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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>M FLOWERS - SEE SCH O</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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        <TitleTxt>PHYSICIAN</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
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        <TitleTxt>PHYSICIAN</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>P TOBBIA - SEE SCH O</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>152</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>FIRST IN SERVICE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPITALIST</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MEDEFIS CONSOLIDATED</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>100875068</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ECLINICAL WORKS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>TWO TECHNOLOGY DRIVE</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01581</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING SOFTWARE SER</ServicesDesc>
        <CompensationAmt>1723113</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>AR ANESTHESIA ASSOC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 24071</AddressLine1Txt>
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            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72018</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <GovernmentGrantsAmt>13926577</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>282156423</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>282156423</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2871662</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>262559</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>9977</RelatedOrExemptFuncIncomeAmt>
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      <OtherExpensesGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>81924640</EOYAmt>
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        <BOYAmt>112915252</BOYAmt>
        <EOYAmt>108560290</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>112915252</BOYAmt>
        <EOYAmt>108560290</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>242072220</BOYAmt>
        <EOYAmt>190484930</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>11746801</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-8974091</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-7127672</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </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>true</GrantsOtherOrganizationsInd>
      <GrantsOtherOrganizationsAmt>9250</GrantsOtherOrganizationsAmt>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>12059</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>21309</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE C, PART II-B, LINE 1F</FormAndLineReferenceDesc>
        <ExplanationTxt>LOBBYING ACTIVITIES INCLUDE EFFORTS FOR THE RURAL HOSPITAL COALITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>11097090</BeginningYearBalanceAmt>
        <ContributionsAmt>292105</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>198478</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>638990</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>10948683</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>10205024</BeginningYearBalanceAmt>
        <ContributionsAmt>20000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1194352</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>322286</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>11097090</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>9955642</BeginningYearBalanceAmt>
        <ContributionsAmt>78354</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>463382</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>292354</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>10205024</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>9312250</BeginningYearBalanceAmt>
        <ContributionsAmt>31526</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1113262</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>501396</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>9955642</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>10340818</BeginningYearBalanceAmt>
        <ContributionsAmt>20000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>-497536</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>551032</GrantsOrScholarshipsAmt>
        <EndYearBalanceAmt>9312250</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.02160</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.66850</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.30990</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>true</EndowmentsHeldRelatedOrgInd>
      <RelatedOrgListSchRInd>true</RelatedOrgListSchRInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>5070710</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5070710</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>88088715</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>59704973</DepreciationAmt>
        <BookValueAmt>28383742</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>151005420</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>118732412</DepreciationAmt>
        <BookValueAmt>32273008</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>4373529</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2146821</DepreciationAmt>
