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      <MissionDescription>St. Margaret's Health, in union with the Sisters of Mary of the Presentation, is committed to the values of Catholic health care in caring for the needs of our patients and their families, the community and one another. Through our belief in God and our respect for life, we provide holistic quality health care with dignity and compassion.</MissionDescription>
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      <Description>St. Margaret's Health has a tradition of serving the poor and others in the area surrounding Spring Valley for over 100 years. This report summarizes how, following in the footsteps of Jesus Christ, St. Margaret's Hospital is reaching out to the poor and those most in need. The presence of St. Margaret's Hospital means much more than dollars and cents. The value of services to those in need has been more than a financial sheet can describe, because sometimes the smaller programs do the most good and because the organization cannot possibly count up all the services. St. Margaret's Hospital has been a leader in the community, helping others to see the need to respond to the needs of the poor.St. Margaret's Hospital is committed to improving the health of the people in the communities. Some of the services provided to the community at a reduced price or free of charge include the following:1. Participated in various health fairs throughout the area, providing information on health issues.2. Helped in the early detection of illness, a number of health screenings were provided at no cost or at prices less than cost for services, such as blood pressure, blood sugar, and cholesterol.3. Provided various education programs for items such as diabetes, joint replacements, arthritis, babysitting, healthy eating and physical fitness. As an extension of these programs, we also provided numerous support groups for patients suffering from chronic illness, all offered free to the public.4. Provided flu shots to the community at prices less than our costs.St. Margaret's Hospital also helped support other groups in joint efforts to serve the community.1. Donated money to Bureau County Health &amp; Wellness, a free clinic located in Princeton.2. Provided free food to the area homeless shelter.COMMUNITY BUILDING ACTIVITIESSt. Margaret's Hospital worked with other organizations to help serve the community. Some examples include the following:1. Worked with EMS services in the area to help coordinate services2. Worked with Bureau and Putnam County Health Departments to help with Emergency Preparedness.Volunteerism is very much alive at St. Margaret's Health. We had more than 40 teenagers and 160 adults who contributed almost 14,000 hours of volunteer service in the past year. Employees also contributed time in hospital-related projects, such as the holiday dinner for those alone or in need and the American Red Cross blood drives at St. Margaret's.The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. The amount of charges foregone for the year ended September 30, 2010 were $1,289,358. The estimated costs of the charges foregone, by using methodology of the Catholic Health Association of the United States, for the year ended September 30, 2010 were $567,000.In addition, the Hospital provides services to other medically indigent patients under certain government reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and for some services the payments are less than the cost of rendering the services provided. The Hospital also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable.</Description>
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            <ZIPCode>61615</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Administrative services</DescriptionOfServices>
        <Compensation>841000</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Empire Emergency Physicians</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2020 N Lincoln Park West 37H</AddressLine1>
            <City>Chicago</City>
            <State>IL</State>
            <ZIPCode>60614</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Contract physicians</DescriptionOfServices>
        <Compensation>561500</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>21</NumberOfContractorsGT100K>
      <RelatedOrganizations>183719</RelatedOrganizations>
      <GovernmentGrants>150580</GovernmentGrants>
      <AllOtherContributions>128484</AllOtherContributions>
      <TotalContributions>462783</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Patient service revenu</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>65013678</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>65013678</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Employee retail pharma</Description>
        <BusinessCode>446110</BusinessCode>
        <TotalRevenueColumn>447481</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>447481</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Other supporting reven</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>363713</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>363713</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>65824872</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>500089</TotalRevenueColumn>
        <ExclusionAmount>500089</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>346270</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>136316</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>209954</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>209954</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>224073</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>-14119</UnrelatedBusinessRevenue>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>7805</Other>
      </GrossAmountSalesAssets>
      <GainOrLoss>
        <Other>7805</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>7805</TotalRevenueColumn>
        <ExclusionAmount>7805</ExclusionAmount>
      </NetGainOrLossInvestments>
      <TotalRevenue>
        <TotalRevenueColumn>67005503</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>66048945</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>-14119</UnrelatedBusinessRevenue>
