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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2058948</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>69344</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ARAMARK CORPORATION</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 978839</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753978839</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT EVS/DIETARY</ServicesDesc>
        <CompensationAmt>1668291</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>EMERGENCY STAFFING SOLUTIONS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>17304 PRESTON ROAD SUITE 1400</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75252</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN STAFFING</ServicesDesc>
        <CompensationAmt>981765</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>THEREX INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 502096</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63105</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THERAPY SERVICES</ServicesDesc>
        <CompensationAmt>793286</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TELERAD PLLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>618 FREDERICK DRVIE</AddressLine1Txt>
            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>MS</StateAbbreviationCd>
            <ZIPCd>38732</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RADIOLOGIST SERVICES</ServicesDesc>
        <CompensationAmt>782459</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CPS SOLUTIONS LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 638316</AddressLine1Txt>
            <CityNm>CINCINNATI</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45263</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT FEE</ServicesDesc>
        <CompensationAmt>524284</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>14</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5333664</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>412968</AllOtherContributionsAmt>
      <TotalContributionsAmt>5746632</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>40096222</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40096222</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL OFFICE RENT</Desc>
        <BusinessCd>621111</BusinessCd>
        <TotalRevenueColumnAmt>28879</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28879</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>72274</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>72274</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>40197375</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>39692</TotalRevenueColumnAmt>
        <ExclusionAmt>39692</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>CAFETERIA REVENUE</Desc>
        <BusinessCd>722310</BusinessCd>
        <TotalRevenueColumnAmt>65447</TotalRevenueColumnAmt>
        <ExclusionAmt>65447</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>EDUCATION REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>27410</TotalRevenueColumnAmt>
        <ExclusionAmt>27410</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>10655</TotalRevenueColumnAmt>
        <ExclusionAmt>10655</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>24239</TotalRevenueColumnAmt>
        <ExclusionAmt>24239</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>127751</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>46111450</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40197375</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>167443</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>688513</TotalAmt>
        <ManagementAndGeneralAmt>688513</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>17153524</TotalAmt>
        <ProgramServicesAmt>13158564</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3994960</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>223182</TotalAmt>
        <ProgramServicesAmt>171204</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51978</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1459023</TotalAmt>
        <ProgramServicesAmt>1119225</ProgramServicesAmt>
        <ManagementAndGeneralAmt>339798</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1159882</TotalAmt>
