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        <NetCommunityBenefitExpnsAmt>3403520</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04060</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <ActivitiesOrProgramsCnt>15</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>20515134</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>16845608</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3669526</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04380</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>2420</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2420</NetCommunityBenefitExpnsAmt>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>2420</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2420</NetCommunityBenefitExpnsAmt>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>11623166</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>8904956</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>13227686</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-4322730</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <OtherInd>X</OtherInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>ARTESIA GENERAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>702 NORTH 13TH STREET</AddressLine1Txt>
          <CityNm>ARTESIA</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>88210</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.ARTESIAGENERAL.COM</WebsiteAddressTxt>
        <StateLicenseNum>006788</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>ARTESIA GENERAL HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>25</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.ARTESIAGENERAL.COM</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>25</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.ARTESIAGENERAL.COM</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.ARTESIAGENERAL.COM</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.ARTESIAGENERAL.COM</FAPAppAvailableOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, ARTESIA GENERAL HOSPITAL - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>IDENTIFICATION AND PRIORITIZATION OF HEALTH NEEDS ARE ADDRESSED ON PAGES 23-25 OF THE CHNA LOCATED ON THE HOSPITAL'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, ARTESIA GENERAL HOSPITAL - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>IN CONDUCTING ITS MOST RECENT CHNA, THE HOSPITAL TOOK INTO ACCOUNT PERSONS INPUT WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY INCLUDING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WHO LIVE IN THE GEOGRAPHIC AREAS FROM WHICH THE HOSPITAL DRAWS THEIR PATIENTS. ALL PATIENTS WERE USED TO DETERMINE THE SERVICE AREA WITHOUT REGARD TO INSURANCE COVERAGE OR ELIGIBILITY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITALS FINANCIAL ASSISTANCE POLICY. COMMUNITY STAKEHOLDERS PARTICIPATED IN AN ONLINE SURVEY FOR THEIR INPUT INTO THE COMMUNITY'S HEALTH. 135 PEOPLE RESPONDED TO THE COMMUNITY HEALTH SURVEY. THERE WAS ALSO TWO IN PERSON COMMUNITY SUMMITS HELD IN ARTESIA AND CARLSBAD OF WHICH 28 RESPONDENTS PARTICPATED IN. THE PROCESS CENTERED ON GATHERING AND ANALYZING DATA AS WELL AS RECEIVING INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY AND HAD SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH TO PROVIDE DIRECTION FOR THE COMMUNITY AND HOSPITAL TO CREATE A PLAN TO IMPROVE THE HEALTH OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, ARTESIA GENERAL HOSPITAL - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MOST RECENT CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: (1)ACCESS TO CONVENIENT HEALTHCARE, (2)CHILDREN'S HEALTH, (3)DIABETES, (4) HEART DISEASE, (5)WOMEN'S HEALTH, AND (6)ACCESS TO AFFORDABLE HEALTHCARE. THE HOSPITAL HAS AN IMPLEMENTATION STRATEGY AND ASSOCIATED COMMUNITY BENEFIT PLAN WITH OBJECTIVES TO ADDRESS THESE PRIORITIES. THE COMMUNITY ADDRESSED ACCESS TO AFFORDABLE HEALTHCARE AS A PRIORITY FOR CHNA 2025. STRATEGIES INCLUDE: INCREASING AWARENESS OF LOCAL AVAILABLE HEALTHCARE RESOURCES, EXTENDED