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        <ServicesDesc>PHYSICIAN</ServicesDesc>
        <CompensationAmt>308000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BKD LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3667</AddressLine1Txt>
            <CityNm>LITTLE ROCK</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72203</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING FIRM</ServicesDesc>
        <CompensationAmt>170447</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SLADE SMITH MD LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2515 BROADMOOR BLVD UNIT 1</AddressLine1Txt>
            <CityNm>MONROE</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71201</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN</ServicesDesc>
        <CompensationAmt>120000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>38138482</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38138482</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>592492</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>592492</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>38730974</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>7299</TotalRevenueColumnAmt>
        <ExclusionAmt>7299</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>122500</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>71694</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>50806</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>50806</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>50806</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>NONCAPITAL SALES &amp; USE TAX PROCEE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1471560</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1471560</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1471560</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>40260639</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40253340</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>7299</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1717373</TotalAmt>
        <ProgramServicesAmt>1717373</ProgramServicesAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>13104892</TotalAmt>
        <ProgramServicesAmt>9090268</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4014624</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>34550</TotalAmt>
        <ManagementAndGeneralAmt>34550</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>932336</TotalAmt>
        <ProgramServicesAmt>299634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>632702</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1096739</TotalAmt>
        <ProgramServicesAmt>1096739</ProgramServicesAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>10357</TotalAmt>
        <ManagementAndGeneralAmt>10357</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>107238</TotalAmt>
        <ManagementAndGeneralAmt>107238</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>10782769</TotalAmt>
        <ProgramServicesAmt>10440822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>341947</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <InformationTechnologyGrp>
        <TotalAmt>592163</TotalAmt>
        <ProgramServicesAmt>107448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>484715</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>644490</TotalAmt>
        <ProgramServicesAmt>42449</ProgramServicesAmt>
        <ManagementAndGeneralAmt>602041</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <InterestGrp>
        <TotalAmt>91860</TotalAmt>
        <ProgramServicesAmt>55817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36043</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1633016</TotalAmt>
        <ProgramServicesAmt>1092664</ProgramServicesAmt>
        <ManagementAndGeneralAmt>540352</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>377537</TotalAmt>
        <ProgramServicesAmt>229126</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148411</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>6453943</TotalAmt>
        <ProgramServicesAmt>4806228</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1647715</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIR &amp; MAINTENANCE</Desc>
        <TotalAmt>1296486</TotalAmt>
        <ProgramServicesAmt>1040716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>255770</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ACCRETION ON ASSET RETI</Desc>
        <TotalAmt>54569</TotalAmt>
        <ManagementAndGeneralAmt>54569</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>38930318</TotalAmt>
        <ProgramServicesAmt>30019284</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8911034</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>375210</BOYAmt>
        <EOYAmt>528198</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>352398</BOYAmt>
        <EOYAmt>357320</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4345307</BOYAmt>
        <EOYAmt>7012076</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>703183</BOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>864001</BOYAmt>
        <EOYAmt>807270</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>-412676</BOYAmt>
        <EOYAmt>191904</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>50049373</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>31507174</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>18697929</BOYAmt>
        <EOYAmt>18542199</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>87503</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>25012855</BOYAmt>
        <EOYAmt>27438967</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>4896421</BOYAmt>
        <EOYAmt>5919905</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3028463</BOYAmt>
        <EOYAmt>3727437</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>847266</BOYAmt>
        <EOYAmt>901835</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>8772150</BOYAmt>
        <EOYAmt>10549177</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>16240705</BOYAmt>
        <EOYAmt>16889790</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>16240705</BOYAmt>
        <EOYAmt>16889790</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>25012855</BOYAmt>
        <EOYAmt>27438967</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1330321</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>197337</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-878573</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>8000</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>8000</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>PERCENTAGE OF ARKANSAS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES SPENT ON LOBBYING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>582906</OtherCostOrOtherBasisAmt>
        <BookValueAmt>582906</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>27490012</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13154576</DepreciationAmt>
        <BookValueAmt>14335436</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>21976455</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>18352598</DepreciationAmt>
        <BookValueAmt>3623857</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>18542199</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ASSET RETIREMENT OBLIGATION</Desc>
