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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING AGENCY</ServicesDesc>
        <CompensationAmt>425685</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>KINDRED HOSPITAL REHAB SVCS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 502096</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63150</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY CONTRACT AGE</ServicesDesc>
        <CompensationAmt>454873</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>GRAYCORP LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3 ROBINWOOD DR</AddressLine1Txt>
            <CityNm>DUMAS</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>71639</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ER PHYSICIAN COVERAG</ServicesDesc>
        <CompensationAmt>390893</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LEWIS NELSON BALLARD III</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 RAVENWOOD PLACE</AddressLine1Txt>
            <CityNm>HOT SPRINGS</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>71901</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CRNA</ServicesDesc>
        <CompensationAmt>250000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1764542</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>803319</AllOtherContributionsAmt>
      <TotalContributionsAmt>2567861</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>15438881</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15438881</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>456550</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>456550</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL OFFICE BUILDING RENT</Desc>
        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>2400</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2400</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15897831</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>26291</TotalRevenueColumnAmt>
        <ExclusionAmt>26291</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEAL REVENUE</Desc>
        <BusinessCd>624210</BusinessCd>
        <TotalRevenueColumnAmt>48033</TotalRevenueColumnAmt>
        <ExclusionAmt>48033</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>ACO SHARED SAVINGS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>22579</TotalRevenueColumnAmt>
        <ExclusionAmt>22579</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>REFUNDS &amp; REIMBURSEMENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>18648</TotalRevenueColumnAmt>
        <ExclusionAmt>18648</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>33496</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>33496</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>122756</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18614739</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15897831</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>149047</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>268906</TotalAmt>
        <ManagementAndGeneralAmt>268906</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9646881</TotalAmt>
        <ProgramServicesAmt>7568003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2078878</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>20422</TotalAmt>
        <ProgramServicesAmt>16021</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4401</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>397577</TotalAmt>
        <ProgramServicesAmt>311900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85677</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>633047</TotalAmt>
        <ProgramServicesAmt>496627</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136420</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>14808</TotalAmt>
        <ProgramServicesAmt>11617</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3191</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>107675</TotalAmt>
        <ProgramServicesAmt>84471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23204</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4486504</TotalAmt>
        <ProgramServicesAmt>3519674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>966830</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>3693</TotalAmt>
        <ProgramServicesAmt>2897</ProgramServicesAmt>
        <ManagementAndGeneralAmt>796</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>137697</TotalAmt>
        <ProgramServicesAmt>108024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29673</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>307624</TotalAmt>