        <ExclusionAmount>507894</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>42450</Total>
        <ProgramServices>42450</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>548472</Total>
        <ProgramServices>548472</ProgramServices>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>477959</Total>
        <ProgramServices>477959</ProgramServices>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>26388957</Total>
        <ProgramServices>24269486</ProgramServices>
        <ManagementAndGeneral>2119471</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>623250</Total>
        <ProgramServices>559666</ProgramServices>
        <ManagementAndGeneral>63584</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2783498</Total>
        <ProgramServices>2577013</ProgramServices>
        <ManagementAndGeneral>206485</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1728679</Total>
        <ProgramServices>1595152</ProgramServices>
        <ManagementAndGeneral>133527</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>106995</Total>
        <ManagementAndGeneral>106995</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>45735</Total>
        <ManagementAndGeneral>45735</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>11222523</Total>
        <ProgramServices>8491347</ProgramServices>
        <ManagementAndGeneral>2731176</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>583969</Total>
        <ManagementAndGeneral>583969</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>11839555</Total>
        <ProgramServices>11240940</ProgramServices>
        <ManagementAndGeneral>598615</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>1011057</Total>
        <ProgramServices>976166</ProgramServices>
        <ManagementAndGeneral>34891</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>77134</Total>
        <ProgramServices>40336</ProgramServices>
        <ManagementAndGeneral>36798</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>86938</Total>
        <ProgramServices>80275</ProgramServices>
        <ManagementAndGeneral>6663</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>385162</Total>
        <ProgramServices>385162</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>2981782</Total>
        <ProgramServices>2981782</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>990713</Total>
        <ProgramServices>705713</ProgramServices>
        <ManagementAndGeneral>285000</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Bad debt expense</Description>
        <Total>2947063</Total>
        <ProgramServices>2947063</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous expense</Description>
        <Total>2931</Total>
        <ManagementAndGeneral>2931</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>64874822</Total>
        <ProgramServices>57918982</ProgramServices>
        <ManagementAndGeneral>6955840</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>1246750</BOY>
        <EOY>872121</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>168895</BOY>
        <EOY>168895</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>8594120</BOY>
        <EOY>9144852</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>630017</BOY>
        <EOY>594616</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>1299769</BOY>
        <EOY>2596404</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>581936</BOY>
        <EOY>419437</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>71385462</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>45091816</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>23075748</BOY>
        <EOY>26293646</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>16401442</BOY>
        <EOY>18084180</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>435000</BOY>
        <EOY>435000</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>408312</BOY>
        <EOY>219378</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>52841989</BOY>
        <EOY>58828529</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>4349361</BOY>
        <EOY>3653338</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>7622291</BOY>
        <EOY>10322885</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>2361784</BOY>
        <EOY>3506538</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>14333436</BOY>
        <EOY>17482761</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>38002138</BOY>
        <EOY>41053583</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>469415</BOY>
        <EOY>255185</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>37000</BOY>
        <EOY>37000</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>38508553</BOY>
        <EOY>41345768</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>52841989</BOY>
        <EOY>58828529</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>0</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <Land>
        <InvestmentCostOrOtherBasis>385690</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>2654274</OtherCostOrOtherBasis>
        <BookValue>3039964</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>1257276</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>39232171</OtherCostOrOtherBasis>
        <Depreciation>25269019</Depreciation>
        <BookValue>15220428</BookValue>
      </Buildings>
      <Equipment>
        <InvestmentCostOrOtherBasis>15303</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>21991985</OtherCostOrOtherBasis>
        <Depreciation>18443938</Depreciation>
        <BookValue>3563350</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>74400</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>5774363</OtherCostOrOtherBasis>
        <Depreciation>1378859</Depreciation>
        <BookValue>4469904</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>26293646</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Deferred compensation obligation</Description>
        <Amount>400252</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated health claims</Description>
        <Amount>151000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated third-party payor settlements</Description>
        <Amount>2010000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Construction accounts payable</Description>
