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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>517133103</EOY>
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        <BOY>190057</BOY>
        <EOY>171991</EOY>
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      <TotalLiabilities>
        <BOY>549935953</BOY>
        <EOY>549434579</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>115862479</BOY>
        <EOY>-31947654</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>115862479</BOY>
        <EOY>-31947654</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>665798432</BOY>
        <EOY>517486925</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>61691421</OtherCostOrOtherBasis>
        <BookValue>61691421</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>15480560</OtherCostOrOtherBasis>
        <Depreciation>5165057</Depreciation>
        <BookValue>10315503</BookValue>
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      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1941186</OtherCostOrOtherBasis>
        <Depreciation>361598</Depreciation>
        <BookValue>1579588</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>12478880</OtherCostOrOtherBasis>
        <Depreciation>7593499</Depreciation>
        <BookValue>4885381</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>7454267</OtherCostOrOtherBasis>
        <Depreciation>495299</Depreciation>
        <BookValue>6958968</BookValue>
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      <TotalOfBookValueLandBuildings>85430861</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Investment in Subsidiary</Description>
        <BookValue>321402</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>Hedge Fund</Description>
        <BookValue>33184392</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>33505794</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>Due to Affiliates</Description>
        <Amount>28291</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other Long-Term Borrowings</Description>
        <Amount>143700</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>171991</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>Elmhurst adopted the FASB-issued guidance for accounting for uncertainty in income taxes on July 1, 2008. Elmhurst Memorial Healthcare files a Form 990 (Return of Organization Exempt from Income Tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the following: the tax exempt status of each entity, the continued tax exempt status of bonds issued by the obligated group, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income (UBIT). UBIT is reported on Form 990T, as appropriate. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected a liability for unrecognized tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Upon the adoption of the FASB-issued guidance at July 1, 2008 and as of June 30, 2010 and 2009, there were no unrecognized tax benefits identified and recorded as a liability.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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          <BusinessNameLine1>Village of Lombard Illinois</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>366005975</IssuerEIN>
        <CUSIPNumber>0541593AP</CUSIPNumber>
        <DateIssued>2004-04-07</DateIssued>
        <IssuePrice>6482000</IssuePrice>
        <DescriptionOfPurpose>Construct Lombard Memorial Health Center</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Illinois Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>861091967</IssuerEIN>
        <CUSIPNumber>45200FGW3</CUSIPNumber>
        <DateIssued>2008-05-22</DateIssued>
        <IssuePrice>119829861</IssuePrice>
        <DescriptionOfPurpose>Construct new hospital</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Illinois Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>861091967</IssuerEIN>
        <CUSIPNumber>45200FHAO</CUSIPNumber>
        <DateIssued>2008-05-22</DateIssued>
        <IssuePrice>250000000</IssuePrice>
        <DescriptionOfPurpose>Construct new hospital</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Illinois Finance Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>861091967</IssuerEIN>
        <CUSIPNumber>45200BN61</CUSIPNumber>
        <DateIssued>2006-12-12</DateIssued>
        <IssuePrice>47000000</IssuePrice>
        <DescriptionOfPurpose>Acquire land, construct and equip facilities</DescriptionOfPurpose>
        <Defeased>1</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>6596558</TotalProceeds>
        <IssuanceCostsFromProceeds>146213</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>114358</WorkingCapitalExpenditures>
        <CapitalExpenditures>6335987</CapitalExpenditures>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>130874361</TotalProceeds>
        <AmountInReserveFund>24218234</AmountInReserveFund>
        <IssuanceCostsFromProceeds>1073976</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>10378828</WorkingCapitalExpenditures>
        <CapitalExpenditures>95203323</CapitalExpenditures>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
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        <AmountInReserveFund>23784300</AmountInReserveFund>
        <IssuanceCostsFromProceeds>1192837</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>10892356</WorkingCapitalExpenditures>
        <CapitalExpenditures>225273745</CapitalExpenditures>
        <CurrentRefunding>1</CurrentRefunding>
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        <FinalAllocationMade>0</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
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        <CapitalExpenditures>47891166</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
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        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
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        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
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        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
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        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>1</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>1</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
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        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