        <ProgramServicesAmt>241332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66292</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>57087</TotalAmt>
        <ProgramServicesAmt>44785</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12302</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>125233</TotalAmt>
        <ProgramServicesAmt>98246</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26987</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1162355</TotalAmt>
        <ProgramServicesAmt>911871</ProgramServicesAmt>
        <ManagementAndGeneralAmt>250484</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>597862</TotalAmt>
        <ProgramServicesAmt>469024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128838</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Supplies Expense</Desc>
        <TotalAmt>1504565</TotalAmt>
        <ProgramServicesAmt>1504565</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROVIDER ASSESSMENT FEES</Desc>
        <TotalAmt>136424</TotalAmt>
        <ProgramServicesAmt>136424</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MINOR EQUIPMENT</Desc>
        <TotalAmt>87422</TotalAmt>
        <ProgramServicesAmt>68583</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18839</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>74212</TotalAmt>
        <ProgramServicesAmt>58220</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15992</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>98094</TotalAmt>
        <ProgramServicesAmt>76954</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21140</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>19868088</TotalAmt>
        <ProgramServicesAmt>15729238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4138850</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>5035097</BOYAmt>
        <EOYAmt>2461706</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>14356</BOYAmt>
        <EOYAmt>14356</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2575470</BOYAmt>
        <EOYAmt>2525228</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>414164</BOYAmt>
        <EOYAmt>469653</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>580896</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>19298308</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>12165351</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8106097</BOYAmt>
        <EOYAmt>7132957</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>2610190</BOYAmt>
        <EOYAmt>2001099</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>19360595</BOYAmt>
        <EOYAmt>15185895</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>3047851</EOYAmt>
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      <GrantsPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1406627</BOYAmt>
        <EOYAmt>1047726</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>224219</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>959120</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>201064</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>8489514</BOYAmt>
        <EOYAmt>5479980</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>4371213</BOYAmt>
        <EOYAmt>2698883</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>6499868</BOYAmt>
        <EOYAmt>7007032</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>10871081</BOYAmt>
        <EOYAmt>9705915</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>15185895</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1253349</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>88183</PriorPeriodAdjustmentsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </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>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>1448</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>1448</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE C, PART II-B, LINE 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERCENTAGE OF 2021 MEMBERSHIP DUES PAID TO THE ARKANSAS HOSPITAL ASSOCIATION ALLOCABLE TO LOBBYING EXPENSE IS $1,448.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
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        <DepreciationAmt>8646492</DepreciationAmt>
        <BookValueAmt>5661474</BookValueAmt>
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        <BookValueAmt>122688</BookValueAmt>
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        <DepreciationAmt>3423386</DepreciationAmt>
        <BookValueAmt>1267554</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>95473</DepreciationAmt>
