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        <State>IL</State>
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      <DateSigned>2011-05-13</DateSigned>
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    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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      <PensionPlanContributions>
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      <FeesForServicesLegal>
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      <FeesForServicesAccounting>
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      <FeesForServicesLobbying>
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      <FeesForServicesInvstMgmntFees>
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      <TravelEntrtnmntPublicOfficials>
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      <ConferencesMeetings>
        <Total>4023</Total>
        <ProgramServices>1195</ProgramServices>
        <ManagementAndGeneral>2828</ManagementAndGeneral>
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        <ProgramServices>2641261</ProgramServices>
        <ManagementAndGeneral>44627</ManagementAndGeneral>
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      <PaymentsToAffiliates>
        <Total>0</Total>
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        <Total>2413983</Total>
        <ProgramServices>2413983</ProgramServices>
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        <ManagementAndGeneral>46517</ManagementAndGeneral>
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      <OtherExpenses>
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      <OtherExpenses>
        <Description>Management Fee-Affiliate</Description>
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        <Description>Cost of Goods Sold</Description>
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      <ReceivablesFromDisqualPersons>
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        <OrganizedInUS>false</OrganizedInUS>
        <Amount>0</Amount>
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        <ListedInGoverningDoc>false</ListedInGoverningDoc>
        <SupportedOrganizationNotified>false</SupportedOrganizationNotified>
        <OrganizedInUS>false</OrganizedInUS>
        <Amount>0</Amount>
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        <BookValue>67676599</BookValue>
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        <Description>Unearned Dues</Description>
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      <OtherLiabilities>
        <Description>Series 2007C Bond Liability</Description>
        <Amount>3310000</Amount>
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      <OtherLiabilities>
        <Description>Series 2003B Bond Liability</Description>
        <Amount>6956427</Amount>
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        <Description>Security Deposit</Description>
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      <OtherLiabilities>
        <Description>Market Value of 2007 NIMED Bonds</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Flight for Life Contingent Liabiliaty</Description>
        <Amount>320833</Amount>
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      <Form990ScheduleDPartXIV>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>ASC Topic 740, Income Taxes, addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Topic 740, the Health System must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. ASC Topic 740 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. At the date of adoption, and as of June 30, 2010, the Health System does not have a liability for unrecognized tax benefits. The adoption of ASC Topic 740 had no impact on the consolidated financial statements of the Health System.</Explanation>
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      <AgreementRefFundraising>false</AgreementRefFundraising>
      <EventsInformation>
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        <GrossReceiptsEvent1>20103</GrossReceiptsEvent1>
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        <OtherDirectExpensesEvent1>20103</OtherDirectExpensesEvent1>
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    </IRS990ScheduleG>
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      <RecordsMaintained>true</RecordsMaintained>
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Charitable Memberships</TypeOfGrant>
        <NumberOfRecipients>20</NumberOfRecipients>
        <AmountOfNonCashAssistance>8982</AmountOfNonCashAssistance>
        <MethodOfValuation>Book</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Memberships issued to persons in need.</DescriptionOfNonCashAssistance>
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      <Form990ScheduleIPartIII>
        <TypeOfGrant>Bridge Memberships</TypeOfGrant>
        <NumberOfRecipients>65</NumberOfRecipients>
        <AmountOfNonCashAssistance>4680</AmountOfNonCashAssistance>
        <MethodOfValuation>Book</MethodOfValuation>
        <DescriptionOfNonCashAssistance>Two month membership offerd to physical therapy graduates.</DescriptionOfNonCashAssistance>
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      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Susan Milford</NamePerson>
        <CompBasedOnRelatedOrgs>188711</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>8417</BonusRelatedOrgs>
        <DeferredCompRelatedOrgs>8222</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>16837</NontaxableBenefitsRelatedOrgs>
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        <NamePerson>Robert Rosenberger</NamePerson>
        <CompBasedOnRelatedOrgs>336164</CompBasedOnRelatedOrgs>
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        <DeferredCompRelatedOrgs>50509</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>17059</NontaxableBenefitsRelatedOrgs>
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        <NontaxableBenefitsRelatedOrgs>5939</NontaxableBenefitsRelatedOrgs>