MARKETING TO PROMOTE TELEHEALTH MEDICAL AND BEHAVIORAL HEALTH RESOURCES, AFFORDABILITY OPTIONS SUCH AS MDSAVE, FINANCIAL COUNSELING, CHARITY CARE, SLIDING FEE SCHEDULES, AND SELF PAY DISCOUNTS. THE HOSPITAL PARTICIPATES IN COMMUNITY EDUCATIONAL EVENTS AT THE REQUEST OF THE ORGANIZATION OR BUSINESS TO INCLUDE EXISTING AND NEW SERVICE LINES SUCH AS UROLOGY, GENERAL SURGERY, ENDOCRINOLOGY, BEHAVIORAL HEALTH AND FAMILY MEDICINE. MARKETING STRATEGIES TO INFORM THE COMMUNITY INCLUDES: PRESENTATIONS AT ROTARY &amp; LIONS CLUB, LOCAL CHURCH ORGANIZATIONS, SENIOR CENTERS, SCHOOLS/UNIVERSITIES, FARMERS MARKET, RADIO, SOCIAL MEDICA, DIGITAL DISPLAYS, AND LOCAL NEWSPAPERS/MAGAZINES. THE LATEST COMMUNITY HEALTH IMPROVE PLAN INDICATES THE FOLLOWING ACTIVITIES HAVE OR WILL OCCUR: ACCESS TO CONVENIENT HEALTHCARE: EXPANDED HOURS OF SERVICE, WALK-IN CLINIC, EDUCATION OF IMMUNIZATIONS, COMMUNITY HEALTH RESOURCE MAP, FOCUS ON PREVENTATIVE CARE SCREENINGS, PROVIDER RECRUITMENT FOR SERVICE GROWTH. CHILDRENS HEALTH: PROVIDE EDUCATION CLASSES, DEVELOP NUTRITIONAL MEAL PLANS, SUMMER LUNCH PROGRAM, PREVENTATIVE CARE SCREENINGS AND IMMUNIZATIONS, INCREASE AWARENESS OF YOUTH ACTIVITY PROGRAMS IN THE AREA, HEALTH FAIRS, SPONSOR YOUTH EVENTS, DEVELOP CAREER OR EARLY EXPLORER PROGRAMS FOR MEDICAL FIELD. DIABETES/HEART DISEASE: HEALTH FAIRS, PROMOTE HEALTHY EATING AND LIFESTYLE, A1C SCREENINGS, BLOOD PRESSURE AND GLUCOSE SCREENINGS, WEIGHT MANAGEMENT, EXERCISE AND WELLNESS ACTIVITIES, INCREASE AWARENESS OF TREATMENT OPTIONS SUCH AS NUTRITIONAL COUNSELING, WEIGHT LOSS MEDICATION, DIABETIC MEDICATION, SLEEP STUDIES. PROMOTE CARDIOLOGIST, ENDOCRINOLOGIST, DIETITIAN, AND FAMILY MEDICINE CARE TEAM IN THE AREA. WOMENS HEALTH: OPEN NEW WOMENS HEALTH CLINIC 2025, INCREASE AWARENESS OF PREVENTATIVE SCREENINGS SUCH AS MAMMOGRAM/BREAST HEALTH, CT CALCIUM SCORING, WOMENS HEALTH, CANCER SCREENINGS, NEW MOM GROUP, ACCESS TO AFFORDABLE HEALTHCARE: INCREASE AWARENESS &amp; EDUCATION OF AFFORDABILITY OPTIONS WITH MDSAVE, FINANCIAL COUNSELING, CHARITY CARE, SELF-PAY DISCOUNTS, TRANSPORTATION SERVICES, AND TELEHEALTH EXPANSION. THE HOSPITAL UNDERSTANDS THE NEED TO ADDRESS ALL HEALTH NEEDS AND IS COMMITTED TO MAKING IMPACTS ACROSS THE COMMUNITY WHERE POSSIBLE. THE HEALTH NEEDS IDENTIFIED BUT NOT SPECIFICALLY ADDRESSED ARE EDUCATION SYSTEM, DRUG/SUBSTANCE ABUSE, AFFORDABLE HOUSING, AND COMMUNITY SAFETY. THESE NEEDS ARE EITHER OUTSIDE THE SCOPE OF PROVIDED SERVICES AT THE FACILITY, OR THERE ARE AVAILABLE RESOURCES CURRENTLY ADDRESSING THE NEED IN THE COMMUNITY. WE ARE HAPPY TO PARTNER WITH OTHER RESOURCES IN THE AREA WHEN NEEDED. THE HOSPITAL IS A RURAL HOSPITAL WITH LIMITED RESOURCES. THE RURAL AREA THAT THE HOSPITAL IS LOCATED IN MAKES IT DIFFICULT FOR RECRUITING PROVIDERS AND STAFF. SOME TYPES OF PROVIDERS ARE EXCESSIVELY MORE DIFFICULT TO RECRUIT THAN OTHERS TO RURAL AREAS. IN ORDER TO ACHIEVE THE COMMUNITY'S NEEDS LISTED IN THE ASSESSMENT, WITH LIMITED RESOURCES, THE HOSPITAL FORMS A COLLABORATIVE VENTURE WITH OTHER PROVIDERS, CITIZENS, LOCAL GOVERNMENT, SCHOOLS, CHURCHES, OTHER NON-PROFIT ORGANIZATIONS, AND LOCAL BUSINESSES. THE HOSPITAL ALSO OFFERS A FINANCIAL ASSISTANCE PROGRAM.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>13</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ENDOCRINOLOGY &amp; CARDIOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>608 N 13TH ST STE 600</AddressLine1Txt>
            <CityNm>ARTESIA</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88210</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLSBAD FAMILY PRACTICE &amp; CARDIOLO</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>105 E HAGERMAN ST</AddressLine1Txt>
            <CityNm>CARLSBAD</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88220</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GENERAL SURGERY &amp; WOUND CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>608 N 13TH ST STE 500</AddressLine1Txt>