        <Amount>945286</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>3506538</TotalOfAmounts>
      <TotalRevenue>67005503</TotalRevenue>
      <TotalExpenses>64874822</TotalExpenses>
      <ExcessOrDeficitForYear>2130681</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>917846</NetUnrealizedGLOnInvestments>
      <OtherAmount>-211312</OtherAmount>
      <TotalAdjustments>706534</TotalAdjustments>
      <ExcessOrDeficitPerFS>2837215</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>67682431</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>917846</NetUnrealizedGainsInvestments>
      <OtherRevenues>19388</OtherRevenues>
      <RevenueNotRptdF990>937234</RevenueNotRptdF990>
      <RevenueSubtotal>66745197</RevenueSubtotal>
      <OtherRevenuesNotIncluded>260306</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>260306</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>67005503</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>64874822</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>64874822</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>64874822</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</ReturnReference>
        <Explanation>The Hospital has adopted the provisions of FASB Accounting Standards Codification Topic 740-10 (previously Financial Interpretation No. 48, Accounting for Uncertainty in Income Taxes) on October 1, 2009. The implementation of this standard had no impact on the financial statements. As of both the date of adoption, and as of September 30, 2010, the unrecognized tax benefit accrual was zero. The Hospital will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred. The Hospital is no longer subject to Federal and state tax examinations by tax authorities for years before 2006.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>Change in equity of investment in St. Margaret's Health Organization: 3794. Equity transfer to Sisters of Mary of the Presentation Health Corporation: -55669. Change in interest in net assets of St. Margaret's Hospital Foundation: -159437.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Net assets released from restrictions: 15594. Change in equity in gains of investees: 3794.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Contributions restricted by donors included in revenue per Form 990: 25. Capital contributions and grants included in revenue per Form 990: 260281.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent250>X</Pcent250>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>847</PersonsServed>
        <TotalCommunityBenefitExpense>567000</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>567000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00920</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <PersonsServed>6571</PersonsServed>
        <TotalCommunityBenefitExpense>10647664</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3258735</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7388929</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11930</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <PersonsServed>7418</PersonsServed>
        <TotalCommunityBenefitExpense>11214664</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3258735</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>7955929</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.12850</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>151</NumberOfActivitiesOrPrograms>
        <PersonsServed>7859</PersonsServed>
        <TotalCommunityBenefitExpense>37345</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4120</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>33225</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>8000</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>8000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>1899769</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>757915</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1141854</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01840</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <PersonsServed>1327</PersonsServed>
        <TotalCommunityBenefitExpense>62540</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>62540</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00100</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>152</NumberOfActivitiesOrPrograms>
        <PersonsServed>9186</PersonsServed>
        <TotalCommunityBenefitExpense>2007654</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>762035</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1245619</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02000</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>152</NumberOfActivitiesOrPrograms>
        <PersonsServed>16604</PersonsServed>
        <TotalCommunityBenefitExpense>13222318</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4020770</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9201548</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.14850</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <PhysicalImprovementsAndHousing>
        <TotalCommunityBuildingExpense>5648</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>5648</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </PhysicalImprovementsAndHousing>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>9967</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>9967</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>8429</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>8429</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <EnvironmentalImprovements>
        <TotalCommunityBuildingExpense>1516</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1516</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EnvironmentalImprovements>
      <LeadershipDevelopment>
        <TotalCommunityBuildingExpense>3253</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>3253</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>2184</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2184</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>1941</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1941</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <TotalCommunityBuildingExpense>32938</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>32938</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>998588</BadDebtExpenseAmount>