        <ProgramServicesAmt>889752</ProgramServicesAmt>
        <ManagementAndGeneralAmt>270130</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>37790</TotalAmt>
        <ProgramServicesAmt>28989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8801</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>162184</TotalAmt>
        <ProgramServicesAmt>124412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37772</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>11341695</TotalAmt>
        <ProgramServicesAmt>8700278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2641417</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>205040</TotalAmt>
        <ProgramServicesAmt>157287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47753</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>152650</TotalAmt>
        <ProgramServicesAmt>117099</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35551</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>685193</TotalAmt>
        <ProgramServicesAmt>525615</ProgramServicesAmt>
        <ManagementAndGeneralAmt>159578</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>166356</TotalAmt>
        <ProgramServicesAmt>127613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38743</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>900748</TotalAmt>
        <ProgramServicesAmt>690969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>209779</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2820078</TotalAmt>
        <ProgramServicesAmt>2163298</ProgramServicesAmt>
        <ManagementAndGeneralAmt>656780</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>327320</TotalAmt>
        <ProgramServicesAmt>251089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>76231</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>6247618</TotalAmt>
        <ProgramServicesAmt>6247618</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>821073</TotalAmt>
        <ProgramServicesAmt>629850</ProgramServicesAmt>
        <ManagementAndGeneralAmt>191223</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>93857</TotalAmt>
        <ProgramServicesAmt>71998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21859</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT EXPENSE</Desc>
        <TotalAmt>55786</TotalAmt>
        <ProgramServicesAmt>42794</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12992</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>8776</TotalAmt>
        <ProgramServicesAmt>6731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2045</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>44710288</TotalAmt>
        <ProgramServicesAmt>35224385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9485903</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>-1349</BOYAmt>
        <EOYAmt>1922</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2004940</BOYAmt>
        <EOYAmt>19588107</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5304475</BOYAmt>
        <EOYAmt>5408163</EOYAmt>
      </AccountsReceivableGrp>
      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>729385</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>352216</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>74967504</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>29614986</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>45352518</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>671409</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>72103720</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>28662746</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>46500515</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>6507865</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>19095340</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>25603205</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>72103720</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1401162</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <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>2395</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>2395</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 SCHEDULE C PART II-B LINE 1I</FormAndLineReferenceDesc>