        <BookValueAmt>81241</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>7132957</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD PARTY PAYORS</Desc>
        <BookValueAmt>549966</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BENEFICIAL INTEREST IN TRUST</Desc>
        <BookValueAmt>734663</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>SHORT TERM INVESTMENTS</Desc>
        <BookValueAmt>10885</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Building - Annex</Desc>
        <BookValueAmt>138000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right to Use Asset</Desc>
        <BookValueAmt>567585</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2001099</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO THIRD PARTY PAYORS</Desc>
        <Amt>141768</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Liability</Desc>
        <Amt>59296</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>201064</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18614739</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>18614739</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>18614739</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19868088</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>19868088</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>19868088</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
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      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
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        <TotalExpensePct>0.01000</TotalExpensePct>
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      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>2242264</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2297852</DirectOffsettingRevenueAmt>
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      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>2441348</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2297852</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>199084</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01000</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1155554</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>728249</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>427305</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02150</TotalExpensePct>
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      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>1155554</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>728249</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>427305</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02150</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>3596902</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3026101</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>626389</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03150</TotalExpensePct>
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      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>2438353</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>2438353</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>4779282</ReimbursedByMedicareAmt>
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      <MedicareSurplusOrShortfallAmt>81543</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>DELTA MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>811 HWY 65 SOUTH</AddressLine1Txt>
          <CityNm>DUMAS</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>71639</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.DELTAMEM.ORG</WebsiteAddressTxt>
        <StateLicenseNum>AR4392</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>DELTA MEMORIAL HOSPITAL</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>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <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>
        <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>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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 40 INDIVIDUALS FROM THE COMMUNITY WERE SELECTED FOR INVITATION TO THE FOCUS GROUP, OR COMMUNITY ADVISORY COMMITTEE, BY THE DELTA MEMORIAL HOSPITAL SYSTEM STAFF STEERING COMMITTEE. THOSE ACCEPTING THE INVITATION - APPROXIMATELY 25 - ATTENDED THE ADVISORY COMMITTEE'S FIRST MEETING. 