        <BookValueAmt>2226708</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>67954168</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>EQUITY INVESTEES</Desc>
        <BookValueAmt>1021294</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>71528</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS LIMITED TO USE</Desc>
        <BookValueAmt>67279196</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>324507</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>3417952</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET</Desc>
        <BookValueAmt>3008251</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD PARTY PAYORS</Desc>
        <BookValueAmt>1876065</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>76998793</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>292787497</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-8974091</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-8974091</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>301761588</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>3652797</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>3652797</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>305414385</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>290006065</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>290006065</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>3661519</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>3661519</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>293667584</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUNDS WERE ESTABLISHED TO PROVIDE FINANCIAL SUPPORT TO THE ORGANIZATION AND THE FURTHERANCE OF ITS MISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUE INCLUDED IN EXPENSES PER AUDIT $2,871,662 AUX INCOME 536,278 GAIN ON SALE OF ASSETS 244,857 ==================================================== TOTAL $3,652,797</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVENUE INCLUDED IN EXPENSES PER AUDIT $2,871,662 AUX INCOME 536,278 GAIN ON SALE OF ASSETS 244,857 ==================================================== TOTAL $3,661,519</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>138.</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent300Ind>X</Percent300Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>true</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>1837358</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>1837358</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00630</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>27451425</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>18953219</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>8498206</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02900</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>29288783</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>18953219</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>10335564</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.03530</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>1565392</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>642056</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>923336</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00310</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>882127</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>882127</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00300</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>11892600</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>10060966</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1831634</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00630</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>146487</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>180</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>146307</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00050</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>14486606</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>10703202</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3783404</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01290</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>43775389</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>29656421</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>14118968</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04820</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <CommunitySupportGrp>
        <TotalCommunityBenefitExpnsAmt>3256</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>3256</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CommunitySupportGrp>
      <WorkforceDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>954022</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>954022</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00330</TotalExpensePct>
      </WorkforceDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>957278</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>957278</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00330</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>8532054</BadDebtExpenseAmt>
      <ReimbursedByMedicareAmt>83934461</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>76314860</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>7619601</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>BAXTER REGIONAL PHO</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>HEALTHCARE ADMIN SERVICES</PrimaryActivitiesTxt>
