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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2095185</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>83481</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>14</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ARAMARK</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 978839</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75397</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DIETARY &amp; EVS</ServicesDesc>
        <CompensationAmt>1921041</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>EMERGENCY STAFFING SOLUTIONS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>17304 PRESTON ROAD SUITE 1400</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75252</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ER PHYSICIAN STAFFIN</ServicesDesc>
        <CompensationAmt>981765</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>THEREX INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 502096</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63105</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHAB THERAPY SVCS</ServicesDesc>
        <CompensationAmt>1214591</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>QUALIVIS LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 CENTER POINT ROAD</AddressLine1Txt>
            <CityNm>COLUMBIA</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29210</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT NURSING</ServicesDesc>
        <CompensationAmt>1100092</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TELERAD PLLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>618 FREDERICK DRIVE</AddressLine1Txt>
            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>38732</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RADIOLOGIST SERVICES</ServicesDesc>
        <CompensationAmt>827090</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>23</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>11982289</GovernmentGrantsAmt>
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      <TotalContributionsAmt>12008064</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>41769602</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41769602</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL OFFICE RENT</Desc>
        <BusinessCd>621111</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>38425</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>182920</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>41990947</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>36155</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
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      </GrossAmountSalesAssetsGrp>
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      <GainOrLossGrp>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-98485</TotalRevenueColumnAmt>
        <ExclusionAmt>-98485</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
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      <NetIncomeOrLossGrp>
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      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFETERIA REVENUE</Desc>
        <BusinessCd>722310</BusinessCd>
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        <ExclusionAmt>191021</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>EDUCATION REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>35620</TotalRevenueColumnAmt>
        <ExclusionAmt>35620</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>11099</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>72185</ExclusionAmt>
      </MiscellaneousRevenueGrp>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>54246606</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>247595</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
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      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1013690</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>37547</TotalAmt>
        <ProgramServicesAmt>28701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8846</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>151650</ProgramServicesAmt>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      </FeesForServicesOtherGrp>