      <AmountAttributableTo>8914</AmountAttributableTo>
      <AmountReimbursedByMedicare>17072948</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>20231378</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-3158430</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>0</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>St Margaret's Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>600 East First Street</AddressLine1>
          <City>Spring Valley</City>
          <State>IL</State>
          <ZIPCode>61362</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <CostingMethodUsed>Part I, Line 7: Charity care expense was converted to cost on line 7a based on an overall cost to charge ratio addressing all patient segments. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. Community health improvement services, line 7e, health professions education, line 7f, and cash and in-kind donations, line 7i were reported from expenses in the general ledger. The cost for subsidized health services reported on line 7g was determined using the Medicare Cost Report. Total community benefit expense as a percentage of total expenses is 20%.</CostingMethodUsed>
        <SubsidizedHealthServicesExpln>Part I, Line 7g:</SubsidizedHealthServicesExpln>
        <PercentOfTotalExpenseExpln>Part I, Line 7f: The amount of bad debt expense removed from total expenses to determine the percentage was $2,947,063.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>Part III, Line 4: The organization's bad debt expense was converted to cost using the cost-to-charge ratio derived from Worksheet 2.St. Margaret's Hospital determines bad debt expense by estimating what may not be collectible from patient balances after taking into account appropriate discounts and payments (uninsured discount, eligible charity care discounts/adjustments, and payments received and expected to be received). Payments on accounts that were written off as bad debt reduces bad debt expense.The estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's charity care policy is calculated based on an estimate of charges foregone to gross patient charges. Footnote to financial statements:The carrying amount of patient receivables is reduced by a valuation allowance that reflects management's estimate of amounts that will not be collected from patients and third-party payors. Management reviews patient receivables by payor class and applies percentages to determine estimated amounts that will not be collected from third parties under contractual agreements and amounts that will not be collected from patients due to bad debts. Management considers historical write off and recovery information in determining the estimated bad debt provision. Management also reviews accounts to determine if classification as charity care is appropriate.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Part III, Line 8: St. Margaret's Hospital provides services to patients under the Medicare program knowing they will not recover all the costs associated with providing these services. Providing these services is essential to these patients and the community and increases their access to healthcare services. Therefore, the entire Medicare shortfall is considered a community benefit. The organization reported only those allowable costs and Medicare reimbursements reported in the Medicare Cost Report for the year.Total revenue received from Medicare is the gross reimbursement plus settlement. Both total revenue received from Medicare and the Medicare allowable costs are reported from the Medicare Cost Report.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>Part III, Line 9b: In keeping with the mission, vision and values of St. Margaret's Hospital, our organization is committed to giving a patient every opportunity to pay their medical debt in full or to make arrangements based on organizational policy. Patients are required to complete an application for financial assistance however, patients eligible for Illinois Medicaid that receive services not covered by the program, may be granted 100% financial assistance for those non-covered services. Patients that are homeless are granted 100% financial assistance. Efforts are made to have a completed application. If information cannot be obtained, verification from the Police Department, or other official must be obtained verifying the patient is homeless. Homeless patients and Illinois Medicaid patients will not be subject to any collection efforts. When a patient is in the process of applying for financial assistance there will be no collection efforts. After a determination of financial assistance, any personal portion due follows the same collection procedures as other accounts. Collection procedures includes past due notices and phone calls and then the account is referred to a collection agency.</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>Part V: The organization also has the following types of facilities other than those required to be licensed as a healthcare facilities in the state of Illinois.1 Ear Nose &amp; Throat Center1 Women's Health Center10 Outpatient Physician Clinics2 Orthopedic Clinics1 Occupational Health Center1 Durable Medical Equipment</NumberOfFacilityTypeExpln>
        <GeneralExplanation>Part I, Line 6b: The community benefit report is available upon request to the public.</GeneralExplanation>