        <OrgProfitOrOwnershipPct>0.5</OrgProfitOrOwnershipPct>
        <PhysiciansProfitOrOwnershipPct>0.5</PhysiciansProfitOrOwnershipPct>
      </ManagementCoAndJntVenturesGrp>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>BAXTER COUNTY REGIONAL HOSPITAL INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>624 HOSPITAL DR</AddressLine1Txt>
          <CityNm>MOUNTAIN HOME</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>726532954</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BAXTERHEALTH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>AR3827</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>BAXTER COUNTY REGIONAL HOSPITAL INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</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>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>138.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <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>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>BAXTER COUNTY REGIONAL HOSPITAL ENGAGED FORVIS, LLP TO CONDUCT A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT. SPEAKING WITH KEY INTERVIEWEES (COMMUNITY STAKEHOLDERS THAT REPRESENT THE BROAD INTEREST OF THE COMMUNITY WITH KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH OR THOSE REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED OR MINORITY POPULATIONS WITH COMMUNITY) IS A TECHNIQUE EMPLOYED TO ASSESS PUBLIC PERCEPTIONS OF THE COUNTY'S HEALTH STATUS AND UNMET NEEDS. THESE INTERVIEWS ARE INTENDED TO ASCERTAIN OPINIONS AMONG INDIVIDUALS LIKELY TO BE KNOWLEDGEABLE ABOUT THE COMMUNITY AND INFLUENTIAL OVER THE OPINIONS OF OTHERS ABOUT HEALTH CONCERNS IN THE COMMUNITY. KEY INTERVIEWEES INCLUDED THE COUNTY HEALTH DEPARTMENT DIRECTORS FROM EACH COUNTY IN THE MEDICAL CENTER'S COMMUNITY, AS WELL AS INDIVIDUALS WHO ARE KNOWLEDGEABLE ABOUT POPULATIONS WITHIN THE COMMUNITY WHOSE HEALTH AND QUALITY OF LIFE MAY NOT GOOD AS OTHERS, SUCH AS REPRESENTATIVES OF ORGANIZATIONS SERVING THE MEDICALLY INDIGENT, CHILDREN IN POVERTY OR THE ELDERLY. DIALOGUES WITH 11 KEY INTERVIEWEES WERE CONDUCTED IN SUMMER OF 2022. INTERVIEWEES WERE DETERMINED BASED ON THEIR SPECIALIZED KNOWLEDGE OR EXPERTISE IN PUBLIC HEA OR THEIR INVOLVEMENT WITH UNDERSERVED AND MINORITY POPULATIONS. ALL INTERVIEWS WERE CONDUCTED BY BAXTER HEALTH PERSONNEL USING A STANDARD QUESTIONNAIRE. A COPY OF THE INTERVIEW INSTRUMENT IS INCLUDED IN THE APPENDIX. A SUMMARY OF THEIR OPINIONS IS REPORTED WITHOUT JUDGING THE TRUTHFULNESS OR ACCURACY OF THEIR REMARKS. COMMUNITY LEADERS PROVIDED COMMENTS ON THE FOLLOWING ISSUES: - HEALTH AND QUALITY OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - BARRIERS TO IMPROVING HEALTH AND QUAL OF LIFE FOR RESIDENTS OF THE PRIMARY COMMUNITY - OPINIONS REGARDING THE IMPORTANT HEALTH ISSUES THAT AFFECT COMMUNITY RESIDENTS AND THE TYPES OF SERVICES THAT ARE IMPORTANT FOR ADDRESSING THESE ISSUES - DELINEATION OF THE MOST IMPORTANT HEALTH CARE ISSUES OR SERVICES DISCUSSED ACTIONS NECESSARY FOR ADDRESSING THOSE ISSUES INTERVIEW DATA WAS INITIALLY RECORDED IN NARRATIVE FORM. INTERVIEWEES WERE ASSURED THAT PERSONAL IDENTIFIERS SUCH AS NAME OR ORGANIZATIONAL AFFILIATIONS WOULD NOT BE CONNECTED IN ANY WAY TO THE INFORMATION PRESENTED THIS REPORT. THIS TECHNIQUE DOES NOT PROVIDE A QUANTITATIVE ANALYSIS OF THE LEADERS' OPINIONS, BUT REVEALS COMMUNITY INPUT FOR SOME OF THE FACTORS AFFECTING THE VIEWS AND SENTIMENTS ABOUT OVERALL HEALTH AND QUALITY OF LIF WITHIN THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A &amp; 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>https://www.baxterhealth.org/about-us/community-health-needs-assessment/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>BASED ON A REVIEW OF THE DATA GATHERED DURING THIS ASSESSMENT, INCLUDING LEADING CAUSES OF DEATH, RANKINGS OF HEALTH OUTCOMES, AND FACTORS AS WELL AS SURVEYS AND INTERVIEWS, NUMEROUS HEALTH NEEDS WERE IDENTIFIED. THESE NEEDS WERE PRIORITIZED AND EVALUATED TO DETERMINE WHICH WERE SIGNIFICANT TO THE COMMUNITY. THE CRITERIA INCLUDED THE NUMBERS OF PERSONS AFFECTED, THE SERIOUSNESS OF THE ISSUE, WHETHER THE HEALTH NEED PARTICULARLY AFFECTED PERSONS LIVING IN POVERTY OR MEMBERS OF AN UNDERSERVED POPULATION, AND AVAILABILITY OF COMMUNITY RESOURCES TO ADDRESS THE NEED. AS A RESULT, THE FOLLOWING LIST OF SIGNIFICANT NEEDS WAS IDENTIFIED: 1. HEALTH AND WELLNESS EDUCATION 2. SUBSTANCE ABUSE 3. MENTAL HEALTHCARE 4. ACCESS TO HEALTHCARE 1. HEALTH AND WELLNESS EDUCATION ACTION ITEM #1 - BAXTER HEALTH WILL INCREASE OPPORTUNITIES FOR STAFF TO FIND EDUCATION ON HEALTH AND WELLNESS. ANTICIPATED IMPACT - THIS WILL ALLOW BAXTER HEALTH TO HAVE A HEALTHIER WORKFORCE. ACTION ITEM #2 - BAXTER HEALTH WILL COLLABORATE WITH AREA SCHOOLS TO PROVIDE STUDENTS WITH HEALTH AND WELLNESS EDUCATION. ANTICIPATED IMPACT - THIS WILL ALLOW BAXTER HEALTH TO PROVIDE EDUCATIONAL RESOURCES FOR HEALTH AND WELLNESS TO AREA SCHOOLS AND THEIR STUDENTS, REDUCING COMPLICATIONS FROM DECREASED HEALTH LITERACY. ACTION ITEM #3 - BAXTER HEALTH WILL LOOK FOR WAYS TO EXPAND ACCESS TO THEIR ANNUAL COMMUNITY HEALTH FAIR. ANTICIPATED IMPACT - THIS WILL HELP BAXTER HEALTH DISTRIBUTE MORE EDUCATIONAL INFORMATION TO MEMBERS OF THE COMMUNITY. ACTION ITEM #4 - BAXTER HEALTH WILL CONTINUE TO PROVIDE HEALTH