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        <ProgramServicesAmt>111439</ProgramServicesAmt>
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      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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      <OccupancyGrp>
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        <ProgramServicesAmt>127492</ProgramServicesAmt>
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      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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        <ProgramServicesAmt>683401</ProgramServicesAmt>
        <ManagementAndGeneralAmt>210629</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      </PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>2194316</ProgramServicesAmt>
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        <TotalAmt>371202</TotalAmt>
        <ProgramServicesAmt>283749</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87453</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>6887419</TotalAmt>
        <ProgramServicesAmt>6887419</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>858818</TotalAmt>
        <ProgramServicesAmt>656485</ProgramServicesAmt>
        <ManagementAndGeneralAmt>202333</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
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        <ProgramServicesAmt>105098</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32392</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT EXPENSE</Desc>
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        <ProgramServicesAmt>27756</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8555</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>35056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10805</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>37632467</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10134398</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
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        <EOYAmt>5580</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>12952542</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>33189387</EOYAmt>
      </TotalLiabilitiesGrp>
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      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>13794335</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>18288611</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>65272333</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>6479741</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
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      <OtherActivitiesInd>true</OtherActivitiesInd>
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      <TotalLobbyingExpendituresAmt>7251</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 SCHEDULE C PART II-B LINE 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>LOBBYING ACTIVITIES INCLUDE DUES FOR THE ARKANSAS &amp; AMERICAN HOSPITAL ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <CYMinus4YrEndwmtFundGrp />
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      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>48387556</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8727372</DepreciationAmt>
        <BookValueAmt>39660184</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>231759</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>178961</DepreciationAmt>
        <BookValueAmt>52798</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>26254943</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>22800024</DepreciationAmt>
        <BookValueAmt>3454919</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>475621</OtherCostOrOtherBasisAmt>
        <BookValueAmt>475621</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>43684971</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>54345091</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>98485</OtherRevenueAmt>