            <CityNm>ARTESIA</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88210</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLSBAD ORTHOPEDIC SPECIALISTS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2411 OSBORNE RD</AddressLine1Txt>
            <CityNm>CARLSBAD</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88220</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLSBAD BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1410 N 8TH ST STE C</AddressLine1Txt>
            <CityNm>CARLSBAD</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88220</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLSBAD MULTI-SPECIALTY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1410 N 8TH ST STE B</AddressLine1Txt>
            <CityNm>CARLSBAD</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88220</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CARLSBAD MRI &amp; IMAGING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1410 N 8TH ST STE A</AddressLine1Txt>
            <CityNm>CARLSBAD</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88220</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BONE AND JOINT CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>606 N 13TH ST STE 100</AddressLine1Txt>
            <CityNm>ARTESIA</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88210</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PAIN MANAGEMENT CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>606 N 13TH ST STE 300</AddressLine1Txt>
            <CityNm>ARTESIA</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88210</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>UROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>612 N 13TH ST STE H</AddressLine1Txt>
            <CityNm>ARTESIA</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88210</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>VIBRANT WOMEN'S HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>612 N 13TH ST STE B</AddressLine1Txt>
            <CityNm>ARTESIA</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88210</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NEW HORIZONS WELLNESS CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>606 N 13TH ST STE 400</AddressLine1Txt>
            <CityNm>ARTESIA</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88210</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BEHAVIORIAL HEALTH &amp; FAMILY PRACTIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>702 N 13TH ST</AddressLine1Txt>
            <CityNm>ARTESIA</CityNm>
            <StateAbbreviationCd>NM</StateAbbreviationCd>
            <ZIPCd>88210</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7G</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES IN PART I, LINE 7G IN THE AMOUNT OF 5,155,680 COLUMN C AND 1,866,286 IN COLUMN D.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>EDDY COUNTY IS DESIGNATED AS MEDICALLY UNDERSERVED AND HAS A SHORTAGE IN THE AREA OF HEALTH PROFESSIONALS. THE HOSPITAL IS CONTINUALLY RECRUITING PHYSICIANS AND OTHER HEALTH PROFESSIONALS TO ITS RURAL SERVICE AREA TO HELP IMPROVE ACCESS TO HEALTHCARE SERVICES AS IDENTIFIED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL REPORTED ACTUAL BAD DEBTS FROM THE AUDITED FINANCIALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL SHALL LIMIT ITS CHARGES TO UNINSURED PATIENTS BY EXTENDING A SELF PAY DISCOUNT PERCENTAGE EQUAL TO THE HOSPITAL'S BLENDED AVERAGE OF COMMERCIAL MANAGED CARE CONTRACT DISCOUNTED RATES FOR INPATIENT, OUTPATIENT AND CLINIC SERVICES FROM THE PRIOR FISCAL YEAR. THE HOSPITAL SHALL REVIEW AND UPDATE THIS BLENDED AVERAGE DISCOUNT ANNUALLY. THE HOSPITAL REPORTED ACTUAL CHARITY CARE FROM THE AUDITED FINANCIALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 5 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS. THE PATIENT SERVICE REVENUE FOOTNOTE 10 INCLUDES THE PROVISION FOR BAD DEBTS BEGINNING ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS IS THE AMOUNT OF COST THAT THE HOSPITAL DID NOT RECOVER FROM THE MEDICARE PROGRAM AND ARE NOT COUNTED AS COMMUNITY BENEFIT. AS SUCH, THE HOSPITAL ABSORBED THE