        <ExplanationTxt>ARKANSAS HOSPITAL ASSOCIATION DUES PAID SUBJECT TO LOBBYING ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
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      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
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        <BookValueAmt>41449</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>8493917</DepreciationAmt>
        <BookValueAmt>39851168</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>176602</DepreciationAmt>
        <BookValueAmt>55157</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>25859822</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>20944467</DepreciationAmt>
        <BookValueAmt>4915355</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>489389</OtherCostOrOtherBasisAmt>
        <BookValueAmt>489389</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>45352518</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>46111450</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>46111450</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>46111450</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>44710288</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>44710288</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>44710288</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITION UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL INCOME TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent150Ind>X</Percent150Ind>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <DiscountedCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <DiscountedCareOtherPct>225.</DiscountedCareOtherPct>
      </DiscountedCareOthPercentageGrp>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>false</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>131112</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>131112</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00290</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>7037835</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6978709</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>59126</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00130</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>7168947</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>6978709</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>190238</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00420</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>170</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>170</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>6459636</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3243652</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3215984</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07190</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>6459806</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>3243652</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3216154</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07190</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>13628753</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>10222361</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3406392</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.07610</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
      <ReimbursedByMedicareAmt>13474869</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>12000467</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>1474402</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>DREW MEMORIAL HEALTH SYSTEM</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>778 SCOGIN DR</AddressLine1Txt>
          <CityNm>MONTICELLO</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>716555729</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.DREWMEMORIAL.ORG</WebsiteAddressTxt>
