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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, UNITED METHODIST BEHAVIORAL HEALTH - PART V, LINE 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>OVERWHELMING DEMAND FOR ADDITIONAL SERVICES TO MEET THE BEHAVIORAL HEALTH NEEDS IN THE MEDICAL SERVICE AREA. THE EXACT TYPE OF NEED IS STILL UNCLEAR. AREAS THAT WILL BE FOCUSED ON INCLUDE: 1. BUILD PARTNERSHIPS WITH OTHER AGENCIES IN EXPANDING SPECIALIZED BEHAVIORAL HEALTH TREATMENT FOR CHILDREN IN ARKANSAS (SUCH AS CHILD EXPLOITATION AND HUMAN TRAFFICKING, ADOLESCENT SUBSTANCE ABUSE, AND/OR DUAL DIAGNOSIS CHILDREN, AMONG OTHERS). 2. SEEK CERTIFICATION IN ALTERNATE PROGRAMMING OFFERED UNDER THE NEW SERVICE MODEL. 3. IDENTIFY OTHER "STEP DOWN- OR PREVENTION SERVICES FROM INPATIENT CARE. 4. INCREASE AWARENESS OF THE GAPS IN CARE BY EDUCATING POLICY MAKERS AND DECISION MAKERS AT LOCAL AND STATE LEVELS. 5. EDUCATE COMMUNITY MEMBERS, CHILDREN, AND FAMILIES, AND REFERRAL PARTNERS ON THE DIFFERENCES BETWEEN THE TYPES OF SERVICES AVAILABLE AND CARE PROVIDED AT EACH LEVEL TO INCLUDE OUTREACH VIA SOCIAL MEDIA PLATFORMS. 6. ADVOCATE FOR FILLING THE GAPS OF CARE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, UNITED METHODIST BEHAVIORAL HEALTH - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING DECEMBER 2018, JANUARY 2019 AND FEBRUARY 2019, THE METHODIST BEHAVIORAL HEALTH SYSTEM, INC., ADMINISTRATION AND THE FOUNDATION STAFF BEGAN THE PROCESS OF IDENTIFYING, CONTACTING AND EDUCATING OUR COMMUNITY ADVISORY COMMITTEE ABOUT THE CHNA PROCESS. IN JANUARY 2019, THE FIRST MEETING OF THE COMMUNITY ADVISORY COMMITTEE WAS HELD AT METHODIST BEHAVIORAL HEALTH SYSTEM, INC. COMMITTEE MEMBERS WERE PROVIDED AN ELECTRONIC AND PRINTED SURVEY TO DISTRIBUTE TO PROFESSIONALS WITHIN THE CHILD WELFARE INDUSTRY. THE SURVEYS WERE REPRESENTATIVE OF MEDICAL SERVICE AREAS BASED ON NUMBER OF ADMISSIONS BY COUNTY OVER THE LAST TWO YEARS. COUNTIES INCLUDED ARE PULASKI, CRAIGHEAD, GARLAND, AND FAULKNER.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, UNITED METHODIST BEHAVIORAL HEALTH - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIX NEEDS IDENTIFIED IN PART V, LINE 1E WILL BE ADDRESSED WITH THE FOLLOWING IMPLEMENTATION STRATEGY. 1. CONTINUE TO WORK IN COLLABORATION WITH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES TO EXPLORE OPPORTUNITIES TO DEVELOP SPECIALIZED PROGRAMMING FOR THOSE IN FOSTER CARE THROUGH THE SISTER ORGANIZATION, UNITED METHODIST CHILDREN'S HOME. 2. CONTINUE TO STAY CONNECTED TO CHILD EXPLOITATION RESEARCH AND ADVOCACY GROUPS AS SCREENING TOOL AND TREATMENTS ARE BEING NORMED AND STANDARDIZED ON OUR POPULATION THEN LOOK TO IMPLEMENT THESE TOOLS AND SEEK TRAINING IN THIS AREA. 3. EXPLORE CERTIFICATION IN ALTERNATIVE PROGRAMMING OFFERED UNDER THE NEW SERVICE MODEL. 4. CONTINUE TO ADVOCATE AND EDUCATE POLICY MAKERS AND DECISION MAKERS AT LOCAL AND STATE LEVELS OF THE GAPS IN CARE. 5. PROVIDE COMMUNITY OUTREACH VIA SOCIAL MEDIA PLATFORMS OF THE GREAT SERVICE OFFERED IN THESE AREAS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT REFLECTED AS BAD DEBT EXPENSE IN THE JUNE 30, 2020 TRIAL BALANCE NET OF BAD DEBT RECOVERIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PROJECTED BASED ON FISCAL YEAR 2020 COMBINED PERCENTAGE OF MEDICAID AND STATE AGENCIES &amp; GOVERNMENT AGENCIES (89%) PER NOTE 2 OF AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF BAD DEBT EXPENSE LOCATED IN FOOTNOTE 1 OF AUDITED FINANCIAL STATEMENTS UNDER PATIENT ACCOUNTS RECEIVABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>IN COMPLIANCE WITH 501(R)(C) OF THE INTERNAL REVENUE CODE, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FOR METHODIST BEHAVIORAL HEALTH IN 2019. THE ASSESSMENT PROCESS INVOLVED QUANTITATIVE AND QUALITATIVE COMPONENTS. METHODIST BEHAVIORAL HEALTH ENGAGED THE PARTICIPATION OF THE GENERAL PUBLIC AS WELL AS BEHAVIORAL HEALTH RECIPIENTS AND KEY MEMBERS IN THE COMMUNITY WHO WORK IN CONJUNCTION OR DIRECTLY WITH BEHAVIORAL HEALTH SERVICES IN ANY CAPACITY. A QUANTITATIVE ASSESSMENT WAS CONDUCTED USING A SURVEY ADMINISTERED ELECTRONICALLY AND ON PAPER TO GAIN BROAD PUBLIC INPUT. THE PURPOSE OF THE CHNA WAS TO DEVELOP A BASELINE NEED OF THE BEHAVIORAL HEALTH SERVICES IN THE IDENTIFIED MEDICAL SERVICE AREA. MORE SPECIFICALLY, THE QUESTION METHODIST BEHAVIORAL HEALTH SOUGHT TO ANSWER WAS: ARE THERE ADEQUATE BEHAVIORAL HEALTH SERVICES IN THE COUNTIES SPECIFIED, AND IF NOT, WHAT TYPES OF SERVICES ARE STILL NEEDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>METHODIST BEHAVIORAL HEALTH MAKES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE AND APPLICATIONS AVAILABLE ON ITS WEBSITE AND AT THE TIME OF REGISTRATION FOR SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING METHODIST BEHAVIORAL HEALTH'S FISCAL YEAR ENDING JUNE 30, 2019, ITS CONTINUUM CARED FOR MORE THAN 5,600 CHILDREN AND THEIR FAMILIES WITH 195,000 SERVICES PROVIDED THROUGHOUT ARKANSAS. METHODIST BEHAVIORAL HEALTH ACCEPTS PATIENTS FROM EVERY COUNTY IN THE STATE OF ARKANSAS AND IDENTIFIED ITS MEDICAL SERVICE AREA FOR PURPOSES OF ITS CHNA BASED ON THE NUMBER OF ADMISSIONS BY COUNTY OVER THE LAST TWO YEARS. THE RESULTS BY COUNTY WERE CONSISTENT YEAR OVER YEAR; PULASKI (19%), CRAIGHEAD (10%), GARLAND (10%) AND FAULKNER (8%) COUNTIES. OF THE 1,938 PATIENTS ADMITTED TO METHODIST BEHAVIORAL HEALTH IN 2017 - 2018, 896 (46%) WERE FROM THESE FOUR COUNTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE FISCAL YEAR 2017 - 2018, 1,749 OF METHODIST BEHAVIORAL HEALTH'S 1,938 DISCHARGES (90%) REPRESENTING 17,067 PATIENT DAYS OUT OF 19,231 (88.75%) WERE ATTRIBUTABLE TO PATIENTS EITHER SERVED BY THE ARKANSAS MEDICAID PROGRAM OR WERE IN THE CUSTODY OF STATE AGENCIES AND, THEREFORE, DEEMED TO BE INDIGENT. THE CARE METHODIST BEHAVIORAL HEALTH PROVIDES INCLUDES (1) COMPASSIONATE AND COMPREHENSIVE CARE FOR CHILDREN WITH ANXIETY, DEPRESSION, AND BEHAVIORAL AND EMOTIONAL ISSUES; (2) INTENSIVE THERAPY FOR INDIVIDUALS, FAMILIES AND GROUPS; (3) BOARD CERTIFIED PSYCHIATRISTS FOR CHILDREN AND ADOLESCENTS, EXPERIENCED MENTAL HEALTH THERAPISTS, CASE MANAGERS, REGISTERED NURSES, CERTIFIED TEACHERS, RECREATIONAL THERAPISTS AND BEHAVIORAL INSTRUCTORS; (4) THE TEACHING - FAMILY MODEL OF CARE, WHICH EMPHASIZES POSITIVE TEACHING OF FUNCTIONAL SKILLS AND BEHAVIORS; AND (5) PATIENT AFTERCARE AND FOLLOW-UP THROUGH THERAPEUTIC DAY TREATMENT PROGRAMS OR OUTPATIENT AND SCHOOL-BASED COUNSELING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>METHODIST BEHAVIORAL HEALTH IS A NONPROFIT BEHAVIORAL HEALTH HOSPITAL FOR CHILDREN AGES 3 TO 17, AND IS PART OF THE METHODIST FAMILY HEALTH CONTINUUM, WHICH INCLUDES THE METHODIST CHILDREN'S HOME, METHODIST COUNSELING CLINICS AND ARKANSAS CARES (CENTER FOR ADDICTIONS RESEARCH, EDUCATION AND SERVICES). METHODIST BEHAVIORAL HOSPITAL IS HOME TO THE ACUTE (SHORT-TERM) AND SUBACUTE (LONGER-TERM) INPATIENT PROGRAMS IN THE METHODIST FAMILY HEALTH CONTINUUM OF CARE. METHODIST BEHAVIORAL HOSPITAL OFFERS THE MOST INTENSIVE LEVEL OF CARE IN THE METHODIST FAMILY HEALTH CONTINUUM. METHODIST BEHAVIORAL HEALTH IS LICENSED TO PROVIDE ACUTE (SHORT-TERM) CARE TO BOYS AND GIRLS AGES 3 TO 17 AND SUBACUTE (LONG-TERM) CARE TO BOYS AGES 5 TO 11. IF A CHILD IS ASSESSED TO BE A DANGER TO HIM OR HERSELF, SOMEONE ELSE OR BOTH, METHODIST BEHAVIORAL HEALTH CAN PROVIDE CARE TO STABILIZE HIS OR HER BEHAVIOR, SO HE OR SHE CAN RETURN TO A LESS RESTRICTIVE ENVIRONMENT, INCLUDING THE FAMILY HOME, A PSYCHIATRIC RESIDENTIAL TREATMENT CENTER OR GROUP HOME.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <AddressLine1Txt>1600 ALDERSGATE RD SUITE 200</AddressLine1Txt>
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        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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      <ProceduresCorrectiveActionGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>ARKANSAS DEVELOPMENT FINANCE AUTHORI REFUNDING OF PRIOR 2009 BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>ARKANSAS DEVELOPMENT FINANCE AUTHORI REFUNDING OF PRIOR 2009 BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>ARKANSAS DEVELOPMENT FINANCE AUTHORI REFUNDING OF PRIOR 2009 BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>ARKANSAS DEVELOPMENT FINANCE AUTHORI REFUNDING OF PRIOR 2009 BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
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        <BondReferenceCd>A</BondReferenceCd>
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          <BusinessNameLine1Txt>ARKANSAS DEVELOPMENT FINANCE AUTHOR</BusinessNameLine1Txt>
        </IssuerName>
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        <BondReferenceCd>A</BondReferenceCd>
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        <InReserveFundAmt>23167</InReserveFundAmt>
        <IssuanceCostsFromProceedsAmt>15597</IssuanceCostsFromProceedsAmt>
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        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
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        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>ARKANSAS DEVELOPMENT FINANCE AUTHORI REFUNDING OF PRIOR 2009 BONDS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>METHODIST FAMILY HEALTH INC., AN AFFILIATE, PROVIDES MANAGEMENT SERVICES TO THE UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FEDERAL FORM 990 IS REVIEWED BY THE CFO BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND KEY EMPLOYEES RECEIVE AN ANNUAL QUESTIONNAIRE THAT ASKS THEM TO DISCLOSE ANY CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCE DEPARTMENT COMPARES SALARY AND THE FINANCE COMMITTEE REVIEWS AND APPROVES SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>HUMAN RESOURCE DEPARTMENT COMPARES SALARY AND THE FINANCE COMMITTEE REVIEWS AND APPROVES SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS -781,803 PASSE K-1 INCOME -739,525 BAD DEBTS 781,803 TOTAL -739,525</ExplanationTxt>
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    </IRS990ScheduleO>
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</Return>