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 DISTRIBUTING THE SURVEY QR CODE AND FLYERS TO NEIGHBORS, COLLEAGUES, AND FRIENDS PRIOR TO THE SECOND MEETING. SURVEYS WERE ALSO AVAILABLE ELECTRONICALLY ON THE DELTA MEMORIAL HOSPITAL 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>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A &amp; 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>www.deltamem.org/?sub=About+Us</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>AN IMPLEMENTATION STRATEGY WAS DEVELOPED AND APPROVED BY THE BOARD OF DIRECTORS. SEVERAL ISSUES WERE IDENTIFIED FOR CONSIDERATION AND PRIORITIZED IN THE PLAN. 1. CHRONIC DISEASE OBJECTIVE 1 : CONTINUE TO IMPROVE ACCESS TO CHRONIC DISEASE MANAGEMENT, PROGRAMS, AND SERVICES - INVESTIGATE THE POSSIBILITY OF ESTABLISHING A FORMAL PULMONARY REHABILITATION PROGRAM. A FINAL DECISION WILL BE MADE NOT LATER THAN DECEMBER 31, 2022. - DELTA HEALTH SERVICES HAS DEVELOPED WILL EXPAND ITS CHRONIC CARE MANAGEMENT PROGRAM WITH A GOAL REACHING 300 PATIENTS PER MONTH. - MAINTAIN OPERATION OF A HOME HEALTH AGENCY AND TO PROVIDE CHRONIC CARE SERVICES INCLUDING: CERTIFIED NURSING ASSISTANTS, PHYSICAL THERAPY, CHEMO CERTIFIED NURSING, IV ANTIBIOTICS, FOLEY CATHETER AND COLOSTOMY CARE, TUBE FEEDING, TOTAL PARENTERAL NUTRITION, AND SKILLED NURSING SERVICES. - CONTINUE TO GROW THE SWING-BED PROGRAM WHICH OFFERS SKILLED NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, IV ANTIBIOTICS, AND WOUND CARE TO PATIENTS RECENTLY DISCHARGED FROM A HOSPITAL, BUT NEEDING CONTINUING CARE FROM CHRONIC CONDITIONS. THE ARKANSAS RURAL HEALTH PATNERSHIP (ARHP) WILL ASSIST WITH MARKETING THE PROGRAM TO LARGER HOSPITAL FACILITIES. - DEVELOP AN AGGRESSIVE PUBLIC INFORMATION PROGRAM DESIGNED TO EDUCATE PATIENTS AND THE COMMUNITY OF THE SERVICES AVAILABLE AT DMH AND DELTA HEALTH SERVICES. THE PROGRAM WILL INCLUDE NEWSPAPER ADVERTISING, BILLBOARDS, HANDOUTS TO PATIENTS, FACEBOOK, AND COMMUNITY EVENTS AND HEALTH FAIRS. OBJECTIVE 2: CONTINUE TO PROVIDE PATIENT NAVIGATION TO CHRONIC DISEASE SERVICES, RESOURCES, AND PROGRAMS - PROVIDE COMMUNTIY BENEFITS COUSNELING TO PATIENTS AND THE COMMUNITY THROUGH A PARTNERSHIP WITH THE ARHP TO PROVIDE ASSISTANCE WITH INSURANCE ENROLLMENT, MEDICARE, MEDICAID, PRESCRIPTION ASSISTANCE, AND OTHER ASSISTANCE PROGRAMS AS AVAILABLE. - MAINTAIN A MEDICAL SOCIAL WORKER TO BE AVAILABLE TO INPATIENT AND OUTPATIENTS TO PROVIDE NECESSARY ASSISTANCE. - PARTNER WITH THE ARHP TO DISTRIBUTE THE ARHP HEALTH RESOURCE DIRECTORY. 2. MENTAL HEALTH &amp; BEHAVIORAL HEALTH OBJECTIVE 1: INCREASE EFFORTS FOR MENTAL AND BEHAVIORAL HEALTH NAVIGATION, PROGRAMS, AND TRAINING OPPORTUNITIES - MAINTAIN PART-TIME PSYCHIATRIST TO PROVIDE MENTAL AND BEHAVIROAL HEALTH SERVICES. - EXPLORE THE POSSIBILITY OF ESTABLISHING INPATIENT AND OUTPATIENT TREATMENT PROGRAMS FOR OPIOID AND ALCOHOL ADDICTD PATIENTS. - PARTNER WITH THE ARHP TO DISTRIBUTE THE ARHP HEALTH RESOURCE DIRECTORY. - CONTINUE TO PARTNER WITH ARHP TO PROVIDE OUTREACH AND PROGRAMS TO REDUCE THE STIGMA OF MENTAL AND BEHAVIORAL HEALTH ISSUES IN THE SERVICE AREA. OBJECTIVE 2: CONTINUE TO COLLABORATE AND BUILD PARTNERSHIPS TO INCREASE MENTAL AND BEHAVIORAL HEALTH SERVICES AND PROGRAMS IN THE SERVICE AREA - MAINTAIN THE PSYCHIATRICT AND MEDICAL SOCIAL WORKER TO INCREASE AND IPROVE MENTAL AND BEHAVIORAL HEALTH SERVICES. - GROW PARTNERSHSIP WITH DELTA COUNSELING SERVICES TO ASSIT WITH EMBEERGENCY PSYCHIATRIC SERVICES. - GROW THE PAIN MANAGEMENT PROGRAM TO HELP PATIENTS ALLEVIATE PAING WITHOUT BECOMING ADDICTED TO OPIOID AND OTHER ADDICTIVE DRUGS. - DEVELOP A KETAMINE INFUSION PROGRAM TO ASSIT PATIENTS WITH CHRONIC PAIN AND EMOTIONAL ISSUES. - CONTINUE TO PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S MENTAL/BEHAVIORAL HEALTH TASK FORCE. - PROVIDE MENTAL HEALTH FIRST AID TRAINING TO LOCAL SCHOOLS, COLLEGES, AND COMMUNITY ORGANIZATIONS THROUGH PARTNERSHIP WITH ARHP. 3. TRANSPORTATION OBJECTIVE 1. IMPROVE/INCREASE TRANSPORTATION OPPORTUNITIES FOR PATIENTS IN THE SERVICE AREA - EXPLORE GROWING THE PARTNERSHIP WITH LOCAL EMS TO AID IN PATIENT TRANSPORTATION - INVESTIGATE THE POSSIBILITY OF DEVELOPING A PUBLIC TRANPORATION SERVICE TO ASSIST PATIENTS WITH TRANSPORTATION TO AND FROM HEALTH CARE PROVIDERS WITHING DUMAS AND THE SURROUNDING AREAS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 16A, 16B, &amp; 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>www.deltamem.org/getpage.php?name=financial_assistance&amp;sub=Applicat ion+and+Policy</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>DELTA HEALTH SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>803 HIGHWAY 65 SOUTH</AddressLine1Txt>