        <PatientEducationAssistance>Part VI, Line 3: St. Margaret's Hospital posts its charity care policy in the admissions/registration areas, waiting rooms, emergency rooms, and other areas the organization finds beneficial to patients. The policy and contact information on financial assistance is provided and discussed during the admission and discharge process. Upon notification from Registration regarding self pay admissions, the Patient Account clerk or staff member from another department tries to contact the patient to discuss availability of financial assistance. Also, information on other programs, such as government benefits, Medicaid or state programs, are discussed with patients. Assistance is also provided for individuals applying for government benefits. Patients are encouraged to explore their options and use our resources to obtain assistance with their bills. Each patient bill includes an explanation on how to inquire about financial assistance or an uninsured discount.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: St. Margaret's Hospital is a 83-bed acute care hospital located in Spring Valley, IL. Spring Valley, IL is a city situated on the Illinois river in the southeastern corner of Bureau County, IL. Bureau County is located in the Northcentral region of Illinois. The population is approximately 5,400 people. Spring Valley is part of the "Illinois Valley Micropolitan" (La Salle, Peru, and Spring Valley) which total approximately 25,000 people. Wal-Mart is the largest employer and has a labor force from over 100 different zip codes that easily commute to Spring Valley. In 2009 the median household income was $44,177, the unemployment rate was 11.2%, and 9.1% of people were living in poverty. Over 6,500 of our patients were low-income Medicaid participants. Medicare and public aid make up 52% of our net revenues. The nearest city with a population greater than 50,000 is Peoria, IL located 47 miles SW of Spring Valley.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5: Individuals from St. Margaret's Hospital attended community building events at the Illinois Valley Area Chamber and monthly meetings for community betterment activities at the North Central Regional Betterment Coalition (NCRBC). Meetings were attended for economic development at the LaSalle Business Association and meetings to address labor needs of the North Central Illinois region at NCIworks. St. Margaret's provides community support through attending IEMA meetings and working on partnerships for state wide emergency response efforts. The organization met with multiple community partners to plan emergency response exercises involving the entire community and plan training and education of volunteer responders. Together with the local EMS system and volunteers, the Hospital was able to provide education, training, and problem resolution for emergency care issues. Also, the Hospital acted as the healthcare liaison in the county Emergency Operations Center for a response to a chemical plant fire.Environmental improvements include meetings with multiple community partners to develop response plans, provide community education, and develop working relationships with local businesses that use, store, or ship chemicals hazardous to the community.Individuals from St. Margaret's Hospital were on the local advisory council that plans local training, response and fundraising for the Red Cross through the Bureau County American Red Cross Advisory Council.The Hospital was involved in Community Partners Against Substance Abuse (CPASA) representing healthcare issues related with substance abuse. The group works on prevention strategies, community awareness and education, and community partnerships.Through the Regional 3 Transportation Advisory Committee the Hospital provided input to planning of regional transportation services and access to healthcare issues. St. Margaret's Hospital worked toward a coordinated transportation system in Bureau and Putnam counties that provides low cost rides to the elderly, low income, and special needs populations. Also, assistance was provided in linking low income and underinsured women with resources so they are able to obtain preventive healthcare.</CommunityBuildingActivities>
        <OtherInformation>Part VI, Line 6: St. Margaret's Hospital's board is comprised of 11 members: Timothy Muntz, CEO, two sisters from the Sisters of Mary of the Presentation, two hospital physicians, the President of the Sisters of Mary of the Presentation Health System, a related, controlling organization, and five community members. To meet the needs of our community, the hospital extends privileges to medical staff that are qualifed and licensed. Our organization is committed to be involved and helping the community. Our employees serve on several committees working to improve the health and lives of the community. The emergency room is open 24 hours a day and everyone is treated regardless of their ability to pay. The hospital operates a separate foundation which conducts fundraising activities and solicits funds that are utilized to further the exempt purpose of the hospital. The foundation makes regular contributions to the hospital for items that directly improve patient care. Surplus funds are reinvested in patient care and facility upgrades.</OtherInformation>
        <AffiliatedHealthCareSystem>Part VI, Line 7: We are an affiliate of the Sisters of Mary of the Presentation Health System. St. Margaret's Hospital operates in accordance with the mission, vision, and values of the Sisters of Mary of the Presentation Health System. Our annual budgeting process includes an assessment of how our budget demonstrates a commitment to the values of the system and the system works to ensure we are always mindful of our duty to care for the poor and those in need. St. Margaret's Hospital has a Strategic Plan developed from themes set forth by the health system for all affiliates. The strategic plan is an active document which St. Margaret's Hospital works on continuously and reports back to the health system on our progress toward established goals which again, align with the mission, vision, and values of the organization.</AffiliatedHealthCareSystem>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Bureau County Health and Wellness Clinic</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>500 Elm Place</AddressLine1>
          <City>Princeton</City>
          <State>IL</State>
          <ZIPCode>61356</ZIPCode>
        </AddressUS>
        <EINOfRecipient>300129789</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>17000</AmountOfCashGrant>
        <PurposeOfGrant>Donation for operating costs</PurposeOfGrant>
      </RecipientTable>
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          <BusinessNameLine1>Arthritis Foundation</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>1301 Peoria Street</AddressLine1>
          <City>Peru</City>
          <State>IL</State>
          <ZIPCode>61354</ZIPCode>