EDUCATION AND RESOURCES THROUGH THEIR COMMUNITY SUPPORT HOUSES; MRUK FAMILY CENTER ON AGING, PEITZ CANCER SUPPORT HOUSE AND SCHLIEMANN CENTER FOR WOMEN'S HEALTH. ANTICIPATED IMPACT - THIS WILL ALLOW BAXTER HEALTH TO PROVIDE HEALTH EDUCATION FOR TOPICS LIKE ALZHEIMER'S AND PARKINSON'S DISEASES, SAFE DRIVING, CARE-GIVING ASSISTANCE, CANCER, CHILDBIRTH AND SAFE SITTER BABYSITTING CLASSES. ACTION ITEM #5 - BAXTER HEALTH WILL RESUME EMPLOYEE WELLNESS SCREENINGS AND ITS FARMERS MARKET THAT PROVIDES AFFORDABLE PRODUCE AND FRESH FOOD FOR STAFF AND THEIR FAMILIES. ANTICIPATED IMPACT - THIS WILL GIVE BAXTER HEALTH EMPLOYEES SOME TOOLS TO LIVE HAPPIER HEALTHIER LIVES. ACTION ITEM #6 - BAXTER HEALTH WILL SCREEN PATIENTS FOR SOCIAL DRIVERS OF HEALTH DURING THEIR INPATIENT STAY. ANTICIPATED IMPACT - THIS WILL HELP BAXTER HEALTH IDENTIFY AND PROVIDE RESOURCES TO ADDRESS DISPARITIES LIKE FOOD INSECURITY, HOUSING INSTABILITY, OR TRANSPORTATION NEEDS. 2. SUBSTANCE ABUSE ACTION ITEM #1 - BAXTER HEALTH WILL CONTINUE TO SUPPORT THE COMMUNITY DRUG TASK FORCE WITH A FOCUS ON PREVENTION. ANTICIPATED IMPACT - THIS WILL HELP BAXTER HEALTH UTILIZE RESOURCES TO INCREASE EDUCATION FOR SUBSTANCE ABUSE AND PREVENTION. ACTION ITEM #2 - BAXTER HEALTH WILL COLLABORATE WITH AREA SCHOOLS FOR COMMUNITY EDUCATION ABOUT UNDERAGE SUBSTANCE ABUSE. ANTICIPATED IMPACT - THIS WILL HELP BAXTER HEALTH EDUCATE THE YOUNGER MEMBERS OF THE COMMUNITY ON THE IMPACT OF SUBSTANCE ABUSE OF THEIR HEALTH. ACTION ITEM #3 - BAXTER HEALTH WILL SUPPORT DRUG TAKE BACK PROGRAMS WITH COMMUNITY PARTNERS. ANTICIPATED IMPACT - THIS SUPPORT WILL HELP PROVIDE THE COMMUNITY WITH A SAFE PLACE TO DISPOSE OF UNUSED MEDICATION SO THAT THEY DO NOT FALL INTO THE HANDS OF SOMEONE THAT MIGHT BE TEMPTED TO USE THEM. ACTION ITEM #4 - BAXTER HEALTH WILL CONTINUE TO SUPPORT FIRST STEP ALCOHOL AND PAIN MEDICATION DETOX. ANTICIPATED IMPACT - THIS WILL HELP PROVIDE A SAFE SPACE FOR RECOVERY FROM ALCOHOL AND PAIN MEDICATION ABUSE. ACTION ITEM #5 - BAXTER HEALTH WILL CONTINUE TO PROVIDE SUPPORT FOR INTERVENTIONAL PAIN MANAGMENT'S SUBOXONE PROGRAM. ANTICIPATED IMPACT - THIS WILL CONTINUE TO HELP THE COMMUNITY BY PROVIDING A DEA SUBOXONE PROGRAM FOR PATIENTS SUFFERING FROM DRUG DEPENDENCY. 3. MENTAL HEALTHCARE ACTION ITEM #1 - BAXTER HEALTH WILL COLLABORATE WITH AREA SCHOOL DISTRICTS FOR CLASSROOM EDUCATION ABOUT MENTAL HEALTH. ANTICIPATED IMPACT - THIS WILL PROVIDE RESOURCES FOR STUDENTS IN NEED AND HELP ANSWER QUESTIONS ABOUT TEENAGE SUICIDE WHICH MIGHT HELP DIAGNOSE MENTAL ILLNESS ISSUES EARLIER IN LIFE. ACTION ITEM #2 - BAXTER HEALTH WILL CONTINUE TO EXPLORE GRANT FUNDING OPPORTUNITIES TO PROVIDE RESOURCES FOR MENTAL HEALTH. ANTICIPATED IMPACT - GRANT FUNDING WOULD GIVE BAXTER HEALTH THE ABILITY TO PROVIDE MONETARY SUPPORT TO THE COMMUNITY FOR MENTAL HEALTH AWARENESS AND EDUCATION. ACTION ITEM #3 - BAXTER HEALTH WILL CONTINUE TO SUPPORT GROWTH IN THE MENTAL HEALTHCARE SERVICE LINE FOR THE COMMUNITIES THEY SERVE. ANTICIPATED IMPACT - THIS HOPES TO EXPAND ACCESS TO TREATMENT AND HELP WITH MENTAL HEALTH. ACTION ITEM #4 - BAXTER HEALTH WILL SCREEN PATIENTS FOR SUICIDE RISK. ANTICIPATED IMPACT - THIS WILL HELP BAXTER HEALTH IDENTIFY AND PROVIDE PATIENTS WITH THE NECESSARY SUICIDE PREVENTION RESOURCES. 4. ACCESS TO HEALTHCARE ACTION ITEM #1 - BAXTER HEALTH WILL MAINTAIN AN IN-HOUSE PHYSICIAN RECRUITER ON STAFF AND SUPPORT GROWTH IN THE NUMBER OF PROVIDERS IN THE COMMUNITIES WE SERVE. ANTICIPATED IMPACT - THIS WILL CONTINUE TO PROVIDE MORE OPTIONS FOR HIRING AND INCREASE THE POOL OF PROVIDERS, DECREASING THE DEFICIT. ACTION ITEM #2 - BAXTER HEALTH WILL CONTINUE TO PROVIDE MEDICAL SCHOLARSHIPS. ANTICIPATED IMPACT - THIS WILL ENCOURAGE RECIPIENTS OF SCHOLARSHIPS TO SEEK EMPLOYMENT AT BAXTER HEALTH. ACTION ITEM #3 - BAXTER HEALTH WILL CONTINUE TO SUPPORT THE INCLUSION OF MID-LEVEL PROVIDERS IN CLINICS. ANTICIPATED IMPACT - THIS WILL IMPROVE THE DEFICIT OF PRIMARY AND SPECIALTY CARE PROVIDERS IN OUR SERVICE AREA. ACTION ITEM #4 - BAXTER HEALTH WILL IMPROVE PATIENT ACCESS THROUGH POPULATION HEALTH ACTIVITIES INCLUDING CARE MANAGEMENT, REMOTE PATIENT MONITORING, AND WELLNESS VISITS. ANTICIPATED IMPACT - THIS WILL IMPROVE COMMUNICATION AND QUALITY OF CARE FOR PATIENTS. ACTION ITEM #5 - BAXTER HEALTH WILL PURSUE RE-DESIGNATION OF THE ANCC MAGNET RECOGNITION PROGRAM. ANTICIPATED IMPACT - THIS WILL BENEFIT THE COMMUNITY BY ENHANCING THE CARE AND QUALITY OF SERVICES. ACTION ITEM #6 - BAXTER HEALTH WILL INSTALL A SAFE HAVEN BABY BOX ON THE BAXTER HEALTH CAMPUS. ANTICIPATED IMPACT - THE BABY BOX IS A SAFETY DEVICE PROVIDED FOR UNDER STATE'S SAFE HAVEN LAW AND LEGALLY PERMITS A MOTHER IN CRISIS TO SAFELY, SECURELY, AND ANONYMOUSLY SURRENDER IF THEY ARE UNABLE TO CARE FOR THEIR NEWBORN. ACTION ITEM #7 - BAXTER HEALTH WILL CREATE A HEALTH EQUITY STEERING COMMITTEE TO HELP CLOSE GAPS IN COVERAGE, ACCESS, AND QUALITY OF CARE. ANTICIPATED IMPACT - THIS WILL HELP BAXTER HEALTH DEVELOP AND IMPLEMENT A HEALTH EQUITY PLAN TO HELP REDUCE DISPARITIES AMONG VULNERABLE POPULATIONS. ACTION ITEM #8 - BAXTER HEALTH WILL SCREEN UNINSURED INPATIENTS AND EMERGENCY ROOM PATIENTS FOR OPPORTUNITIES TO ASSIST WITH FINDING COVERAGE. ANTICIPATED IMPACT - THIS WILL BENEFIT THE PATIENT BY PROVIDING EASIER ACCESS TO HEALTHCARE AND PROVIDERS FOR SERVICE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, LINE 13H</FormAndLineReferenceDesc>