            <CityNm>DUMAS</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>71639</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 3C</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS GENERALLY BILLED (AGB) IS DEFINED AS THE AMOUNTS THAT ARE GENERALLY BILLED FOR CARE TO INDIVIDUALS WHO HAVE THIRD PARTY COVERAGE. DELTA MEMORIAL HOSPITAL DETERMINES AGB BY UTILIZING THE "LOOK-BACK" METHOD. THE AGB PERCENTAGE IS CALCULATED BY USING CLAIMS ALLOWED BY MEDICARE, MEDICAID AND PRIVATE HEALTH INSURERS DURING THE MOST RECENT FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER THE ADOPTION OF REVENUE RECOGNITION STANDARD ASU 2014-09 ALL OF THE ORGANIZATION'S BAD DEBT EXPENSE REPORTED ON SCHEDULE H, PART III, LINE 2 IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS ADOPTED REVENUE RECOGNITION STANDARD ASU 2014-09. THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO COLLECT ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND AS SUCH ARE RECORDED AS A DEDUCTION FROM GROSS PATIENT REVENUE. THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SHCEDULE H, PART III, SECTION A, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER THE ADOPTION OF REVENUE RECOGNITION STANDARD ASU 2014-09 ALL OF THE ORGANIZATION'S BAD DEBT EXPENSE REPORTED ON SCHEDULE H, PART III, LINE 2 IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE COST TO CHARGE RATIO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>IF DURING THE COURSE OF COLLECTIONS FOLLOW-UP, A PATIENT OR GUARANTOR REQUESTS FINANCIAL ASSISTANCE OR INDICATES THAT THEY ARE UNINSURED AND CANNOT PAY FOR THEIR CARE, THEY WILL BE REFERRED TO DMH'S FINANCIAL ASSISTANCE TEAM TO BE SCREENED FOR POTIENTIAL FINANCIAL ASSISTANCE ELIGIBILITY. IF IT IS DETERMINED A PATIENT MAY BE ELIGIBLE FOR ASSISTANCE, COLLECTION ACTIVITIY WILL CONTINUE UNTIL THE PATIENT RETURNS THE APPROPRIATE APPLICATION. ONCE THE APPLICATION IS RECEIVED, REGARDLESS OF COMPLETENESS, ALL FURTHER COLLECTION ACTIVITY WILL BE STOPPED PENDING A DECISION FROM THE FINANCIAL ASSISTANCE TEAM ON ASSISTANCE ELIGIBILITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ADDITION TO THE CHNA, DELTA MEMORIAL HOSPITAL USES A VARIETY OF OTHER SOURCES TO COLLECT DATA, ANALYZE IT, AND PRIORITIZE FUTURE ACTION ITEMS. THESE INCLUDE: - HAVING AN ACTIVE BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS WHO GIVE INPUT. - PARTICIPATING INTHE LOCAL CHAMBER OF COMMERCE AND GETTING FEEDBACK. - INPUT FROM PHYSICIANS ON NEEDS OF THEIR PATIENTS AND ON THEIR REFERRAL PATTERNS FOR SERVICES NOT PROCIDED LOCALLY. - INPUT ON SOCIAL MEDIA. - DIRECT INPUT FROM INDIVIDUAL PATIENTS AND EMPLOYEES, AS WELLS AS LOCAL INDUSTRY AND EMS. - PATIENT EXPERIENCE SURVEYS. - EVALUATION OF HEALTH DATA AND REPORTS, SUCH AS THE COUNTY HEALTH RANKINGS IN HEALTH OUTCOMES. - DIRECT INPUT FROM DMH AUXILIARY WHO ARE MEMBERS OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DMH STAFF SHALL ATTEMPT TO IDENTIFY THOSE PATIENTS IN NEED OF FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION. THE PATIENT'S INSURANCE INFORMAITON AND/OR PAYMENT ARRANGEMENTS SHALL BE DISCUSSED BEFORE SERVICES ARE RENDERED, EXCEPT IN THE CASE OF EMERGENCY SERVICES IN ACCORDANCE WITH EMTALA REGULATIONS. PATIENTS REQUIRING EMERGENT OR URGENT MEDICAL CARE AND PREGNANT WOMEN IN ACTIVE LABOR SHALL BE TREATED WITHOUT REGARD TO THEIR ABILITY TO PAY IN ACCORDANCE WITH EMTALA REGUATIONS. DMH WILL PROVIDE A COPY OF THE PLAIN LANGUAGE SUMMARY DOCUMENT OF THE FINANCIAL ASSISTANCE POLICY TO ALL UNINSURED PATIENTS AT THE TIME OF REGISTRATION. THE PATIENT WILL BE REQUIRED TO SIGN THE DOCUMENT TO BE SCANNED INTO DMH'S DOCUMENT IMAGING SYSTEM FOR EACH ENCOUNTER. THIS WILL DOCUMENT THAT THE PATIENT WAS MADE AWARE OF THE FINANCIAL ASSITANCE POLICY. PATIENTS IDENTIFIED AS NEEDING FINANCIAL ASSISTANCE SHALL BE ENCOURAGED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DELTA MEMORIAL HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES THE COMMUNITIES OF DESHA COUNTY THAT ARE LOCATED NEAR DUMAS. DUMAS RESIDENTS MAKE UP THE MAJORITY OF BOTH INPATIENT AND EMERGENCY ROOM PATIENTS. THOSE REMAINING, FOR THE MOST PART, RESIDENTS OF LINCOLN, ARKANSAS, AND DREW COUNTIES ARE CONSIDERED THE SECONDARY SERVICE AREA. DESHA COUNTY IS LOCATED IN THE SOUTHEAST CORNER OF THE STATE OF ARKANSAS ON THE BORDER OF MISSISSIPPI AND THE MISSISSIPPI RIVER. ACCORDING TO THE 2020 CENSUS DESHA HAS A POPULATION OF 11,395 RESIDENTS COMPARED TO THE 2017 CENSUS WHICH WAS 13,008 RESIDENTS - A LOSS OF 1,613 IN POPULATION OVER THE COURSE OF THREE YEARS. ACCORDING TO THE ROBERT WOOD JOHNSON FOUNDATION COUNTY HEALTH RANKINGS AND ROADMAP STUDY, DESHA RANKS IN OVERALL HEALTH OUTCOMES AT #72 IN OVERALL HEALTH FACTORS OUT OF 75 COUNTIES IN ARKANSAS. DESHA COUNTY IS CONSIDERED ONE OF THE UNHEALTHIEST COUNTIES IN THE STATE OF ARKANSAS, RANKING #69 WITHIN THE 75 COUNTIES. THE OVERALL DEMOGRAPHICS OF DESHA COUNTY ARE 42.5% WHITE, 47.4% AFRICAN AMERICAN, AND 6.8% HISPANIC OR LATINO ORIGIN. MEDIAN HOUSEHOLD INCOME FOR THE COUNTY IS $31,893, COMPARED TO $48,952 FOR THE STATE OF ARKANSAS. 