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        <CompBasedOnRelatedOrgs>128292</CompBasedOnRelatedOrgs>
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    </IRS990ScheduleJ>
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      <Form990ScheduleKPartI>
        <IssuerName>
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        <IssuerEIN>366005993</IssuerEIN>
        <DateIssued>2003-10-01</DateIssued>
        <IssuePrice>6500000</IssuePrice>
        <DescriptionOfPurpose>Refinanced debt</DescriptionOfPurpose>
        <Defeased>false</Defeased>
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        <IssuerName>
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        <IssuerEIN>363904948</IssuerEIN>
        <CUSIPNumber>91588TAD7</CUSIPNumber>
        <DateIssued>2007-10-01</DateIssued>
        <IssuePrice>51585000</IssuePrice>
        <DescriptionOfPurpose>Huntley expansion project</DescriptionOfPurpose>
        <Defeased>false</Defeased>
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        <IssuanceCostsFromProceeds>65966</IssuanceCostsFromProceeds>
        <YearOfSubstCompletion>2003</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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      <Form990ScheduleKPartII>
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        <AmountInReserveFund>2372652</AmountInReserveFund>
        <IssuanceCostsFromProceeds>461301</IssuanceCostsFromProceeds>
        <CapitalExpenditures>47953696</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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        <VariableRateIssue>true</VariableRateIssue>
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          <BusinessNameLine1>NA</BusinessNameLine1>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.7">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>All documents are available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The Board of Directors of Centegra Health System, through the Compensation Committee comprised of independent members free of conflict, reviewed executive compensation levels and other features of the compensation plan in accordance with the organization's approved compensation philosophy and strategy: oThe Committee is comprised of members of the Board of Directors, who are independent of Centegra management, have no personal interest in the compensation arrangements, are not related to, or under the control of any individual whose compensation arrangement is being reviewed and have no material business relationship with Centegra.oThe Chief Executive Officer's compensation is determined by the Compensation Committee in relation to appropriate comparability data. Compensation for other members of the executive staff are developed by the CEO, reviewed by the Committee, evaluated against market data, and approved by the Committee. oThe Committee approves all compensation decisions in advance of their implementation and documents its determinations and discussions. Its decisions and deliberations are thoroughly documented and meeting minutes are kept and distributed to the Committee members (for historical reference). The Compensation Committee uses a number of external resources and comparisons, and their review includes total compensation (cash compensation, plus benefits provided by Centegra) in relation to organizational performance and prevailing industry practices of comparably-sized organizations. They have engaged the services of a compensation consulting firm (Sullivan Cotter) specializing in the not-for-profit sector that has worked with Centegra and reports directly to the Compensation Committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Explanation of monitoring and enforcement of conflictsContinued from above. 6. A voting member of any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, from Centegra for services is precluded from voting on matters pertaining to that member's compensation, Physicians who receive compensation, directly or indirectly, from Centegra, whether as employees or independent contractors, are precluded from membership on any committee whose jurisdiction includes compensation matters and in which such physician may have a direct or indirect interest. 7. Each director, principal officer, and member of a committee with board-delegated powers shall annually sign a statement which affirms that such person has received a copy of the conflicts of interest policy; has read and understands the policy; has agreed to comply with the policy; and understands that Centegra is a charitable organization and that in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax exempt purposes. 8. To ensure that Centegra operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted by the Governors Affairs Committee of Centegra. The periodic reviews shall, at a minimum, include the following subjects: Whether acquisition of physician practices and other provider services result in inurement or impermissible private benefit. Whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payment for goods and services, further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether agreements to provide healthcare and agreements with other healthcare providers, employees, and third party payors further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether business transactions on behalf of Centegra or an entity controlled by it are the result of arms-length dealing and are no less advantageous than competitively available goods and services of like grade and quality. 9.In conducting the periodic reviews provided for in Article VII, Centegra may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the board of its responsibility for ensuring that periodic reviews are conducted.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The review process for the 990 included review by the Director of Accounting of the health system.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Centegra Health System has a single class of members.</Explanation>
      </GeneralExplanation>
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