COST FOR THE BENEFIT OF THE PATIENT AND THE COMMUNITY IT SERVES. WITHOUT THIS ACTION, THE PATIENTS COULD NOT HAVE BEEN TREATED AT THE HOSPITAL. THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL USES STANDARD BUSINESS PRACTICES TO DETERMINE BAD DEBT AND MEDICALLY INDIGENT PATIENTS. IF A PATIENT CANNOT PAY THE ENTIRE BILL WITHIN THE TIMELINE SPECIFIED IN THE BILLING/COLLECTION POLICY, AN INTERVIEW WITH THE PATIENT IS CONDUCTED. EACH PERSON THAT PRESENTED OR WAS CALLED ABOUT THEIR ACCOUNT WAS PROVIDED FORMS SPECIFIC TO THEIR FINANCIAL SITUATION. THE HOSPITAL PROVIDED SPECIALLY TRAINED EMPLOYEES TO WORK WITH PATIENTS TO HELP DETERMINE ELIGIBILITY. COLLECTION PRACTICES WERE APPROACHED WITH HELPING THE PATIENT AND DETERMINING THEIR ABILITY OR INABILITY TO PAY FOR THEIR SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH REGULAR SEMINARS AND MEETINGS WITH LOCAL AND COUNTY OFFICIALS. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL: HTTPS://ARTESIAGENERAL.COM/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL ASSISTANCE POLICIES ARE DISTRIBUTED TO THE COMMUNITY IN A VARIETY OF WAYS. PEOPLE ARE INFORMED THROUGH OUR WEBSITE, UPON ADMISSION AND DISCHARGE, AND LATER THROUGH PHONE CALLS OR LETTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY SERVED IS RURAL AND IS HEAVILY RELIANT ON OIL AND GAS PRODUCTION. EDDY COUNTY IS DESIGNATED AS MEDICALLY UNDERSERVED AND HAS A SHORTAGE IN THE AREA OF HEALTH PROFESSIONALS. THE SERVICE AREA POPULATION IS ESTIMATED AT APPROXIMATELY 130,200 AND IS PROJECTED TO GROW BY 0.59% THROUGH 2035 EACH YEAR. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS 82,681 AND THE MEDIAN AGE IS 31 YEARS. AREAS OF HEALTH IMPROVEMENT ARE MAMMOGRAPHY SCREENING, OBESITY EDUCATION, SMOKING CESSATION AND INCREASE THE NUMBER OF PRIMARY CARE PHYSICIANS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS COMPRISED OF COMMUNITY MEMBERS REPRESENTING MULTIPLE FACETS OF OUR COMMUNITY FROM BUSINESS OWNERS TO COMMUNITY PROFESSIONALS. THIS VOLUNTEER BOARD HAS DEDICATED THEIR TIME TO ENSURING THEY UNDERSTAND THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY. MEDICAL STAFF PRIVILEGES AT THE HOSPITAL ARE AVAILABLE TO QUALIFIED AND INTERESTED PHYSICIANS IN THE COMMUNITY WE SERVE. WE ENCOURAGE PRACTITIONERS FROM NUMEROUS SPECIALTIES TO MEET THE EVER GROWING HEALTHCARE NEEDS OF THE COMMUNITY. ANY SURPLUS FUNDS ARE REINVESTED INTO OUR FACILITIES, EQUIPMENT, AND PROFESSIONAL EDUCATION OF OUR EMPLOYEES IN ORDER TO PROVIDE THE HIGHEST QUALITY HEALTHCARE POSSIBLE. THE HOSPITAL ALSO ASSESSES THE HEALTH AND WELFARE NEEDS OF OUR COMMUNITY TO DETERMINE IF ADDITIONAL SERVICES TO OUR PATIENTS ARE NEEDED. THE HOSPITAL ROUTINELY PROVIDES "LUNCH AND LEARN", RADIO HEALTH EDUCATION, ACTIVITIES AT SEVERAL AREA BUSINESSES, SCHOOLS, AND SENIOR CENTERS EDUCATIONAL CONTENT. THE HOSPITAL GOES TO VARIOUS BUSINESSES TO CONDUCT EDUCATION FOR EMPLOYEES AND HOLDS VARIOUS EDUCATIONAL CLASSES DURING THE YEAR. THE HOSPITAL WORKS WITH THE SCHOOL SYSTEM TO DEVELOP INFORMATIONAL SESSIONS FOR STUDENTS. THE HOSPITAL WORKS WITH UNITED WAY AND OTHER ORGANIZATIONS IN COMMUNITY ACTIVITIES. THE HOSPITAL PROVIDES PHYSICAL EXAMINATIONS AT REDUCED RATES FOR STUDENT ATHLETES AND WORKS IN VARIOUS COMMUNITY ACTIVITIES, HEALTH WALK, AND OTHERS. THE HOSPITAL ALSO PROMOTES HEALTH IN THE COMMUNITY BY PARTICIPATING IN MANY ACTIVITIES THAT INCLUDE THE FOLLOWING: 1. EACH OCTOBER THE HOSPITAL OFFERS DISCOUNTED MAMMOGRAM SCREENINGS AS PART OF BREAST CANCER AWARENESS MONTH 2. THE HOSPITAL PREPARES AND DONATES A PORTION OF THE COST OF THE MEALS FOR AREA MEALS ON WHEELS PROGRAM 3. THE HOSPITAL HOSTS AN ANNUAL HEALTH FAIR AND QUARTERLY HEALTH SCREENINGS FOR RESIDENTS OF THE SURROUNDING AREAS SCREENINGS INCLUDE BLOOD PRESSURE AND GLUCOSE. THE HOSPITAL IS WORKING CONTINUALLY WITH LOCAL OFFICIALS TO PROVIDE NEEDED SERVICES AND DONATE TIME AND EFFORT TO THE COMMUNITY. WE PROVIDE SUBSTANTIAL AMOUNTS OF UNCOMPENSATED CARE TO INDIVIDUALS THAT ARE IN NEED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NEW MEXICO</ExplanationTxt>