        <StateLicenseNum>AR4799</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>DREW MEMORIAL HEALTH SYSTEM</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>18</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>19</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V, SECTION C</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>150.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>225.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <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>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY HEALTH NEEDS ASSESSMENT TOOLKIT DEVELOPED BY THE NATIONAL CENTER FOR RURAL HEALTH WORKS AT OKLAHOMA STATE UNIVERSITY AND CENTER FOR RURAL HEALTH AND OKLAHOMA OFFICE OF RURAL HEALTH WAS UTILIZED AS A GUIDE FOR THE CHNA FACILITATION PROCESS. THE PROCESS WAS DESIGNED TO BE CONDUCTED THROUGH TWO COMMUNITY MEETINGS. THE FACILITATOR AND THE STEERING COMMITTEE OVERSEE THE ENTIRE PROCESS OF ORGANIZING AND DETERMINING A COMMUNITY ADVISORY COMMITTEE OF 30-40 COMMUNITY MEMBERS THAT MEET THROUGHOUT THE PROCESS TO DEVELOP A STRATEGIC PLAN FOR THE HOSPITAL TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY. DUE TO THE SIZE OF THE SERVICE AREA, THE STEERING COMMITTEE CHOSE TO CONDUCT THEIR ASSESSMENT THROUGH A FOCUS GROUP OF COMMUNITY LEADERS AND INDIVIDUALS IN HEALTH-RELATED FIELDS. APPROXIMATELY 40 INDIVIDUALS FROM THE COMMUNITY WERE SELECTED FOR INVITATION TO THE FOCUS GROUP, OR COMMUNITY ADVISORY COMMITTEE, BY THE DREW MEMORIAL HEALTH SYSTEM STAFF STEERING COMMITTEE. THOSE ACCEPTING THE INVITATION - APPROXIMATELY 27 - ATTENDED THE FIRST MEETING OF THE ADVISORY COMMITTEE. A FEW ADDITIONAL ADVISORY COMMITTEE MEMBERS, WHO WERE UNABLE TO ATTEND THE FIRST MEETING, JOINED THE SECOND MEETING AFTER BEING BRIEFED. THESE COMMUNITY ADVISORY COMMITTEE MEMBERS MET INITIALLY TO DISCUSS HEALTH STATISTICS AFFECTING THE HOSPITAL SERVICE AREA, AND TO INDIVIDUALLY COMPLETE THE 2019 HEALTH NEEDS SURVEY. ADVISORY COMMITTEE MEMBERS ASSISTED IN THE DISTRIBUTION OF THE SURVEYS TO NEIGHBORS, NEIGHBORS,COLLEAGUES, AND FRIENDS PRIOR TO THE SECOND MEETING. SURVEYS WERE ALSO AVAILABLE ELECTRONICALLY ON THE DMHS WEBSITE, THE ARHP WEBSITE, AND VARIOUS SITES THROUGHOUT THE SERVICE AREA. AT THE SECOND COMMITTEE MEETING, MEMBERS WERE PRESENTED WITH THE RESULTS OF THE SURVEYS AND DISCUSSED SOME OF THE QUESTIONS AND RESPONSES AS A GROUP AND PRIORITIZED COMMUNITY HEALTH CONCERNS. THESE PRIORITIES LED THE STAFF STEERING COMMITTEE TO DEVELOP A MORE DETAILED IMPLEMENTATION PLAN TO ADDRESS THOSE ISSUES AND CREATE COMMUNITY BENEFIT. OVER THE NEXT THREE YEARS, THE ACTION PLANS WILL BE IMPLEMENTED FOR EACH ISSUE AND THE HOSPITAL STEERING COMMITTEE WILL MEET ANNUALLY WITH THE ADVISORY COMMITTEE TO ASSESS PROGRESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7A &amp; LINE 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>WWW.DREWMEMORIAL.ORG/OUR-COMMUNITY/COMMUNITY-BENEFIT-REPORT/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL HAS IDENTIFIED THE FOLLOWING NEEDS THAT WILL BE ADDRESSED: - MENTAL HEALTH &amp; DRUG ADDICTION/SUBSTANCE ABUSE: THE HOSPITAL WILL CONTINUE TO PROVIDE MENTAL HEALTH ASSESSMENTS IN THE DMHS EMERGENCY DEPARTMENT, PROVIDE IN-PATIENT MEDICAL STABILIZATION TREATMENT AT DMHS, PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S MENTAL/BEHAVIORAL HEALTH TASK FORCE, EXPAND COMMUNITY EDUCATION ON DRUG ABUSE THROUGH MARKETING EFFORTS, AND ENCOURAGE LOCAL PHYSICIANS TO ASSIST WITH THE MEDICATION ASSISTANCE TREATMENT (MAT) SERVICES. DMHS WILL ALSO PROVIDE OPOID USE DISORDER (OUD) COUNSELING SERVICES VIA TELEHEALTH TO PARTICIPATING CLINICS, PARTICIPATE IN THE ARKANSAS RURAL HEALTH PARTNERSHIP'S NEW OPOID COMMUNITY RESPONSE PLANNING PROJECT, AND PROVIDE MENTAL HEALTH FIRST AID TO LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS. -OBESITY: THE HOSPITAL WILL PARTICIPATE WITH LOCAL SCHOOLS TO PROMOTE HEALTIER FOOD OPTIONS; INCLUDING MORE FRESH FOODS AND FRESH FRUIT SNACKS, PROVIDE HEALTHY EATING MATERIALS &amp; EDUCATIONAL INFORMATION AT PARENT NIGHT AT THE LOCAL SCHOOLS, AND WORK WITH ARHP PARTNERSHIPS TO ADDRESS HEALTHY EATING AND EXERCISE PROGRAMS FOR THE SCHOOLS IN THE REGION THROUGH FUTURE GRANT OPPORTUNITIES. ADDITIONALLY, DMHS WILL ADVOCATE WITH HHI COALITION TO INCREASE RECREATIONAL ACTIVITY AREAS &amp; EQUIPMENT ON COUNTY AND CITY PROPERTY, PROMOTE MORE SIDEWALKS AND PATHS CONNECTING NEIGHBORHOODS TO ACCOMODATE RESIDENTS WANTING TO WALK, RUN, STROLL, OR BIKE, SUPPORT LOCAL ACTIVITIES THAT PROMOTE EXERCISE AND FITNESS ACTIVITIES SUCH AS 5K RUNS, MARKET THE HOSPITAL