        <ExplanationTxt>BAXTER HEALTH WILL TAKE INTO ACCOUNT PROOF OF ANY OUT-OF-POCKET MEDICAL EXPENSES IN THE PAST 12 MONTHS. IF A PATIENT (1) STATES THAT HE OR SHE IS HOMELESS AT THE TIME CARE IS NEEDED OR (2) IS PHYSICALLY OR MENTALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS OR HER BEHALF, AND IF BAXTER HEALTH DOES NOT FIND ANY EVIDENCE TO THE CONTRARY THROUGH ITS OWN DILIGENCE, THAT PATIENT WILL BE CONSIDERED A QUALIFIED FINANCIAL ASSISTANCE RECIPIENT AND WILL NOT BE REQUIRED TO COMPLETE THE APPLICATION FOR SUCH FINANCIAL ASSISTANCE. PATIENTS WITH THOSE CIRCUMSTANCES WILL BE ELIGIBLE FOR CARE WITHOUT COST TO THE PATIENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, LINE 16A, 16B, &amp; 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>www.baxterhealth.org/patient-visitors/patients/patient-financial-services/ financial-assistance/</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>30</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC CARDIAC DIAGNOSTIC TESTING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>555 WEST 6TH</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>DIAGNOSTIC TESTING CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAXTER REGIONAL CARDIOVASCULAR CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>555 WEST 6TH STREET</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOVASCULAR CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC HOME HEALTH AGENCY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>30 RYAN ROAD</AddressLine1Txt>
            <CityNm>COTTER</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72626</ZIPCd>
          </USAddress>
          <FacilityTxt>HOME HEALTH AGENCY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC UROLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>505 HOSPITAL DRIVE</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC MEDICAL SPECIALIST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>628 HOSPITAL DRIVE SUITE A</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC &amp; ONCOLOGY INFUSION CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC PULMOLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>628 HOSPITAL DRIVE SUITE 3A</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC NEPHROLOGY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>230 HWY 5 N SUITE 20</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC BONE AND JOINT CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>639 BROADMOOR CIRCLE</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC HEART AND VASCULAR CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>628 HOSPITAL DRIVE SUITE 1A</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC GASTROENTEROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>222 BUCHER DRIVE</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAXTER REG COMPREHENSIVE WOMEN'S CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>628 HOSPITAL DRIVE SUITE E</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>AHRENS CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>414 WEST OLD MAIN STREET</AddressLine1Txt>
            <CityNm>YELLVILLE</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72687</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>FAIRLAMB SENIOR HEALTH CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>614 BROADMOOR DRIVE</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>INTERVENTIONAL PAIN MANAGEMENT-HARRISON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>825 NORTH MAIN STREET SUITE 6</AddressLine1Txt>
            <CityNm>HARRISON</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72601</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC FAMILY CLINIC ON MARKET</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>675 HIGHWAY 62 EAST</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC NEUROSURGERY AND SPINE CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>310 BUTTERCUP DRIVE SUITE A</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAXTER REG PT CLINIC AT MTN VIEW</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>103 MOUNTAIN PLACE DRIVE</AddressLine1Txt>
            <CityNm>MOUNTAIN VIEW</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72560</ZIPCd>
          </USAddress>
          <FacilityTxt>OP PHYSICIAL THERAPY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAXTER REG PT CLINIC AT YELLVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>414 WEST OLD MAIN</AddressLine1Txt>
            <CityNm>YELLVILLE</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72687</ZIPCd>
          </USAddress>
          <FacilityTxt>OP PHYSICIAL THERAPY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAXTER REG BEHAVIORAL HEALTH CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>230 HWY 5 N SUITE 20</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC MED PEDS CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>10 MEDICAL PLAZA</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC FAMILY CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>899 BURNETT DRIVE</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC INTERNAL MED AND INFECTIOUS DISEASE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>628 HOSPITAL DRIVE SUITE 3E</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAXTER REG PT CLINIC AT HARDY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4196 HWY 62/412 SUITE B</AddressLine1Txt>
            <CityNm>HARDY</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72542</ZIPCd>