      <RevenueNotReportedAmt>98485</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>54246606</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>54246606</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>47865350</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>98485</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>98485</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>47766865</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>47766865</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL INCOME TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART XI, LINE 2D LINE</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF ASSET $98,485</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF ASSET $98,485</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent150Ind>X</Percent150Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>225.</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
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        <TotalCommunityBenefitExpnsAmt>158965</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>158965</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00330</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>7228419</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6674330</DirectOffsettingRevenueAmt>
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        <TotalExpensePct>0.01160</TotalExpensePct>
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        <TotalCommunityBenefitExpnsAmt>7387384</TotalCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.01490</TotalExpensePct>
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        <TotalCommunityBenefitExpnsAmt>6539902</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3184355</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3355547</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07020</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>6542168</TotalCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.07020</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>13929552</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>9858685</DirectOffsettingRevenueAmt>
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        <TotalExpensePct>0.08510</TotalExpensePct>
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      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <ReimbursedByMedicareAmt>14189876</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>12785021</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>1404855</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
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        </BusinessName>
        <USAddress>
          <AddressLine1Txt>778 SCOGIN DR</AddressLine1Txt>
          <CityNm>MONTICELLO</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>71655</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.DREWMEMORIAL.ORG</WebsiteAddressTxt>
        <StateLicenseNum>AR4799</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>DREW MEMORIAL HEALTH SYSTEM</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <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>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V, SECTION C</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>21</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtFreeCarePct>150.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>225.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <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>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
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        <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>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY HEALTH NEEDS ASSESSMENT TOOLKIT DEVELOPED BY THE NATIONAL CENTER FOR RURAL HEALTH WORKS AT OKLAHOMA STATE UNIVERSITY AND CENTER FOR RURAL HEALTH AND OKLAHOMA OFFICE OF RURAL HEALTH WAS UTILIZED AS A GUIDE FOR THE CHNA FACILITATION PROCESS. THE PROCESS WAS DESIGNED TO BE CONDUCTED THROUGH TWO COMMUNITY MEETINGS. THE FACILITATOR AND THE STEERING COMMITTEE OVERSEE THE ENTIRE PROCESS OF ORGANIZING AND DETERMINING A COMMUNITY ADVISORY COMMITTEE OF 30-40 COMMUNITY MEMBERS THAT MEET THROUGHOUT THE PROCESS TO DEVELOP A STRATEGIC PLAN FOR THE HOSPITAL TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY. DUE TO THE SIZE OF THE SERVICE AREA, THE STEERING COMMITTEE CHOSE TO CONDUCT THEIR ASSESSMENT THROUGH A FOCUS