CAFETERIA MENU AND SALAD BAR AS HEALTHY LUNCH OPTIONS TO THE COMMUNITY, SUPPORT COMMUNITY ACTIVITIES THAT PROMOTE GROWING VEGETABLE GARDENS, AND RESEARCH OFFERING COOKING CLASSES IN CONJUNCTION WITH DMH EDUCATION DEPARTMENT AND UAM COMMUNITY EDUCATION CLASSES. -ACCESS TO PRIMARY CARE/WAIT TIME DMHS WILL SUPPORT LOCAL PROVIDERS WITH REDUCING WAIT TIME FOR PATIENTS BY COMMUNICATING AND PARTNERING WITH MEDICAL STAFF AND LOCAL PROVIDERS TO ASSIST IN RECRUITMENT OF ADDITIONAL PHYSICIANS TO THE AREA, PROVIDE EDUCATION &amp; RESOURCES TO LOCAL CLINICS TO ASSIST WITH CLINICAL OPERATIONS, AND WORK WITH STATE-WIDE PARTNERS THROUGH ARHP TO PROVIDE RESOURCES TO LOCAL CLINICAL STAFF. THE HOSPITAL WILL ALSO CONTINUE TO ENCOURAGE STUDENT ROTATIONS AND COLLABORATE WITH STATE-WIDE MEDICAL SCHOOLS TO ENCOURAGE NEW PHYSICIANS TO DREW COUNTY, CONTINUE TO PARTICIPATE IN ARHP DISCUSSIONS WITH UAMS REGIONAL PROGRAMS, THE ARKANSAS COLLEGE OF OSTEOPATHIC MEDICINE, AND NYIT SCHOOL OF OSTEOPATHIC MEDICINE IN JONESBORO. DMHS HAS CHOSEN NOT TO ADDRESS THE FOLLOWING NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT BECAUSE OTHER ORGANIZATIONS ARE BETTER EQUIPPED TO ADDRESS THESE: - IMPROVE ACCESS TO EXERCISE OPPORTUNITIES - INCREASE ACCESS TO HEALTHY FOOD ALTERNATIVES - PROVIDE EDUCATION ABOUT HEALTHY LIFESTYLE CHOICES - IMPROVE ACCESS TO TRANSPORTATION - REDUCE THE FINANCIAL BURDEN OF HEALTH CARE AND PRESCRIPTIONS THAT CAN LEAD TO DELAYS IN CARE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, LINES 16A, 16B, AND 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>WWW.DREWMEMORIAL.ORG/FINANCIAL-ASSISTANCE/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>DREW MEMORIAL HOSPITAL USES THE MEDICARE COST REPORT COST TO CHARGE RATIO METHODOLOGY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE SEE ATTACHED AUDIT REPORT NOTE 1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT OUR FINANCIAL ASSISTANCE POLICY, ASSISTS IN COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION WHEN APPROPRIATE, AND PROVIDES ASSISTANCE IN DETERMINING ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL PROGRAMS SUCH AS MEDICAID. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DREW MEMORIAL HEALTH SYSTEM PROVIDES COMMUNITY BENEFITS BY OFFERING HEALTH EDUCATION, MEETING FACILITIES, SUPPORT FOR LOCAL ATHLETIC ACTIVITIES, AND COMMUNITY HEALTH INITIATIVES. FURTHER, EVERY THREE YEARS THE HOSPITAL CONDUCTS A SURVEY ASSESSING THE NEEDS OF DREW COUNTY RESIDENTS AND HOSPITAL STAKEHOLDERS IN THE SURROUNDING AREA. THE ASSESSMENT INCLUDES INPUT FROM PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY SERVED BY THE DREW MEMORIAL HEALTH SYSTEM FACILITY, INCLUDING THOSE WITH PUBLIC HEALTH EXPERTISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IN ORDER TO DETERMINE IF A PATIENT IS ELIGIBLE FOR ASSISTANCE, AN APPLICATION FOR FINANCIAL ASSISTANCE MUST BE COMPLETED BY THE PATIENT OR GUARANTOR. THE HOSPITAL WILL THEN REVIEW THE APPLICATION AND MAKE A DETERMINATION OF ELIGIBILITY. THE HOSPITAL WILL ACCEPT FAP APPLICATIONS AT LEAST TWO HUNDRED FORTY (240) DAYS FROM THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. THE HOSPITAL WILL NOTIFY INDIVIDUALS WHO SUBMIT AN INCOMPLETE FAP APPLICATIONS DURING THE APPLICATION PERIOD ABOUT HOW TO COMPLETE THE APPLICATION (AND PROVIDE CONTACT INFORMATION FOR ASSISTANCE), AND SUSPEND ANY EXTRAORDINARY COLLECTION ACTIVITIES FOR THESE INDIVIDUALS UNTIL ELIGIBILITY IS DETERMINED.THE AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE WIDELY PUBLICIZED. APPLICATIONS FOR FREE OR REDUCED CHARGE CARE WILL BE DISTRIBUTED BY A PATIENT FINANCIAL ADVISOR, PATIENT FINANCIAL COLLECTOR, CASHIERS DEPARTMENT, SOCIAL SERVICES, OR OTHER RELATED DEPARTMENTS OF DREW MEMORIAL HOSPITAL. PATIENTS WILL BE OFFERED A PLAIN LANGUAGE SUMMARY OF THE FAP EITHER UPON PATIENT INTAKE OR PATIENT DISCHARGE. PAPER COPIES WILL BE AVAILABLE, WITHOUT CHARGE, BOTH FOR DISTRIBUTION IN PUBLIC LOCATIONS WITHIN THE FACILITY AND BY MAIL, IF REQUESTED. THE HOSPITAL WILL INFORM MEMBERS OF THE COMMUNITY ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN A MANNER REASONABLY DETERMINED BY REACH THOSE MEMBERS OF THE COMMUNITY MOST LIKELY NEEDING FINANCIAL ASSISTANCE (I.E., DISTRIBUTING FAP INFORMATION TO LOCAL GOVERNMENT