          </USAddress>
          <FacilityTxt>OP PHYSICIAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAXTER REG PT CLINIC AT MELBOURNE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1019 E MAIN STREET</AddressLine1Txt>
            <CityNm>MELBOURNE</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72556</ZIPCd>
          </USAddress>
          <FacilityTxt>OP PHYSICAL THERAPY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRMC OUTPATIENT SURGERY CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>761 BEARD DRIVE</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT SURGERY CENTER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAXTER REG CROSSROADS MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1420 HWY 62/65 SUITE 1</AddressLine1Txt>
            <CityNm>PHARRISON</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72601</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAXTER REG CARDIOLOGY CLINIC AT HARRISON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1420 HWY 62/65 SUITE 2</AddressLine1Txt>
            <CityNm>HARRISON</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72601</ZIPCd>
          </USAddress>
          <FacilityTxt>PHYSICIAN CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BAXTER REGIONAL FAMILY HEALTH CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>350 MAIN STREET SUITE 4</AddressLine1Txt>
            <CityNm>MAMMOTH SPRING</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72554</ZIPCd>
          </USAddress>
          <FacilityTxt>RURAL HEALTH CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>INTERVENTIONAL PAIN MANAGEMENT- MTN HOME</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>17 MEDICAL PLAZA</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>PAIN MANAGEMENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>REPPELL DIABETES CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>622 BROADMOOR DR</AddressLine1Txt>
            <CityNm>MOUNTAIN HOME</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72653</ZIPCd>
          </USAddress>
          <FacilityTxt>DIABETES CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHARITY CARE AMOUNTS WERE DERIVED FROM THE COST TO CHARGE RATIO. THE MEDICAID AMOUNT WAS FROM AN INTERNAL COST ACCOUNTING SYSTEM, ADJUSTED FOR MEDICAID AND ASSESSMENTS IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART II, LINES 1 - 10</FormAndLineReferenceDesc>
        <ExplanationTxt>RECRUITING PHYSICIANS, BOTH SPECIALIZED AND FAMILY PRACTICE, TO OUR RURAL AREA IS CHALLENGING BUT NECESSARY SO THAT OUR HOSPITAL CAN BRING ALL THE NEEDED SERVICES TO THE COMMUNITIES WE SERVE. THE HOSPITAL SERVES A LOCAL AND STATE-WIDE ROLE FOR DISASTER PREPAREDNESS. THE HOSPITAL BRINGS INTO THE COMMUNITY EDUCATION OPPORTUNITIES FOR LEADERSHIP DEVELOPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, 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 TRACTS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BAXTER HEALTH DOES NOT HAVE A METHODOLOGY TO ESTIMATE THE AMOUNT OF THOSE NOT QUALIFYING FOR FAP AND HAVE NOT INCLUDED ANY AMOUNTS AS COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEDICARE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN BAD DEBT ACCOUNTS ARE REFERRED TO A COLLECTION AGENCY, THE AGENCY CAN PROVIDE DEBTORS WITH A BAXTER HEALTH FINANCIAL ASSISTANCE APPLICATION FOR COMPLETION IF THE FOLLOWING CRITERIA APPLY: 1) THE PATIENT/DEBTOR HAS NOT ALREADY OBTAINED ASSISTANCE THROUGH THE HOSPITAL. 2) THE PATIENT/DEBTOR INDICATES A FINANCIAL NEED WITHIN 30 DAYS OF THE ACCOUNT BEING REFERRED TO THE COLLECTION AGENCY. IF THE PATIENT/DEBTOR DOES NOT COMMUNICATE WITH THE HOSPITAL OR COLLECTION AGENCY PRIOR TO THE END OF THE 30-DAY WINDOW, COLLECTION ACTIONS WILL PROCEED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SERVICE NEEDS ASSESSMENTS ARE DEVELOPED FROM COMMUNITY INPUT, INDIVIDUAL FUNDING, COMMUNITY SURVEYS, TALKING WITH COMMUNITY LEADERS AS WELL AS RESEARCH OF STATE AND NATIONAL TRENDS. PHYSICIAN NEEDS ASSESSMENTS ARE OBTAINED THROUGH ANALYSIS PROVIDED BY AN OUTSIDE COMPANY A LEAST BI-ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS ARE GIVEN HANDOUTS REGARDING FINANCIAL ASSISTANCE AT ALL REGISTRATION AREAS UPON ADMISSION. ALL SELF PAY PATIENTS ARE SCREENED FOR MEDICAID ELIGIBILITY, CHARITY OR OTHER FINANCIAL ASSISTANCE RECOMMENDATIONS DURING THEIR STAY AND HAVE THE OPPORTUNITY TO TALK WITH FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE AND CONTACT INFORMATION IS AVAILABLE ON ALL HOSPITAL STATEMENT MAILINGS AND ON THE HOSPITAL'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>BAXTER HEALTH IS LOCATED IN MOUNTAIN HOME, ARKANSAS, IN BAXTER COUNTY. MOUNTAIN HOME IS APPROXIMATELY TWO AND A HALF HOURS EAST OF FAYETTEVILLE, ARKANSAS, AND TWO HOURS SOUTH OF SPRINGFIELD, MISSOURI, THE CLOSEST METROPOLITAN AREAS. IN PREPARING THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, MANAGEMENT DETERMINED THAT BAXTER HEALTH'S COMMUNITY WAS BEST DEFINED AS BAXTER AND MARION COUNTIES, BOTH LOCATED IN NORTHERN ARKANSAS. THE COMMUNITY SERVED BY BAXTER HEALTH IS A RURAL AREA IN NORTH CENTRAL ARKANSAS. ACCORDING TO THE MOST RECENT U.S. CENSUS BUREAU ESTIMATES, ABOUT 58,000 PEOPLE LIVE IN THE TWO COUNTIES INCLUDED IN THE COMMUNITY. BAXTER HEALTH IS LOCATED IN MOUNTAIN HOME, ARKANSAS, WHICH IS THE LARGEST TOWN IN THE COMMUNITY WITH A POPULATION OF AROUND 16,000 PEOPLE. A