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      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
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        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>1</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Midwest Heart Specialists (MHS)</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Lou McKeever, MD is an officer of MHS and serves as an EMHC Trustee</Relationship>
        <AmountOfTransaction>1205396</AmountOfTransaction>
        <DescriptionOfTransaction>Cardiology services</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The Board of Governors and Emeritus members are the members of Elmhurst Memorial Healthcare.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The members are able to elect a Chairman and Vice Chairman of the Board of Governors, elect individuals to fill vacancies as terms expire of the Board of Trustees of the Corporation and remove Trustees in accordance with the Bylaws.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>A review of the Form 990 was done by the Finance Committee before it was filed with the IRS. The review was led by the Finance Committee chair at its March meeting and comprised of an overview of the Form 990 and selected detailed items. The final form 990 is provided to the board members before filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>EHMC regularly and consistently monitors its conflict of interest policy by requiring prompt and full disclosure of existing or potential conflicts of interest and in addition, sends out an annual conflict of interest questionnaire to members of the Boards of Trustees of Elmhurst Memorial Healthcare and each affiliate, non-Trustee members of Board committees, members of the Pharmacy, Nutrition and Therapeutics Committee, Healthcare Management Council, Department Heads and those with purchasing authority in excess of $50,000. The annual questionnaires are reviewed by the Director, Risk Management/Corporation Compliance Officer and the appropriate Board or committee chairman. In the event that a potential conflict arises, the results may be discussed with any and all individuals necessary to come to a final determination. In the event that the conflict of interest may potentially impair that peron's ability to fulfill their duty to EMHC or affiliate, that person will be given an opportunity to eliminate the conflict or to resign, as reasonably determined.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The executive compensation program has been designed under the direction of the Human Resource Committee (Committee) of the Board of Trustees, to attract and retain a highly qualified executive team and directly link their pay to the attainment of both corporate and personal performance objectives. The Committee is comprised of outside, independent individuals with relevant expertise in a range of fields. The Committee reviews executive compensation annually with input from Towers Perrin, an independent expert consulting firm. Included in this review are tests of the executive pay structure against a number of available comparator groups and data sources. The process is designed to meet the requirements of the IRS' rebuttable presumption of reasonableness. Base salaries for executives are established by the Committee to reflect each executive's scope of responsibility and individual performance. The Committee uses a "scorecard" approach to evaluate performance which provides comprehensive performance measures and indicators and enables the Committee to evaluate performance and progress with respect to critical goals. The Committee maintains minutes of its proceedings and deliberations and makes recommendations to the Board of Trustees for their consideration and action.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>EMHC and its subsidiaries' audited financial statements are made available on the organization's website. Governing documents and conflict of interest policy are not available to the general public.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Elmhurst Memorial Oncology Services LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 Berteau Avenue</AddressLine1>
          <City>Elmhurst</City>
          <State>IL</State>
          <ZIPCode>60126</ZIPCode>
        </AddressUS>
        <EIN>204614079</EIN>
        <PrimaryActivities>Oncology Services</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <TotalIncome>-1453237</TotalIncome>
        <EOYAssets>109501</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
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        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 Berteau Avenue</AddressLine1>
          <City>Elmhurst</City>
          <State>IL</State>
          <ZIPCode>60126</ZIPCode>
        </AddressUS>
        <EIN>263633852</EIN>
        <PrimaryActivities>Primary Care</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <TotalIncome>-1198323</TotalIncome>
        <EOYAssets>583888</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
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        </NameOfDisregardedEntity>
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          <AddressLine1>200 Berteau Avenue</AddressLine1>
          <City>Elmhurst</City>
          <State>IL</State>
          <ZIPCode>60126</ZIPCode>
        </AddressUS>
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        <DirectControllingEntityName>
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        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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          <State>IL</State>
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          <City>Nashville</City>
          <State>TN</State>
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        </AddressUS>
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      </Form990ScheduleRPartIV>
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        </NameOfOtherOrganization>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Elmhurst Memorial Home Health</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>3212676</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Elmhurst Memorial Health Technologies LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>304992</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Elmhurst Memorial Health Technologies LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>15207440</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>