GROUP OF COMMUNITY LEADERS AND INDIVIDUALS IN HEALTH-RELATED FIELDS. APPROXIMATELY 38 INDIVIDUALS FROM THE COMMUNITY WERE SELECTED FOR INVITATION TO THE FOCUS GROUP, OR COMMUNITY ADVISORY COMMITTEE, BY THE DREW MEMORIAL HEALTH SYSTEM STAFF STEERING COMMITTEE. THOSE ACCEPTING THE INVITATION - APPROXIMATELY 30 - ATTENDED THE FIRST MEETING OF THE ADVISORY COMMITTEE. A FEW ADDITIONAL ADVISORY COMMITTEE MEMBERS, WHO WERE UNABLE TO ATTEND THE FIRST MEETING, JOINED THE SECOND MEETING AFTER BEING BRIEFED. THESE COMMUNITY ADVISORY COMMITTEE MEMBERS MET INITIALLY TO DISCUSS HEALTH STATISTICS AFFECTING THE HOSPITAL SERVICE AREA, AND TO INDIVIDUALLY COMPLETE THE 2022 HEALTH NEEDS SURVEY. ADVISORY COMMITTEE MEMBERS ASSISTED IN THE DISTRIBUTION OF THE SURVEY QR CODE AND FLYERS TO NEIGHBORS, COLLEAGUES, AND FRIENDS PRIOR TO THE SECOND MEETING. SURVEYS WERE ALSO AVAILABLE ELECTRONICALLY ON THE DMHS WEBSITE, THE ARHP WEBSITE, AND VARIOUS SITES THROUGHOUT THE SERVICE AREA. AT THE SECOND COMMITTEE MEETING, MEMBERS WERE PRESENTED WITH THE RESULTS OF THE SURVEYS AND DISCUSSED SOME OF THE QUESTIONS AND RESPONSES AS A GROUP AND PRIORITIZED COMMUNITY HEALTH CONCERNS. THESE PRIORITIES LED THE STAFF STEERING COMMITTEE TO DEVELOP A MORE DETAILED IMPLEMENTATION PLAN TO ADDRESS THOSE ISSUES AND CREATE COMMUNITY BENEFIT. OVER THE NEXT THREE YEARS, THE ACTION PLANS WILL BE IMPLEMENTED FOR EACH ISSUE AND THE HOSPITAL STEERING COMMITTEE WILL MEET ANNUALLY WITH THE ADVISORY COMMITTEE TO ASSESS PROGRESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 7A &amp; 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>DREWMEMORIAL.ORG/OUR-COMMUNITY/COMMUNITY-BENEFIT-REPORT/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS IDENTIFIED THE FOLLOWING THREE NEEDS THAT WILL BE ADDRESSED: 1. MENTAL HEALTH &amp; SUBSTANCE ABUSE: OBJECTIVE 1: ADDRESS THE NEEDS OF THE LOCAL COMMUNITY BY CONTINUING TO INCREASE DREW MEMORIAL HEALTH SYSTEM MENTAL AND BEHAVIORAL HEALTH SERVICES BY: - DEVELOP AND IMPLEMENT STAFFING PLAN TO BE ABLE TO EXPAND DELIVERY OF MENTAL HEALTH SERVICES THROUGH DMHS, SPECIFICALLY ADULT AND YOUTH SERVICES - CONDUCT A FEASIBILITY STUDY FOR A POTENTIAL DMHS OUTPATIENT MENTAL HEALTH CLINIC FOR ADULTS AND PEDIATRICS - OPTIMIZE TELEHEALTH SERVICES FOR THE DELIVERY OF MENTAL AND BEHAVIORAL HEALTH SERVICES - CONTINUE TO PROVIDE IN-PATIENT WITHDRAWAL MANAGEMENT SERVICES AT DMHS OBJECTIVE 2: CONTINUE TO COLLABORATE AND BUILD PARTNERSHIPS TO INCREASE MENTAL AND BEHAVIORAL HEALTH SERVICES AND PROGRAMS IN THE SERVICE AREA: - PARTNER WITH OTHER HEALTHCARE ORGANIZATIONS, LOCALLY AND STATEWIDE, TO INCREASE THE CAPACITY TO PROVIDE ADDITIONAL MENTAL AND BEHAVIORAL HEALTH SERVICES - CONTINUE TO PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S MENTAL/BEHAVIORAL HEALTH TASK FORCE - PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S NEW OPIOID COMMUNITY RESPONSE IMPLEMENTATION PROJECT TO INCREASE IN-PATIENT MENTAL AND BEHAVIORAL HEALTH SERVICES - PROVIDE MENTAL HEALTH FIRST AID TO LOCAL SCHOOLS, COLLEGES, AND COMMUNITY ORGANIZATIONS THROUGH ARHP 2. OBESITY/DIABETES: OBJECTIVE 1: CONTINUE TO FOSTER COLLABORATION WITH LOCAL SCHOOLS AND ORGANIZATIONS TO CREATE PROGRAMS THAT ASSIST INDIVIDUALS WITH OBESITY AND DIABETES: - PARTNER WITH LOCAL SCHOOLS TO PROMOTE HEALTHIER FOOD OPTIONS, INCLUDING MORE FRESH FOODS AND FRESH FRUIT SNACKS AT BREAKS - PROVIDE HEALTHY EATING MATERIALS AND EDUCATIONAL INFORMATION AT PARENT NIGHT AT THE LOCAL SCHOOLS, ESPECIALLY ON SELECTING THE HEALTHIEST FAST FOOD RESTAURANT OPTIONS, COOKING INEXPENSIVE HEALTHY MEALS FOR FAMILIES, AND HEALTHY CHOICES FOR DIABETIC DIETS. - WORK WITH ARHP PARTNERS TO ADDRESS HEALTHY EATING AND EXERCISE PROGRAMS - FOR THE SCHOOLS IN THE REGION THROUGH FUTURE GRANT OPPORTUNITIES OBJECTIVE 2: INCREASE COMMUNITY AWARENESS OF PROGRAMS THAT ADDRESS OBESITY AND DIABETES: - DEVELOP A STRATEGIC CIVIC AND RELIGIOUS ORGANIZATION EDUCATION PLAN TO INCREASE COMMUNITY AWARENESS OF SERVICES - CONTINUE MARKETING STRATEGIES THROUGH BOTH PRINT AND SOCIAL MEDIA TO PROMOTE LOCAL SERVICES TO BOTH COMMUNITY AND OTHER HEALTHCARE PROFESSIONALS - CONTINUE TO PROMOTE AND EXPAND THE CURRENT DMHS DIABETES EDUCATION PROGRAM - PROMOTE OTHER WEIGHT-LOSS PROGRAMS DEVELOPED THROUGH DMHS EFFORTS TO