MAJOR DISTINGUISHING FEATURE OF BAXTER HEALTH'S COMMUNITY IS THE AGE BREAKDOWN OF THIS POPULATION. ACCORDING TO THE U.S. CENSUS BUREAU, ABOUT 58% OF THE COMMUNITY'S POPULATION IS OVER AGE 45, AS COMPARED TO 42% IN ARKANSAS AND IN THE UNITED STATES AS A WHOLE. THIS AGE GROUP TENDS TO USE MORE HEALTH SERVICES THAN ANY OTHER, CONSEQUENTLY, BAXTER HEALTH COULD EXPERIENCE AN INCREASE IN PATIENT VOLUME IN THE FUTURE. THE AVERAGE MEDIAN HOUSEHOLD INCOME IN BAXTER HEALTH'S COMMUNITY IS $40,965, COMPARED TO $49,475 FOR THE STATE OF ARKANSAS AND $64,994 FOR THE UNITED STATES. LOWER THAN AVERAGE MEDIAN HOUSEHOLD INCOME SUGGESTS THAT MANY MEMBERS OF THE COMMUNITY MAY HAVE DIFFICULTY OBTAINING HEALTHCARE, ESPECIALLY PREVENTIVE CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>BAXTER HEALTH WORKS TO RECRUIT PHYSICIANS INTO OUR RURAL AREA TO PROVIDE SPECIALTY AND FAMILY PRACTICE MEDICAL CARE. BAXTER HEALTH ASSISTS IN PROVIDING COMMUNITY MEMBERS LEADERSHIP TRAINING CLASSES. BAXTER ALSO WORKS WITH AREA OFFICIALS FOR DISASTER PREPAREDNESS AND TRAINING. BAXTER HEALTH PROVIDES HEALTH FAIRS, SCREENING AND EDUCATION EVENTS FOR THE COMMUNITY AND SURROUNDING AREAS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BAXTER HEALTH'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. BAXTER HEALTH STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. THE HOSPITAL PROVIDES A VARIETY OF INPATIENT SERVICES INCLUDING SPECIALTY SERVICES SUCH AS CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, PLASTIC SURGERY, ORTHOPEDICS, OBSTETRICS, GERI-PSY UNIT, ADULT BEHAVIORAL HEALTH, AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY, AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND BREAST IMAGING CENTER. THE MISSION OF HOSPICE OF THE OZARKS IS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN THE LAST PHASES OF AN INCURABLE ILLNESS AND THEIR FAMILY MEMBERS BY PROVIDING A HIGH LEVEL OF COMPREHENSIVE CARE. BAXTER HEALTH FOUNDATION RAISES MONEY TO KEEP THE COMMUNITY HEALTHY. THE FUNDRAISING EFFORTS OF THE FOUNDATION PROVIDE FINANCIAL SUPPORT FOR BAXTER HEALTH. BAXTER REGIONAL HEALTH SYSTEM OPERATES FOR THE BENEFIT OF, PERFORM FUNCTIONS OF AND/OR CARRY OUT THE PURPOSE OF BAXTER HEALTH AND OTHER HEALTH CARE ORGANIZATIONS LOCATED IN THE STATE OF ARKANSAS WHICH ARE HOSPITAL. BAXTER HEALTH'S VISION IS TO BE THE REGIONAL MEDICAL CENTER OF EXCELLENCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTH CENTRAL ARKANSAS CHAMBER FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1244</AddressLine1Txt>
          <CityNm>MOUNTAIN HOME</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72654</ZIPCd>
        </USAddress>
        <RecipientEIN>800889180</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REAL LIFE CHURCH OF MTN HOME INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1326 ROSSI ROAD</AddressLine1Txt>
          <CityNm>MOUNTAIN HOME</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72653</ZIPCd>
        </USAddress>
        <RecipientEIN>261083013</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HOSPITAL DEVELOPMENT FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>624 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>MOUNTAIN HOME</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72653</ZIPCd>
        </USAddress>
        <RecipientEIN>581805265</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>545000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>N/A</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>N/A</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>GENERAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BAXTER HEALTH'S PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE UNITED STATES ENSURES THAT THE CONTRIBUTIONS AND SUPPORT FROM BAXTER HEALTH ARE APPROPRIATE AND CONSISTENT WITH THE HOSPITAL'S MISSION STATEMENT. DONATIONS FROM BAXTER HEALTH ARE INTENDED TO: DIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, PROMOTE DIRECT AWARENESS OF BAXTER HEALTH THROUGH ORGANIZATIONAL SPONSORSHIPS WHICH ARE CLEARLY RECOGNIZED OR PUBLICIZED BY THE SPONSORED ORGANIZATION, SUPPORT LONG TERM INTERESTS OF BAXTER HEALTH AS DETERMINED BY THE CEO AND BOARD OF DIRECTORS. ALL REQUESTS FOR CONTRIBUTIONS MUST BE SUBMITTED IN WRITING. ALL REQUESTS WILL BE SCREENED ON A WEEKLY BASIS BY THE DIRECTOR OF MARKETING. REQUESTS THAT MEET THE HOSPITAL'S CONTRIBUTION GUIDELINES WILL THEN BE CONSIDERED FOR FINAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION INFORMATION REQUIRED IN FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II IS PROVIDED IN A TABLE IDENTIFIED AS COMPENSATION ATTACHMENT AND ATTACHED TO THE TAX RETURN DOCUMENT FOLLOWING SCHEDULE R. THE TABLES WITHIN THE RETURN ARE POPULATED WITH ZERO BECAUSE OF THE ELECTRONIC FILING REQUIREMENT, AND THE CORRECT AMOUNTS ARE INCLUDED IN THE ATTACHMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>BAXTER COUNTY ARKANSAS</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>716008786</BondIssuerEIN>
        <CUSIPNum>071808JZ3</CUSIPNum>
        <BondIssuedDt>2016-07-07</BondIssuedDt>
        <IssuePriceAmt>55165459</IssuePriceAmt>
        <PurposeDesc>HOSPITAL REVENUE REFUNDING FUNDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>20070000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>55546088</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>712103</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>49421684</OtherSpentProceedsAmt>