      </SupplementalInformationDetail>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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        <DeferredCompensationFlngOrgAmt>13800</DeferredCompensationFlngOrgAmt>
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        <PersonNm>MARSHALL BACA</PersonNm>
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        <DeferredCompensationFlngOrgAmt>13800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21272</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>MARSHALL BACA JR</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>24709</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL MANN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CASEY DELLABARCA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <BonusFilingOrganizationAmount>102</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>13800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24799</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>563188</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH MARTIN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>500988</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>102</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>14000</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7079</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5353</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>527522</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOE SALGADO</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>459000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>102</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>13800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>47987</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>520889</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JORGE ABALOS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <BonusFilingOrganizationAmount>102</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>13402</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>415965</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CORINA YATES</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>331452</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>102</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>13262</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10606</NontaxableBenefitsFilingOrgAmt>
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        <NameOfInterested>
          <PersonNm>MARSHALL BACA JR</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF DIR</RelationshipDescriptionTxt>
        <TransactionAmt>677201</TransactionAmt>
        <TransactionDesc>EMPLOYEE OF ORG</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KIMBERLY SALGADO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF CEO</RelationshipDescriptionTxt>
        <TransactionAmt>124989</TransactionAmt>
        <TransactionDesc>EMPLOYEE OF ORG</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KEATON SALGADO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF CEO</RelationshipDescriptionTxt>
        <TransactionAmt>93225</TransactionAmt>
        <TransactionDesc>EMPLOYEE OF ORG</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TOREY SALGADO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF CEO</RelationshipDescriptionTxt>
        <TransactionAmt>83408</TransactionAmt>
        <TransactionDesc>EMPLOYEE OF ORG</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>ACCESS THERAPY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY OF DIR</RelationshipDescriptionTxt>
        <TransactionAmt>30191</TransactionAmt>