ADDRESS THEIR STRATEGIC PLAN 3. HEALTHCARE WORKFORCE OBJECTIVE 1: INCREASE HEALTHCARE SERVICES PROVIDED THROUGH DMHS: - RECRUIT WORKFORCE TO IMPROVE AND INCREASE INTENSIVE CARE UNIT (ICU) CAPACITY AT DMHS - RECRUIT SPECIALTY PHYSICIANS AND HEALTHCARE WORKFORCE TO EXPAND HEALTHCARE SERVICES OFFERED THROUGH DMHS (OB/GYN, ENT, PAIN MANAGEMENT, PULMONOLOGY, ORTHOPEDIC, GI, ENDOCRINOLOGY, INTERVENTIONAL RADIOLOGY, AND UROLOGY) OBJECTIVE 2: CONTINUE TO COLLABORATE WITH ARHP AND OTHER HEALTHCARE ORGANIZATIONS TO INCREASE SPECIALTY HEALTHCARE SERVICES IN THE SERVICE AREA: - INCREASE SURGICAL SERVICES THROUGH COLLABORATION WITH PCPS THROUGHOUT THE REGION - CONTINUE TO PARTICIPATE IN ARHP DISCUSSIONS WITH UAMS REGIONAL PROGRAMS, THE ARKANSAS COLLEGE OF OSTEOPATHIC MEDICINE, AND NYIT SCHOOL OF OSTEOPATHIC MEDICINE IN JONESBORO - CONTINUE TO ENCOURAGE STUDENT ROTATIONS WITH UAMS REGIONAL PROGRAMS, THE ARKANSAS COLLEGE OF OSTEOPATHIC MEDICINE, AND NYIT SCHOOL OF OSTEOPATHIC MEDICINE IN JONESBORO - COMMUNICATE AND PARTNER WITH MEDICAL STAFF AND LOCAL PROVIDERS TO ASSIST IN RECRUITMENT OF ADDITIONAL PHYSICIANS TO THE AREA - CONTINUE TO PARTNER WITH ARHP TO PROVIDE WORKFORCE INITIATIVES IN THE LOCAL SCHOOLS AND COLLEGES - PARTICIPATE IN THE ARHP NURSING SCHOOL TASK FORCE INITIATIVES TO INCREASE NURSING CLINICAL ROTATIONS AT DMHS - PARTICIPATE IN ARHP STUDENT PRECEPTORSHIP OPPORTUNITIES TO ENCOURAGE STUDENTS IN HEALTHCARE FIELDS OF STUDY - IMPROVE RELATIONSHIP WITH MAINLINE HEALTH SYSTEMS FOR REFERRALS - DEVELOP RELATIONSHIPS WITH SPECIALTY PHYSICIANS LEAD TO DELAYS IN CARE LEAD TO DELAYS IN CARE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, LINES 16A, 16B, AND 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>WWW.DREWMEMORIAL.ORG/FINANCIAL-ASSISTANCE/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>DREW MEMORIAL HOSPITAL USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE SEE ATTACHED AUDIT REPORT NOTE 1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT OUR FINANCIAL ASSISTANCE POLICY, ASSISTS IN COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION WHEN APPROPRIATE, AND PROVIDES ASSISTANCE IN DETERMINING ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL PROGRAMS SUCH AS MEDICAID. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DREW MEMORIAL HEALTH SYSTEM PROVIDES COMMUNITY BENEFITS BY OFFERING HEALTH EDUCATION, MEETING FACILITIES, SUPPORT FOR LOCAL ATHLETIC ACTIVITIES, AND COMMUNITY HEALTH INITIATIVES. FURTHER, EVERY THREE YEARS THE HOSPITAL CONDUCTS A SURVEY ASSESSING THE NEEDS OF DREW COUNTY RESIDENTS AND HOSPITAL STAKEHOLDERS IN THE SURROUNDING AREA. THE ASSESSMENT INCLUDES INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY SERVED BY THE DREW MEMORIAL HEALTH SYSTEM FACILITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ORDER TO DETERMINE IF A PATIENT IS ELIGIBLE FOR ASSISTANCE, AN APPLICATION FOR FINANCIAL ASSISTANCE MUST BE COMPLETED BY THE PATIENT OR GUARANTOR. THE HOSPITAL WILL THEN REVIEW THE APPLICATION AND MAKE A DETERMINATION OF ELIGIBILITY. THE HOSPITAL WILL ACCEPT FAP APPLICATIONS AT LEAST TWO HUNDRED FORTY (240) DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. THE HOSPITAL WILL NOTIFY INDIVIDUALS WHO SUBMIT AN INCOMPLETE FAP APPLICATIONS DURING THE APPLICATION PERIOD ABOUT HOW TO COMPLETE THE APPLICATION (AND PROVIDE CONTACT INFORMATION FOR ASSISTANCE), AND SUSPEND ANY EXTRAORDINARY COLLECTION ACTIVITIES FOR THESE INDIVIDUALS UNTIL ELIGIBILITY IS DETERMINED.THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE WIDELY PUBLICIZED. APPLICATIONS FOR FREE OR REDUCED CHARGE CARE WILL BE DISTRIBUTED BY A PATIENT FINANCIAL ADVISOR, PATIENT FINANCIAL COLLECTOR, CASHIERS DEPARTMENT, SOCIAL SERVICES, OR OTHER RELATED DEPARTMENTS OF DREW MEMORIAL HOSPITAL. PATIENTS WILL BE OFFERED A PLAIN LANGUAGE SUMMARY OF THE FAP EITHER UPON PATIENT INTAKE OR PATIENT DISCHARGE. PAPER COPIES WILL BE AVAILABLE, WITHOUT CHARGE, BOTH FOR DISTRIBUTION IN PUBLIC LOCATIONS WITHIN THE FACILITY AND BY MAIL, IF REQUESTED. THE HOSPITAL WILL INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN A MANNER REASONABLY DETERMINED BY REACH THOSE MEMBERS OF THE COMMUNITY MOST LIKELY NEEDING FINANCIAL ASSISTANCE (I.E., DISTRIBUTING FAP INFORMATION TO LOCAL GOVERNMENT AGENCIES AND NON-PROFIT ORGANIZATIONS). EACH UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT FINANCIAL ASSISTANCE POLICY, ASSISTS IN COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION WHEN APPROPRIATE, AND PROVIDES ASSISTANCE IN DETERMINING ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL PROGRAMS SUCH AS MEDICAID. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DREW MEMORIAL HOSPITAL IS LOCATED IN MONTICELLO, THE COUNTY SEAT OF DREW COUNTY IN SOUTHEAST ARKANSAS. DREW COUNTY IS THE HOME TO 17,350 PEOPLE AND ONE OF THE HEALTHIER COUNTIES IN THE ARKANSAS DELTA REGION. THE AVERAGE PERCENTAGE OF PERSONS UNDER 18 YEARS IN THE SERVICE AREA IS 22.1%, WHICH IS SLIGHTLY LOWER THAN THE STATE. IN DESHA COUNTY, TO FURTHER ESTIMATE THE TARGET POPULATION, ADULTS IN THE SERVICE AREA ARE ESTIMATED TO BE ABOUT 80% OF THE SERVICE AREA POPULATION AND 17% OF THE POPULATION IS 65 OR OLDER. HEALTH DISPARITIES, POVERTY, LACK OF TRANSPORTATION, LOW EDUCATIONAL ATTAINMENT, POOR ACCESS TO HEALTH CARE, AND POOR HEALTH OUTCOMES- THE MISSISSIPPI DELTA REGION REPRESENTS AN AMALGAM OF SOCIETAL DIFFICULTIES THAT AFFECT EACH OF ITS RESIDENTS. ACCORDING TO RECENT US CENSUS DATA (2020), INDIVIDUALS WITHIN THE SERVICE AREA EXPERIENCE GREATER ECONOMIC HARDSHIP COMPARED TO THOSE IN OTHER REGIONS OF THE STATE AND NATION. THIS INCLUDES A LOWER MEDIAN HOUSEHOLD INCOME AND HIGHER POVERTY RATE. THIS CAN BE CONTRIBUTED TO LOWER LEVELS OF EDUCATIONAL ATTAINMENT, WITH MOST COUNTY RESIDENTS HAVING LOWER HIGH SCHOOL GRADUATION RATES COMPARED TO THE STATE AND NATION. UNEMPLOYMENT IS ALSO, SIGNIFICANTLY HIGHER IN EIGHT OUT OF NINE SERVICE AREA COUNTIES AS COMPARED TO THE STATE AND NATION. THE MAJORITY OF SOUTHEAST ARKANSAS DELTA RESIDENTS ARE CAUCASIAN (AVERAGE OF 59%), WHICH IS LESS THAN THE STATE (70%). AFRICAN AMERICANS ARE THE LARGEST MINORITY IN THE SERVICE AREA (AVERAGE OF 33%), WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE (15%). THE HISPANIC POPULATION IS SMALL, BUT GROWING (AVERAGE OF 4% IN SERVICE AREA VS. 9% ACROSS STATE). THE PRIMARY SERVICE COVERAGE AREA INCLUDES ALL COUNTIES THAT BORDER DREW, INCLUDING: LINCOLN, DESHA, BRADLEY, ASHLEY, AND CHICOT. THESE SIX COUNTIES HAVE A COMBINED POPULATION OF APPROXIMATELY 100,000. THE SECONDARY SERVICE COVERAGE AREA SPREADS BEYOND THE BORDERING COUNTIES AND INCLUDES PARTS OF ARKANSAS COUNTY, JEFFERSON COUNTY, DALLAS COUNTY, UNION COUNTY, GRANT COUNTY AND CALHOUN COUNTY, ARKANSAS. COMBINED, THE PRIMARY AND SECONDARY SERVICE COVERAGE AREAS TOTAL A POPULATION OF MORE THAN 200,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>DREW MEMORIAL HOSPITAL IS ACTIVE THROUGHOUT DREW COUNTY IN SPONSORING HEALTH FAIRS, EDUCATIONAL PROGRAMS, FREE HEALTH SCREENINGS AND OTHER ACTIVITIES TO PROMOTE THE HEALTH OF THE CITIZENS OF DREW COUNTY. DMH IS AN ACTIVE MEMBER OF THE DREW COUNTY HOMETOWN HEALTH INITIATIVE WHICH IS A PROGRAM OF THE ARKANSAS DEPARTMENT OF HEALTH. THE HOMETOWN HEALTH INITIATIVE (HHI) BRINGS TOGETHER A WIDE RANGE OF PEOPLE AND ORGANIZATIONS INCLUDING CONSUMERS, BUSINESS LEADERS, AND HEALTH CARE PROVIDERS TO DEVELOP AND IMPLEMENT WAYS TO SOLVE HEALTH ISSUES IN EACH COUNTY. DREW MEMORIAL CURRENTLY PARTICIPATES IN SEVERAL HEALTH OUTREACH EFFORTS THROUGH ITS AFFILIATION WITH ARKANSSAS RURAL HEALTH PARTNERSHIP (ARHP). THE ORGANIZATION WAS FOUNDED TO HELP LOCAL HOSPITALS ADDRESS FINANCIAL BURDENS OF THEIR INDIVIDUAL ORGANIZATIONS AND WORK TO PROVIDE HEALTH OUTREACH TO THE REGION THROUGH FUNDING OPPORTUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>DREW MEMORIAL HEALTH SYSTEM CURRENTLY PARTICIPATES IN SEVERAL HEALTH OUTREACH EFFORTS THROUGH ITS AFFILIATION WITH THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP). THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP) IS A NON-PROFIT HORIZONTAL HOSPITAL AND ECONOMIC DEVELOPMENT ORGANIZATION COMPOSED OF FIFTEEN INDEPENDENTLY OWNED, SOUTH ARKANSAS RURAL HOSPITALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS, AND 2 MEDICAL SCHOOLS. THIS UNIQUE NETWORK IS THE LARGEST HEALTHCARE SERVICE PROVIDER IN THE AREA AND SERVES AS A HUB FOR ECONOMIC GROWTH AND DEVELOPMENT ACROSS THE REGION. ARHP EFFORTS AIM TO SUPPORT AND IMPROVE EXISTING HEALTHCARE INFRASTRUCTURE, WHILE STRENGTHENING HEALTHCARE