        <UnspentAmt>5119646</UnspentAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE K, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOND YEAR END FOR THE SERIES 2016A&amp;B BOND IS SEPTEMBER 1, 2022</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE K, PART II, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PROCEEDS OF ISSUE DO NOT MATCH THE ISSUE PRICE DUE TO EARNINGS INCLUDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE K, PART IV, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DATE OF THE LATEST REBATE COMPUTATION PERFORMED WAS SEPTEMBER 1, 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KRISTINE FOX</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER, DAVID FOX</RelationshipDescriptionTxt>
        <TransactionAmt>48532</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KENT NACHTIGAL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>427586</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE L, PART IV, LINE 2, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY MEMBER, SHANNON NACHTIGAL</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>BAXTER HEALTH'S (BH) MISSION IS TO PROVIDE EXCELLENCE IN MEDICAL CARE FOR EVERY PATIENT, EVERY TIME. BAXTER HEALTH STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. OUR 268-BED SHORT-TERM ACUTE CARE FACILITY OFFERS A WIDE RANGE OF SERVICES AND SPECIALTIES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE INCLUDING CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, ORTHOPEDICS, OBSTETRICS, ADULT AND GERIATRIC BEHAVIORAL HEALTH, AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY AND AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND IMAGING CENTER. PHYSICIANS, STAFF AND VOLUNTEERS SUPPORT OUR PILLARS OF EXCELLENCE THROUGH THEIR COMMITMENT TO QUALITY AND EXEMPLARY PATIENT CARE WHILE STAYING FINANCIALLY SOUND AND CONTINUALLY GROWING OUR SERVICES TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE. ANNUALLY, BAXTER HEALTH REACHES BEYOND THE HOSPITAL WALLS TO HOST AN AREA HEALTH FAIR WHERE MEMBERS OF THE COMMUNITIES WE SERVE CAN GET FREE EDUCATION, LAB TESTS, SCREENINGS, BLOOD PRESSURE CHECKS AND NUTRITIONAL INFORMATION, WITH OVER 30 DEPARTMENTS FROM THE HOSPITAL REPRESENTED TO ENCOURAGE PREVENTIVE MEASURES RELATING TO AN INDIVIDUALS HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>GENERAL STATISTICS 2022 ACUTE CARE: ACTUAL OPERATED BEDS 181 PATIENT DAYS 36,517 AVERAGE DAILY CENSUS 100 PERCENT OF OCCUPANCY 55.30% AVERAGE LENGTH OF STAY 3.7 DISCHARGES 9,859 GERI PSYCHIATRIC: OPERATED BEDS 19 PATIENT DAYS 3,469 AVERAGE DAILY CENSUS 10 PERCENT OF OCCUPANCY 50.00% AVERAGE LENGTH OF STAY 8.8 DISCHARGES 392 REHABILITATION: OPERATED BEDS 23 PATIENT DAYS 6,368 AVERAGE DAILY CENSUS 17 PERCENT OF OCCUPANCY 75.90% AVERAGE LENGTH OF STAY 14.20 DISCHARGES 447 NEWBORN: OPERATED BASSINETS 10 PATIENT DAYS 1,465 AVERAGE DAILY CENSUS 4 PERCENT OF OCCUPANCY 40.10% AVERAGE LENGTH OF STAY 2.1 DISCHARGES 712 MEDICARE - ACUTE CARE: DISCHARGES 5,759 % OF TOTAL DISCHARGES 58.40% PATIENT DAYS 23,704 % OF TOTAL PATIENT DAYS 64.90% AVERAGE LENGTH OF STAY 4.10 MEDICAID - ACUTE CARE: DISCHARGES 969 % OF TOTAL DISCHARGES 9.80% PATIENT DAYS 3,058 % OF TOTAL PATIENT DAYS 8.40% AVERAGE LENGTH OF STAY 3.2 OUTPATIENTS: 155,943 EMERGENCY ROOM VISITS 33,783 HOME HEALTH EPISODES 2,244 SURGERIES 9,540 ENDOSCOPY 4,522 CATH LAB 2,443 HEART SURGERIES 137 AMBULANCE TRIPS 13,761 CLINIC VISITS: 220,975 LAB TESTS 871,267 RADIOLOGY PROCEDURES 48,742 MRI PROCEDURES 5,229 CT SCANS 25,408 NUCLEAR MEDICINE PROCEDURES 1,258 ULTRASOUND PROCEDURES 11,832 MAMMOGRAPHY 11,476</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A SPECIAL BOARD MEETING IS HELD FOR BOARD REVIEW PRIOR TO FILING OF THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY HAS A CONFLICT OF INTEREST/COMPENSATION COMMITTEE. ALL BOARD MEMBERS AND KEY EMPLOYEES REVIEW AND SIGN A CONFLICT OF INTEREST/DISCLOSURE STATEMENT ANNUALLY. ALL PHYSICIANS REVIEW AND SIGN A CONFLICT OF INTEREST/DISCLOSURE STATEMENT BIENNIALLY. THE CONFLICT OF INTEREST/COMPENSATION COMMITTEE REVIEWS DISCLOSED TRANSACTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION RECOMMENDATIONS WERE MADE BY GALLAGHER IN A REPORT ISSUED IN 2022 AND UPDATED IN 2023. IN ADDITION, THE BOARD COMPENSATION COMMITTEE AND HUMAN RESOURCES DEPARTMENT REVIEW AREA 990'S, AHA, AND OTHER MARKET DATA AS NEEDED. THE CEO AND OFFICER'S COMPENSATION ARE REVIEWED AND APPROVED BY THE BOARD COMMITTEE.</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 WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII SECTION A &amp; SCHEDULE J, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION INFORMATION REQUIRED IN FORM 990, PART VII, SECTION A AND SCHEDULE J, PART II IS PROVIDED IN A TABLE IDENTIFIED AS COMPENSATION ATTACHMENT AND ATTACHED TO THE TAX RETURN DOCUMENT FOLLOWING SCHEDULE R. THE TABLES WITHIN THE RETURN ARE POPULATED WITH ZERO BECAUSE OF THE ELECTRONIC FILING REQUIREMENT, AND THE CORRECT AMOUNTS ARE INCLUDED IN THE ATTACHMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO AFFILIATES ($7,127,672)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PHYSICIAN FEES TOTAL FEES:11963228</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:6103689</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT SERVICES TOTAL FEES:12057561</ExplanationTxt>
      </SupplementalInformationDetail>
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