        <TransactionDesc>CONTRACTOR OF ORG</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL SERVES COMMUNITIES IN THE ARTESIA SPECIAL HOSPITAL DISTRICT WHICH INCLUDES EDDY COUNTY, NEW MEXICO AND SURROUNDING AREAS. ARTESIA SPECIAL HOSPITAL DISTRICT IS A DISTRICT PURSUANT TO THE NEW MEXICO SPECIAL HOSPITAL DISTRICT ACT, SECTION 4-48A-1 ET. SEQ., NMSA THAT LEASES THE HOSPITAL FACILITY TO ARTESIA GENERAL HOSPITAL FOR THE OPERATION AND MAINTENANCE OF THE HOSPITAL UPON SUCH TERMS AND CONDITIONS AS THE DISTRICT BOARD MAY DETERMINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED CHARGES OF PROVIDING CARE TO THESE PATIENTS WERE 806,079 FOR CHARITY CARE, 70,324,252 FOR MEDICARE, 36,564,242 FOR MEDICAID AND 35,725,185 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS WERE UPDATED DURING FISCAL YEAR 2025 TO CHANGE THE COMPOSITION OF THE GOVERNING BODY. THE COMMUNITY DIRECTORS WILL BE SELECTED BY THE BOARD FROM RECOMMENDATIONS MADE BY A NOMINATING COMMITTEE COMPOSED OF THREE DIRECTORS, TWO MEMBERS OF WHICH WILL BE A DIRECTOR APPOINTED BY THE MEMBER. SUCH SELECTIONS ARE SUBJECT TO THE RATIFICATION AND APPROVAL OF THE MEMBER. PREVIOUSLY THE COMMUNITY DIRECTORS WERE SELECTED BY THE BOARD FROM RECOMMENDATIONS MADE BY A NOMINATING COMMITTEE COMPOSED OF THREE DIRECTORS, ONE MEMBER OF WHICH WILL BE A DIRECTOR APPOINTED BY THE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ARTESIA SPECIAL HOSPITAL DISTRICT IS THE SOLE MEMBER OF THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>TWO DIRECTORS OF THE BOARD ARE APPOINTED BY THE SOLE MEMBER OF THE HOSPITAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS MAY AUTHORIZE AND THE HOSPITAL MAY MAKE DISTRIBUTIONS, SUBJECT TO THE APPROVAL OF THE SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND IS LATER APPROVED BY THE ENTIRE BOARD. ONCE MANAGEMENT IS SATISFIED WITH THE FORM 990, THE CFO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS, DIRECTORS, KEY EMPLOYEES, HIGHLY COMPENSATED EMPLOYEES AND OTHER MANAGEMENT OFFICIALS (COVERED PERSONS) ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT IDENTIFYING ANY POTENTIAL CONFLICT OF INTEREST. COVERED PERSONS ARE ALSO ENCOURAGED TO NOTIFY THE BOARD, APPROPRIATE MANAGEMENT PERSONNEL, CHIEF COMPLIANCE OFFICER, GENERAL COUNSEL, OR THE AUDIT AND COMPLIANCE COMMITTEE OF THE GOVERNING BODY AS NECESSARY. WHEN NECESSARY, THE BOARD CHAIR OR APPROPRIATE BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON(S) OR COMMITTEE TO INVESTIGATE THE POTENTIAL CONFLICT OF INTEREST AND RECOMMEND ALTERNATIVES TO THE APPLICABLE TRANSACTION OR ARRANGEMENT OR OTHERWISE DETERMINE IF THE CONFLICT CAN BE RESOLVED. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER THE CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE BEST INTEREST OF THE ORGANIZATION, FOR ITS OWN BENEFIT, AND WHETHER IT IS REASONABLE. THE GOVERNING BOARD OR COMMITTEE MAKES THE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. ANY MEMBER OF THE BOARD OPERATING UNDER A CONFLICT IS NOT PERMITTED TO BE PRESENT OR OTHERWISE PARTICIPATE IN THE VOTE ON ANY MATTER TO WHICH THE CONFLICT RELATES. IF THE GOVERNING BOARD OR COMMITTEE OF THE ORGANIZATION HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND AFTER INVESTIGATION THE BOARD OR COMMITTEE DETERMINES THAT THE COVERED PERSON FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE ORGANIZATION TAKES APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTION, WHICH MAY INCLUDE, TERMINATION OF THE INDIVIDUAL'S MEMBERSHIP, EMPLOYMENT, OR CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL UTILIZES GALLAGHER IN REGARDS TO FAIR MARKET VALUE IN SALARIES. GALLAGHER GATHERS DATA RELATED TO JOB DESCRIPTIONS, SCOPE OF RESPONSIBILITY, AND CURRENT INCUMBENTS' COMPENSATION. GALLAGHER RECOMMENDS APPROPRIATE COMPARISON DATA AND UTILIZES SURVEY DATA FORM FOUR MAJOR EXECUTIVE COMPENSATION SURVEY PROVIDERS TO PROVIDE MARKET DATA AND EXECUTIVE COMPENSATION RECOMMENDATIONS THAT MEET THE HOSPITAL'S COMPENSATION PHILOSOPHY. THE BOARD THEN REVIEWS WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION, PREVIOUS CEO'S COMPENSATION, PHYSICIAN COMPENSATION DATA, AND THE RESULT OF ARM'S LENGTH BARGAINING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FORM 990, PART VI, LINE 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES 8,963,346 2,677,569 2,140</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 494,289</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>