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        <EINOfRecipient>264639290</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Corporate sponsorship for fundraising events</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>March of Dimes</BusinessNameLine1>
        </RecipientNameBusiness>
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          <AddressLine1>111 West Jackson Blvd Ste 2200</AddressLine1>
          <City>Chicago</City>
          <State>IL</State>
          <ZIPCode>60604</ZIPCode>
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        <EINOfRecipient>131846366</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Corporate sponsorship for fundraising events</PurposeOfGrant>
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      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: St. Margaret's Hospital provides donations and sponsorships to local organizations. Organization's make requests and the board makes a determination of funding. Each organization provides documentation of what the funding was used for.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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        <NameBusiness>
          <BusinessNameLine1>Dr Ram Pankaj</BusinessNameLine1>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>St. Margaret's Hospital provides travel for board member companions in the years board members are required to attend a retreat. The retreat is intended for education on ethics, finance and healthcare.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>Incentive calculations for physicians are based upon net collected receipts of professional services performed by the physician, based upon the physician's contract and paid quarterly based upon the physician's net collected professional receipts. The bonus amounts for Aaron Alton, Timothy Muntz, Kim Santman, and Jason Dotson are determined by Sisters of Mary of the Presentation Health Corporation, a related organization.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Question 3: St. Margaret's Hospital does not pay compensation to Timothy Muntz, President/CEO. This individual is compensated by Sisters of Mary of the Presentation Health System, a related organization, for his services at the Hospital. Sisters of Mary of the Presentation uses some of the methods on line 3 to determine his compensation.</Explanation>
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        <Relationship>Board member Jim Brady is also the owner</Relationship>
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          <NamePerson>Christine Slingsby</NamePerson>
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        <Relationship>Sister to Robert Morrow, MD, board member</Relationship>
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        <DescriptionOfTransaction>Compensation and benefits as an employee</DescriptionOfTransaction>
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          <NamePerson>Cindy Muntz</NamePerson>
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        <Relationship>Wife to Timothy Muntz, President/CEO</Relationship>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Sue May</NamePerson>
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        <DescriptionOfTransaction>Compensation and benefits as an employee</DescriptionOfTransaction>
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        <NameOfInterestedPerson>
          <NamePerson>Dr Michael Morrow</NamePerson>
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        <Relationship>Brother to Robert Morrow, MD, board member</Relationship>
        <AmountOfTransaction>299807</AmountOfTransaction>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part III, line 3</Identifier>
        <ReturnReference>Changes in Program Services</ReturnReference>
        <Explanation>A separate skilled nursing facility unit closed in April 2010. Skilled nursing services are still provided through St. Margaret's Hospital swing bed program.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 3</Identifier>
        <Explanation>Sisters of Mary of the Presentation Health Corporation (SMP Health Corporation), a related organization, facilitates the management and operations of St. Margaret's Hospital. The officers of the organization are directly compensated by SMP Health Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The sole member of the organization is the Sisters of Mary of the Presentation Health Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The member is entitled to vote in the election of Directors and to cast one vote for each Director to be elected. The member is also entitled to one vote on every other matter to be voted on by the member. Votes cast on behalf of the member are cast by the Chief Executive Officer of Sisters of Mary of the Presentation Health Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>The authority to act on the following matters are exclusively vested in the member of the organization: 1. any change in the philosophy, objectives and purposes of the organization; 2. amendment of the articles of incorporation and bylaws; 3. the election or removal of the Directors; 4. merger or consolidation with any other organization; 5. dissolution of the organization or the sale, lease or exchange of all or substantially all of its property or assets; 6. the sale, lease, transfer or encumbrance of any land, buildings or other assets owned by the organization or in which the organization has or will have equitable or legal title; 7. approval of the annual operating and capital budgets; 8. appointment of the Chief Executive Officer.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 8b</Identifier>