AGENCIES AND NON-PROFIT ORGANIZATIONS). EACH UNINSURED PATIENT IS SEEN BY A FINANCIAL COUNSELOR WHO EDUCATES THE PATIENT AND FAMILY MEMBERS ABOUT FINANCIAL ASSISTANCE POLICY, ASSISTS IN COMPLETION OF A FINANCIAL ASSISTANCE APPLICATION WHEN APPROPRIATE, AND PROVIDES ASSISTANCE IN DETERMINING ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL PROGRAMS SUCH AS MEDICAID. CHARITY CARE AND OTHER FINANCIAL ASSISTANCE IS PROVIDED WHEN ELIGIBLE AND COLLECTION EFFORTS CEASE ONCE ELIGIBILITY IS DETERMINED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DREW MEMORIAL HOSPITAL IS LOCATED IN MONTICELLO, THE COUNTY SEAT OF DREW COUNTY IN SOUTHEAST ARKANSAS. DREW COUNTY IS THE HOME TO 18,622 PEOPLE AND ONE OF THE MORE HEALTHIER COUNTIES IN THE ARKANSAS DELTA REGION. WITHIN THE SERVICE AREA, APPROXIMATELY 6.0% AVERAGE OF THE GENERAL POPULATION IS BELOW THE AGE OF FIVE (RANGING FROM 5.1% IN DALLAS COUNTY AND 6.9% IN DESHA COUNTY). THIS IS SLIGHTLY BELOW THE STATE AND U.S. AVERAGES FOR THE AGE BRACKET. INCREASING THE AGE PARAMETERS TO PERSONS UNDER 18 YEARS OF AGE SHOWS ANOTHER PERSPECTIVE OF THE NUMBER OF CHILDREN BELOW 10 YEARS. THE AVERAGE PERCENTAGE OF PERSONS UNDER 18 YEARS IN THE SERVICE AREA IS 22.6%, WHICH IS THE SAME AS THE U.S. AND SLIGHTLY LOWER THAN THE STATE. RANGES WITHIN THE SERVICE AREA INCLUDE 20.7% IN COLUMBIA COUNTY AND 25.8% IN DESHA COUNTY. TO FURTHER ESTIMATE THE TARGET POPULATION, NEW APPROXIMATIONS FROM THE OFFICE OF ADOLESCENT HEALTH WERE CONSIDERED, WHICH SHOWS THAT ADOLESCENTS (INDIVIDUALS AGE 10-19) MAKE UP APPROXIMATELY 13.2% OF THE U.S. POPULATION (THE CHANGING FACE OF AMERICA'S ADOLESCENTS, OFFICE OF ADOLESCENT HEALTH, HHS, 2018). THE FOCUS OF SUD PREVENTION, TREATMENT, AND RECOVERY PLANNING EFFORTS WILL FOCUS ON ADOLESCENTS (BEGINNING AT AGE 10) AND ADULTS IN THE SERVICE AREA, ROUGHLY ESTIMATED TO BE ABOUT 90% OF THE SERVICE AREA POPULATION. HEALTH DISPARITIES, POVERTY, LACK OF TRANSPORTATION, LOW EDUCATIONAL ATTAINMENT, POOR ACCESS TO HEALTH CARE, AND POOR HEALTH OUTCOMES- THE MISSISSIPPI DELTA REGION REPRESENTS AN AMALGAM OF SOCIETAL DIFFICULTIES THAT AFFECT EACH OF ITS RESIDENTS. ON AVERAGE, ONE IN FOUR PERSONS IN THE SERVICE AREA IS LIVING BELOW POVERTY LEVEL, MAKING IT ONE OF THE POOREST AREAS OF THE STATE. ACCORDING TO RECENT US CENSUS DATA (2017), INDIVIDUALS WITHIN THE SERVICE AREA EXPERIENCE GREATER ECONOMIC HARDSHIP COMPARED TO THOSE IN OTHER REGIONS OF THE STATE AND NATION. THIS INCLUDES A LOWER MEDIAN HOUSEHOLD INCOME AND HIGHER POVERTY RATE. THIS CAN BE CONTRIBUTED TO LOWER LEVELS OF EDUCATIONAL ATTAINMENT, WITH MOST COUNTY RESIDENTS HAVING LOWER HIGH SCHOOL GRADUATION RATES COMPARED TO THE STATE AND NATION. UNEMPLOYMENT IS ALSO, SIGNIFICANTLY HIGHER IN EIGHT OUT OF NINE SERVICE AREA COUNTIES AS COMPARED TO THE STATE AND NATION. THE MAJORITY OF SOUTHEAST ARKANSAS DELTA RESIDENTS ARE CAUCASIAN (AVERAGE OF 59%), WHICH IS LESS THAN THE STATE (78%). AFRICAN AMERICANS ARE THE LARGEST MINORITY IN THE SERVICE AREA (AVERAGE OF 37%), WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE (15%). THE HISPANIC POPULATION IS SMALL, BUT GROWING (AVERAGE OF 4% IN SERVICE AREA VS. 7% ACROSS STATE). THE PRIMARY SERVICE COVERAGE AREA INCLUDES ALL COUNTIES THAT BORDER DREW, INCLUDING: CLEVELAND, LINCOLN, DESHA, BRADLEY, ASHLEY, AND CHICOT. THESE SEVEN COUNTIES HAVE A COMBINED POPULATION OF APPROXIMATELY 100,000. THE SECONDARY SERVICE COVERAGE AREA SPREADS BEYOND THE BORDERING COUNTIES AND INCLUDES PARTS OF ARKANSAS COUNTY, JEFFERSON COUNTY, DALLAS COUNTY, UNION COUNTY, GRANT COUNTY AND CALHOUN COUNTY, ARKANSAS. COMBINED, THE PRIMARY AND SECONDARY SERVICE COVERAGE AREAS TOTAL A POPULATION OF MORE THAN 200,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>DREW MEMORIAL HOSPITAL IS ACTIVE THROUGHOUT DREW COUNTY IN SPONSORING HEALTH FAIRS, EDUCATIONAL PROGRAMS, FREE HEALTH SCREENINGS AND OTHER ACTIVITIES TO PROMOTE THE HEALTH OF THE CITIZENS OF DREW COUNTY. DMH IS AN ACTIVE MEMBER OF THE DREW COUNTY HOMETOWN HEALTH INITIATIVE WHICH IS A PROGRAM OF THE ARKANSAS DEPARTMENT OF HEALTH. THE HOMETOWN HEALTH INITIATIVE (HHI) BRINGS TOGETHER A WIDE RANGE OF PEOPLE AND ORGANIZATIONS INCLUDING CONSUMERS, BUSINESS LEADERS, AND HEALTH CARE PROVIDERS TO DEVELOP AND IMPLEMENT WAYS TO SOLVE