29.1% OF PEOPLE ARE LIVING BELOW THE FEDERAL POVERTY LINE, COMPARED TO 16.2% STATEWIDE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>DELTA MEMORIAL HOSPITAL IS AN ACTIVE MEMBER OF THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP), WHICH IS COMPRISED OF 14 INDEPENDENTLY OWNED RURAL HOSPITALS, 2 MEDICAL TEACHING INSTITUTIONS, AND 2 FQHC'S. THE ARHP IS COMMITTED TO WORKING TOGETHER THROUGHOUT THE 21 SOUTH ARKANSAS COUNTIES TO: IMPROVE THE DELIVERY OF HEALTHCARE SERVICES, INCREASE ACCESS TO HEALTH CARE SERVICES AND PROGRAMS, PROVIDE HEALTHCARE PROVIDER EDUCATION OPPORTUNITIES, INCREASE THE UTILIZATION OF TELEHEALTH AND TELEMEDICINE TECHNOLOGY, PROMOTE HEALTH LIFESTYLES, ASSIST COMMUNITY MEMBERS WITH PATIENT ASSISTANCE PROGRAMS, AND REDUCE SERVICE AND OPERATION COSTS FOR HOSPITAL MEMBERS THROUGH COLLABORATIVE NEGOTIATION AND PURCHASING. ARHP CURRENTLY PROVIDES THE FOLLOWING OUTREACH AND EDUCATION PROGRAMS TO ITS MEMBERS, PATIENTS, AND COMMUNITIES: OPIOID USE DISORDER EDUCATION AND NAVIGATION, FREE BREAST SCREENING AND DIAGNOSTIC SERVICES, INSURANCE AND MEDICARE ASSISTANCE AND ENROLLMENT, DIABETES EMPOWERMENT EDUCATION PROGRAM, EMERGENCY DEPARTMENT MENTAL HEALTH ASSESSMENTS, PRESCRIPTION ASSISTANCE SERVICES, COOKING MATTERS CLASSES, DIABETES PREVENTION PROGRAM, AND PATIENT NAVIGATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANKLIN CHAMBERS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>986833</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>992154</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RALPH MAXWELL</PersonNm>
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        <BaseCompensationFilingOrgAmt>672012</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH FRANKLIN</PersonNm>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2900</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5508</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>527609</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEREK WHITE</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>222579</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>2340</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5536</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>230455</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRISHA BLAIR</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>153924</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
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        <PersonNm>DAVID CHAMBERS</PersonNm>
        <RelationshipWithOrgTxt>TOP 5 HIGHEST PAID</RelationshipWithOrgTxt>
        <LoanPurposeTxt>SALE OF CLINIC</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>77000</OriginalPrincipalAmt>
        <BalanceDueAmt>27000</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>GRAYCORP LLC</PersonNm>
        <RelationshipWithOrgTxt>MORE THAN 35% OWNED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>ER CONTRACTED LABOR</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>759331</OriginalPrincipalAmt>
        <BalanceDueAmt>197219</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>224219</TotalBalanceDueAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE L, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>ON SEPTEMBER 27, 2019, THE HOSPITAL FORMALIZED A VERBAL AGREEMENT WITH THE LENDER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMITTEES ACTING ON BEHALF OF THE GOVERNING BODY REPORT TO THE GOVERNING BODY AT MONTHLY BOARD MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS EMAILED TO ALL BOARD MEMBERS FOR REVIEW BEFORE FILING. THE FORM 990 IS DISCUSSED AND APPROVED DURING THE NEXT BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BYLAWS REQUIRE BOARD MEMBERS TO ABSTAIN FROM CONFLICTS OF INTEREST. BOARD MEMBERS ARE REQUIRED TO ANNUALLY SUBMIT A WRITTEN STATEMENT AND ANSWER A QUESTIONNAIRE. THE COMPLIANCE OFFICER INVESTIGATES ANY POTENTIAL CONFLICTS AND DETERMINES THE NATURE OF THE CONFLICT. A SUBCOMMITTEE REVIEWS ANY CONFLICTS AND DETERMINES THE APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. BOARD MEMBERS ARE ASKED TO ABSTAIN FROM CONFLICT OF INTERESTS OR ABSTAIN FROM VOTING IF A CONFLICT EXISTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWED THE CEO'S COMPENSATION IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION 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>DESCRIPTION:PURCHASED SERVICES TOTAL FEES:3636610</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT LABOR TOTAL FEES:715036</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:BILLING &amp; COLLECTION SERVICES TOTAL FEES:134858</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
