November 13, 2012

Robert SelangowskiWells Fargo Bank, N.A.230 West Monroe Street, Suite 2900Chicago, 1L 60606

Illinois Finance AuthorityAttn: Pamela LenaneTwo Prudential Plaza180 Nol~h Stetson Avenue - Suite 2555Chicago, IL 60601

Ladies/Gentlemen:

In connection with the requirements of our Master Trust Indenture, Central DuPage Health, asObligated Group Agent ("Cadence Health"), encloses herewith a copy of the audited consolidatedfinancial statements of Cadence Health and Affiliates including a separate compilation of the creditga’oup as shoxvn on pages 42 through 45 for the year ended June 30, 2012. Fm-ther items comprisingthis annual documentation are attached as required by the covenants contained hi the various bonddocuments or other agreements that ~ve have with each of you respectively.

The Credit Group and Obligated Group are presently comprised of the same members: Thecorporate parent (Cadence Health) and the Central DuPage Hospital Association. Cadence Healthhas made a review of the activities of the Obligated Group during the prior year and has compliedwith all of the terms, provisions, and conditions of the Master Indenture. To the best of nayMmwledge, the Obligated Group has kept, observed, performed and fulfilled each and eveucovenant, provision and condition of the Master Indenture mad is not in default in the perfornaauce orobselwance ofaw of the terms, covenants, provisions or conditions thereof.

Please contact me at 630-933-5013 if you should have any questions about the items enclosed withthis letter.

Sincerely,

Cadence Health

~

~Y: Treasurer

M:~ACFINSHARE\TreasuFy\Bonds\Debt Com plia n ce~An nualL?.012\[FY 2012 Year End Debt Compliance Ratios-CCA.xls]A 11/13/12

Historical Debt Service Coverage Ratio@ 6/30/2012Obligated Group (Continuing Covenants Section 5.18)

(Calculation assumes an equal amount of principal is required to be repaideach year over 30 years.)

(All Dollar Amounts in ’000’s)

Income Avaliable for Debt Service:Revenue and Gains in excess

of expenses and losses

Add: Interest ExpenseDepreciation/AmortizationNet Gain on Sale of AssetsUnrealized Gain on interest rate swapsUnrealized Gain on Trading Securities

Net Income Available for Debt Service

Debt Service FY 2012:

Total Interest ExpenseInterest Expense Per P/LCapitalized InterestFunded Interest

Total

Bonds Outstanding at 6/30/12Series 2000 A-1 $Series 2000 A-2 $Series 2004 $Series 2009 $Series 2009B $Series 2011A $Series 2011B $

Total

90,000240,000

62,73562,740

ObligatedGroul)

$121,150

22,31960,281

9020,287

8,894

$233,021

$ 22,3191,246

(7,393)16,172

Remaining Amortization (amt outstanding/remaining years)6 years $ 2512 years 87527 years 027 years 028 years 026 years 84026 years 835

Debt Service FY 2012 (B+C)

Debt Service Coverage Ratio A/D

Minimum

(A)

(B)

$ 2,575 (C)

18,747 (D)

12.430 1.25:1

Days Cash on Hand ~ 6/30/2012(Continuinq Covenants - Section 5.17)

(All Dollar Amounts in ’000’s)

CashMarketable Securities

Cash and Liquid Investments:

Credit Group Operating ExpensesLess: Depreciation/Amortization

Divided by # Days in FY

Average Expense per Day

.$

Days Cash on Hand (A/B)

ObligatedGroul)

($1,611)980,531

668,498(60,281)

$

$978,920

608,217366

1,661.8

589.1

(A)

(B)

100 Days