRANTS OR FUNDING. SOME EXAMPLES INCLUDE FREE OR LOW-COST CLINICS SUCH AS THE SPORTS PHYSICAL CLINIC WHEREBY THE FEES ARE DONATED BACK TO THE STUDENT'S 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 TWO-DAY HEALTH FAIR FOR GENERAL CABLE (MANUFACTURING COMPANY) EMPLOYEES. MBH EMPLOYEES ALSO PARTICIPATED IN COLLECTING MONEY FOR THE ALZHEIMER'S ASSOCIATION, AMERICAN CANCER SOCIETY, AND AMERICAN HEART ASSOCIATION. MARSHALL BROWNING HOSPITAL PARTICIPATES WITH THE PERRY COUNTY HEALTH DEPARTMENT IN PROVIDING PSA TESTING FOR THEIR MEN'S HEALTH FAIR. THE HOSPITAL OFFERS MANY FREE CLASSES 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, ALZHEIMER'S DISEASE, ILLINOIS CARES RX AND CIRCUIT BREAKER PROGRAM, PNEUMONIA VACCINE, CPAP/BIPAP 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 RUN/WALK TO PROMOTE THE IMPORTANCE OF FITNESS. THE HOSPITAL SUPPLIES A REGISTERED NURSE FOR THREE DAYS FOR THE DEPARTMENT OF SOIL AND WATER CONSERVATION'S "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 WAS A CO-SPONSOR OF THE "INSPIRECONFERENCE." 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).</OtherInformation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc5">
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <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>150442</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3044</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5670</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>159156</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TERRENCE HALL</NamePerson>
        <BaseCompensationFilingOrg>286703</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3836</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>5189</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>295728</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JERRY PRIOR</NamePerson>
        <BaseCompensationFilingOrg>182024</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3668</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4783</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>190475</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GLADSTONE TUCKER</NamePerson>
        <BaseCompensationFilingOrg>170203</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3321</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>3876</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>177400</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc6">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CITY OF DUQUOIN ILLINOIS</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>376001789</IssuerEIN>
        <CUSIPNumber>263540AA4</CUSIPNumber>
        <DateIssued>2006-11-20</DateIssued>
        <IssuePrice>10250000</IssuePrice>
        <DescriptionOfPurpose>TO CONSTRUCT A HOSPI</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>9750000</TotalProceeds>
        <AmountInReserveFund>281358</AmountInReserveFund>
        <IssuanceCostsFromProceeds>184138</IssuanceCostsFromProceeds>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>MORGAN STANLEY</BusinessNameLine1>
        </NameOfHedgeProvider>
        <TermOfHedge>24.0</TermOfHedge>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc7">
      <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>KEEPING WITH THIS CORPORATION'S COMMITMENT TO SERVE ALL MEMBERS OF THE COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE, ARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND 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 2,926 PATIENT DAYS. 2,380 OF THOSE DAYS WERE MEDICARE PATIENT DAYS, WHILE 201 CONSISTED OF MEDICAID DAYS. DURING FY 2010 THE HOSPITAL ADMITTED 618 PATIENTS AND DISCHARGED 612. THE AVERAGE LENGTH OF STAY FOR A PATIENT IS 5 DAYS. THE HOSPITAL PROVIDED 97,367 OUTPATIENT OCCASIONS OF SERVICE WHICH INCLUDED 6,187 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 2010 THIS AMOUNTED TO 170,000. 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 HOPSITAL 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 11</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>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>MARSHALL BROWNING HOSPITAL REQUIRES ALL DIRECTORS AND KEY EMPLOYEES TO ANNUALLY FILL OUT A CONFLICT OF INTEREST FORM. THE FORMS ARE REVIEWED ON AN AS NEEDED BASIS THROUGHOUT THE YEAR AND ANY ARISING ISSUES ARE ADDRESSED BY THE BOARD OF DIRECTORS.</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>
    </IRS990ScheduleO>
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      <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>26671</ShareOfTotalIncome>
        <ShareOfEOYAssets>228832</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
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      <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>
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</Return>