HEALTH ISSUES IN EACH COUNTY. DREW MEMORIAL CURRENTLY PARTICIPATES IN SEVERAL HEALTH OUTREACH EFFORTS THROUGH ITS AFFILIATION WITH ARKANSSAS RURAL HEALTH PARTNERSHIP (ARHP). THE ORGANIZATION WAS FOUNDED TO HELP LOCAL HOSPITALS ADDRESS FINANCIAL BURDENS OF THEIR INDIVIDUAL ORGANIZATIONS AND WORK TO PROVIDE HEALTH OUTREACH TO THE REGION THROUGH FUNDING OPPORTUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>DREW MEMORIAL HEALTH SYSTEM CURRENTLY PARTICIPATES IN SEVERAL HEALTH OUTREACH EFFORTS THROUGH ITS AFFILIATION WITH THE ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP). ARKANSAS RURAL HEALTH PARTNERSHIP (ARHP), FORMERLY KNOWN AS GREATER DELTA ALLIANCE FOR HEALTH) IS A 501(C)3 NON-PROFIT, HORIZONTAL HOSPITAL ORGANIZATION COMPRISED OF TWELVE, INDEPENDENTLY OWNED, SOUTH ARKANSAS RURAL HOSPITALS COMMITTED TO WORKING TOGETHER THROUGHOUT THE SOUTH ARKANSAS DELTA REGION TO: IMPROVE THE DELIVERY OF HEALTHCARE SERVICES, INCREASE ACCESS TO HEALTH CARE SERVICES &amp; PROGRAMS, PROVIDE HEALTHCARE PROVIDER EDUCATION OPPORTUNITIES, INCREASE THE UTILIZATION OF TELE HEALTH &amp; TELE MEDICINE TECHNOLOGY, PROMOTE HEALTHY LIFESTYLES, ASSIST COMMUNITY MEMBERS WITH PATIENT ASSISTANCE PROGRAMS, AND REDUCE SERVICE &amp; OPERATIONAL COSTS FOR HOSPITAL MEMBERS THROUGH COLLABORATIVE NEGOTIATION AND PURCHASING. ARKANSAS RURAL HEALTH PARTNERSHIP MEMBERS INCLUDE ASHLEY COUNTY MEDICAL CENTER (CROSSETT, AR), BAPTIST HEALTH-STUTTGART (STUTTGART, AR), BRADLEY COUNTY MEDICAL CENTER (WARREN, AR), CHICOT MEMORIAL MEDICAL CENTER (LAKE VILLAGE, AR), DALLAS COUNTY MEDICAL CENTER (FORDYCE, AR), DELTA MEMORIAL MEDICAL CENTER (DUMAS, AR), DEWITT HOSPITAL &amp; NURSING HOME (DEWITT, AR), DREW MEMORIAL HEALTH SYSTEM (MONTICELLO, AR) MEDICAL CENTER OF SOUTH ARKANSAS (EL DORADO, AR), MCGEHEE HOSPITAL (MCGEHEE, AR), MAGNOLIA REGIONAL MEDICAL CENTER (MAGNOLIA, AR), AND JEFFERSON REGIONAL MEDICAL CENTER (PINE BLUFF, AR). THE ORGANIZATION WAS FOUNDED TO HELP LOCAL HOSPITALS ADDRESS THE FINANCIAL BURDENS OF THEIR INDIVIDUAL ORGANIZATIONS AND WORK TO PROVIDE HEALTH OUTREACH TO THE REGION THROUGH FUNDING OPPORTUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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      <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>SCOTT BARRILLEAUX</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>ALAN WILSON</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <TitleTxt>GENERAL SURGEON</TitleTxt>
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        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <PurposeDesc>CONSTRUCTION AND ACQUISITION OF EQ</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
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        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
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        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE, OR MEMBER OF THE COMMITTEE WITH BOARD DELEGATED POWERS MUST ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERFORMANCE OF THE CEO IS EVALUATED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE CEO'S BONUSES AND SALARY ARE APPROVED BY THE BOARD ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, FINANICAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACT SERVICES TOTAL FEES:7594008</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3547014</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:COLLECTION FEES TOTAL FEES:200673</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>DREW PROFESSIONAL SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>750 HL ROSS DRIVE</AddressLine1Txt>
          <CityNm>MONTICELLO</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>71655</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>PHYS. CLINIC</PrimaryActivitiesTxt>
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        <TotalIncomeAmt>487473</TotalIncomeAmt>
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          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>71655</ZIPCd>
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        <PrimaryActivitiesTxt>PHYS. CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AR</LegalDomicileStateCd>
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</Return>