DELIVERY ACROSS RURAL SOUTH ARKANSAS. THE ARHP IS COMMITTED TO STRENGTHENING THE ECOSYSTEM OF RURAL COMMUNITIES ACROSS SOUTH ARKANSAS BY ENGAGING IN TRANSFORMATIVE CONVERSATIONS, PARTNERSHIPS, AND INITIATIVES. ARKANSAS RURAL HEALTH PARTNERSHIP MEMBERS INCLUDE ASHLEY COUNTY MEDICAL CENTER (CROSSETT, AR), BAPTIST HEALTH-STUTTGART (STUTTGART, AR), BRADLEY COUNTY MEDICAL CENTER (WARREN, AR), CHICOT MEMORIAL MEDICAL CENTER (LAKE VILLAGE, AR), DALLAS COUNTY MEDICAL CENTER (FORDYCE, AR), DELTA MEMORIAL MEDICAL CENTER (DUMAS, AR), DEWITT HOSPITAL &amp; NURSING HOME (DEWITT, AR), DREW MEMORIAL HEALTH SYSTEM (MONTICELLO, AR) MEDICAL CENTER OF SOUTH ARKANSAS (EL DORADO, AR), MCGEHEE HOSPITAL (MCGEHEE, AR), MAGNOLIA REGIONAL MEDICAL CENTER (MAGNOLIA, AR), HELENA REGIONAL MEDICAL CENTER (HELENA, AR), OUACHITA COUNTY MEDICAL CENTER (CAMDEN, AR), SEVIER COUNTY MEDICAL CENTER (DE QUEEN, AR), JEFFERSON REGIONAL MEDICAL CENTER (PINE BLUFF, AR), UNIVERSITY OF ARKANSAS FOR MEDICAL SERVICES (LITTLE ROCK, AR), NEW YORK INSTITUTE OF TECHNOLOGY (JONESBORO, AR), MAINLINE HEALTH SYSTEMS, INC (MONTICELLO, AR) AND MID-DELTA HEALTH SYSTEMS, INC (CLARENDON, AR). THE ORGANIZATION WAS FOUNDED TO HELP LOCAL HOSPITALS ADDRESS THE FINANCIAL BURDENS OF THEIR INDIVIDUAL ORGANIZATIONS AND WORK TO PROVIDE HEALTH OUTREACH TO THE REGION THROUGH FUNDING OPPORTUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <DeferredCompensationFlngOrgAmt>2500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <PersonNm>ALAN WILSON</PersonNm>
        <TitleTxt>GENERAL SURGEON</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY SHRUM</PersonNm>
        <TitleTxt>OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>400000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>410700</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANCISCO BRAVO</PersonNm>
        <TitleTxt>GENERAL SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>350000</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>2500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8662</NontaxableBenefitsFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <IssuePriceAmt>2000000</IssuePriceAmt>
        <PurposeDesc>CONSTRUCTION AND ACQUISITION OF EQ</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>1218310</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>2000000</TotalProceedsAmt>
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        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
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        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
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        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE, OR MEMBER OF THE COMMITTEE WITH BOARD DELEGATED POWERS MUST ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERFORMANCE OF THE CEO IS EVALUATED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE CEO'S BONUSES AND SALARY ARE APPROVED BY THE BOARD ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, FINANICAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT SERVICES TOTAL FEES:9277718</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3794076</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:COLLECTION FEES TOTAL FEES:229279</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
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          <AddressLine1Txt>778 SCOGIN DR</AddressLine1Txt>
          <CityNm>MONTICELLO</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>71655</ZIPCd>
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        <PrimaryActivitiesTxt>PHYS. CLINIC</PrimaryActivitiesTxt>
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        <TotalIncomeAmt>624571</TotalIncomeAmt>
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          <AddressLine1Txt>778 SCOGIN DR</AddressLine1Txt>
          <CityNm>MONTICELLO</CityNm>
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          <ZIPCd>71655</ZIPCd>
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        <PrimaryActivitiesTxt>PHYS. CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AR</LegalDomicileStateCd>
        <TotalIncomeAmt>774671</TotalIncomeAmt>
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</Return>