        <Explanation>The organization does not have committees with authority to act on behalf of the governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>Each Director is provided a copy of the Form 990 before it is filed. The President and Vice President of Finance review the Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>Each Director must submit in writing to the Chairperson of the Board and the CEO a list of all business or other organizations of which the individual is an officer, director, trustee, member, owner (either as a sole proprietor or partner), shareholder with a 5% or greater interest in all outstanding voting shares, employee or agent, with which the organization has, or might reasonably in the future enter into, a relationship or a transaction in which the Director would have conflicting interests. Each written statement is resubmitted with any necessary changes each year. The Chairperson of the Board reviews the statements of the Directors and the Vice Chairperson of the Board reviews the statement filed by the Chairperson. When a conflict arises the affected Director makes known the potential conflict, whether disclosed by written statement or not, and after answering any questions, will withdraw from the meeting for as long as the matter continues under discussion. Should the matter be brought to a vote, the affected Director will not vote on it. In the event the Director does not withdraw voluntarily, the Chairperson of the Board as authority to require the Director to remove himself from the room during both the discussion and vote on the matter. In the event the conflict of interest affects the Chairperson, the Vice Chairperson has authority to require the Chairperson remove himself in the same matter. If the matter is the item of business for which a special meeting of the Board was called, the affected Director will not be counted to establish a quorum, and he/she will not participate in the deliberations or vote on it.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Form 990, Part VI, Section B, Line 15: The organization's President/CEO, other officers, and key employees are compensated by Sisters of Mary of the Presentation Health Corporation, a related organization. The compensation process is determined by Sisters of Mary of the Presentation Health Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Financial information is available through the public disclosure copy of the 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VII, Section A:</Identifier>
        <Explanation>The following individuals devoted time providing services to the following related organizations. Sisters of Mary of the Presentation Health System Aaron Alton 50 hours per week St. Margaret's Hospital Foundation Timothy Muntz .16 hours per week Sisters of Mary of the Presentation Prairieland Home Care Aaron Alton 4 hours per week Sisters of Mary of the Presentation Long Term Care Aaron Alton 12 hours per week</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 2c:</Identifier>
        <Explanation>The governing board of Sisters of Mary of the Presentation assumes responsibility for oversight of the audit for St. Margaret's Hospital.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sisters of Mary of the Presentation Health Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1202 Page Drive SW</AddressLine1>
          <City>Fargo</City>
          <State>ND</State>
          <ZIPCode>58103</ZIPCode>
        </AddressUS>
        <EIN>450359620</EIN>
        <PrimaryActivities>Facilitates management and operations of ten related facilities</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Margaret's Hospital Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>600 East First Street</AddressLine1>
          <City>Spring Valley</City>
          <State>IL</State>
          <ZIPCode>61362</ZIPCode>
        </AddressUS>
        <EIN>364042262</EIN>
        <PrimaryActivities>Provide support to deliver high quality health care for St. Margaret's Hosp</PrimaryActivities>
        <LegalDomicileState>IL</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sisters of Mary of the Presentation Prairieland Home Care</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1102 Page Drive SW</AddressLine1>
          <City>Fargo</City>
          <State>ND</State>
          <ZIPCode>581060007</ZIPCode>
        </AddressUS>
        <EIN>450391192</EIN>
        <PrimaryActivities>Home health and supportive services</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Presentation Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>213 2nd Avenue NE</AddressLine1>
          <City>Rolla</City>
          <State>ND</State>
          <ZIPCode>583670759</ZIPCode>
        </AddressUS>
        <EIN>450227391</EIN>
        <PrimaryActivities>Acute care hospital</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Aloisius Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>325 East Brewster Street</AddressLine1>
          <City>Harvey</City>
          <State>ND</State>
          <ZIPCode>58341</ZIPCode>
        </AddressUS>
        <EIN>450226729</EIN>
        <PrimaryActivities>Provision of health care services</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Andrew's Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>316 Ohmer Street</AddressLine1>
          <City>Bottineau</City>
          <State>ND</State>
          <ZIPCode>58318</ZIPCode>
        </AddressUS>
        <EIN>450226426</EIN>
        <PrimaryActivities>Acute care critical access hospital</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Andrew's Hospital Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>316 Ohmer Street</AddressLine1>
          <City>Bottineau</City>
          <State>ND</State>
          <ZIPCode>58318</ZIPCode>
        </AddressUS>
        <EIN>450413201</EIN>
        <PrimaryActivities>Provide support to St. Andrew's Hospital</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sisters of Mary of the Presentation Long Term Care</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1202 Page Dr SW</AddressLine1>
          <City>Fargo</City>
          <State>ND</State>
          <ZIPCode>581060007</ZIPCode>
        </AddressUS>
        <EIN>752999939</EIN>
        <PrimaryActivities>Provide extended care and medically related services</PrimaryActivities>
        <LegalDomicileState>ND</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SMP Enterprises</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 10007</AddressLine1>
          <City>Fargo</City>
          <State>ND</State>
          <ZIPCode>581060007</ZIPCode>
        </AddressUS>
        <EIN>363486506</EIN>
        <PrimaryActivity>Home health care services</PrimaryActivity>
        <LegalDomicileState>ND</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>1</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>