        <Amt>901835</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>901835</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>33896887</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>33896887</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>6363752</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>6363752</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>40260639</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>32566566</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>32566566</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>6363752</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>6363752</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>38930318</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SYSTEM, MEDICAL CENTER, AND MEDICAL SERVICES HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR STATE STATUTE AND ARE NOT SUBJECT TO TAX AT THE ENTITY LEVEL FOR FEDERAL INCOME TAX PURPOSES. EACH ENTITY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF FASB CODIFICATION TOPIC INCOME TAXES. FASB CODIFICATION TOPIC INCOME TAXES CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND REQUIRES EACH ENTITY TO RECOGNIZE IN THEIR FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED UNDER AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS ASSESSED THE TAX POSITIONS OF EACH ENTITY AND DETERMINED THAT NO POSITIONS EXIST THAT REQUIRE ADJUSTMENT OR DISCLOSURE UNDER THE PROVISIONS OF FASB CODIFICATION TOPIC INCOME TAXES. THE SYSTEM, MEDICAL CENTER, AND MEDICAL SERVICES FILE AN INFORMATIONAL "RETURN OF SYSTEM EXEMPT FROM INCOME TAX" (FORM 990) IN THE U.S. FEDERAL JURISDICTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 6,363,752.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 6,363,752.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>133.000000000000</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>0</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
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        <NetCommunityBenefitExpnsAmt>155626</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00400</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>4083484</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>7083746</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00000</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>4239110</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>7083746</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>155626</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00400</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>90216</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>90216</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00230</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>492517</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>50446</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>442071</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01140</TotalExpensePct>
      </SubsidizedHealthServicesGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>582733</TotalCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>532287</NetCommunityBenefitExpnsAmt>
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      <TotalCommunityBenefitsGrp>
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      <BadDebtExpenseReportedInd>0</BadDebtExpenseReportedInd>
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      <ReimbursedByMedicareAmt>9000199</ReimbursedByMedicareAmt>
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      <MedicareSurplusOrShortfallAmt>-1080087</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
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      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>OUACHITA COUNTY MEDICAL CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
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          <CityNm>CAMDEN</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>71701</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.OUACHITAMEDCENTER.COM</WebsiteAddressTxt>
        <StateLicenseNum>AR2653</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>OUACHITA COUNTY MEDICAL CENTER</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</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>16</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.OUACHITAMEDCENTER.COM</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.OUACHITAMEDCENTER.COM</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtFreeCarePct>133.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.OUACHITAMEDCENTER.COM</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.OUACHITAMEDCENTER.COM</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.OUACHITAMEDCENTER.COM</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>OUACHITA COUNTY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: OUACHITA COUNTY MEDICAL CENTER DEPLOYED SURVEYS TO LOCAL EXPERT ADVISORS TO GAIN INPUT ON LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. LOCAL EXPERT ADVISORS WERE LOCAL INDIVIDUALS SELECTED ACCORDING TO CRITERIA REQUIRED BY THE FEDERAL GUIDELINES AND REGULATIONS AND THE HOSPITAL'S DESIRE TO REPRESENT THE REGIONS GEOGRAPHICALLY AND ETHNICALLY DIVERSE POPULATION. WE RECEIVED COMMUNITY INPUT FROM 26 LOCAL EXPERT ADVISORS. THE HOSPITAL PERFORMED SEVERAL INDEPENDENTS DATA ANALYSIS BASED ON SECONDARY SOURCE DATA, AUGMENTED THIS WITH LOCAL EXPERT ADVISORS OPINION AND RESOLVED ANY DATA INCONSISTENCY OR DISCREPANCIES BY REVIEWING THE COMBINED OPINIONS FORMED FROM LOCAL EXPERTS. THE PROCESS HELPS TO IDENTIFY THE MOST PRESSING, HIGHEST PRIORITY, COMMUNITY NEEDS.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>OUACHITA COUNTY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: OUACHITA COUNTY MEDICAL CENTER USED THE PRIORITY RANKING OF AREA HEALTH NEEDS BY THE LOCAL EXPERT ADVISORS TO ORGANIZE THE SEARCH FOR LOCALLY AVAILABLE RESOURCES AS WELL AS THE RESPONSE TO THE NEEDS BY OUACHITA COUNTY MEDICAL CENTER. A HOSPITAL FACILITY MAY DETERMINE WHETHER A HEALTH NEED IS SIGNIFICANT BASED ON ALL OF THE FACTS AND CIRCUMSTANCE PRESENT IN THE COMMUNITY IT SERVES. THE SIGNIFICANT NEEDS THE HOSPITAL WILL ADDRESS INCLUDE: HEART DISEASE, OBESITY, POPULATION TO PHYSICIANS RATIO, CANCER, DIABETES, MENTAL HEALTH/SUICIDE, AND ACCESSIBILITY/AFFORDABILITY. THE HOSPITAL RECOGNIZES THAT NOT ALL HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE ADDRESSED DUE TO LIMITED RESOURCES. THE NEEDS THAT WILL NOT BE ADDRESSED INCLUDE: STROKE, ALZHEIMER'S, COMPLIANCE BEHAVIOR, SMOKING, ACCIDENTS, BLOOD POISONING, CHRONIC BACK PAIN, AND SEVERAL OTHER FACTORS. PLEASE SEE IMPLEMENTATION STRATEGY AT WWW.OUACHITAMEDCENTER.COM FOR FURTHER EXPLANATION AND TASKS THE HOSPITAL WILL TAKE TO ADDRESS SIGNIFICANT HEALTH NEEDS IDENTIFIED AND THOSE THE ORGANIZATION WILL NOT ADDRESS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICARE'S REASONABLE COST METHODOLOGY INCLUDING ALLOCATION OF OVERHEAD COSTS, AS CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE THE AMOUNTS ON LINE 7.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LN 7 COL(F):</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER FINANCIAL STATEMENTS USING MEDICARE'S REASONABLE COST METHODOLOGY INCLUDING ALLOCATION OF OVERHEAD COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>OUACHITA COUNTY MEDICAL CENTER STRIVES TO PROVIDE ACCESIBLE, PERSONAL AND QUALITY HEALTHCARE IN A SAFE AND CONFIDENTIAL ENVIRONMENT, WITH COURTESY, FRIENDLINESS AND RESPECT. THE MEDICAL CENTER PROVIDES SEVERAL SERVICES TO PROMOTE THE HEALTH OF THE COMMUNITY. ONE OF THE SERVICES PROVIDED IS NUTRITIONAL SCREENING, WHICH SCREENED PATIENTS FOR NUTRITIONAL RISKS AND A NUTRITIONAL INTERVENTION TO OPTIMIZE THE PATIENTS MEDICAL NUTRITION THERAPY AND PROMOTE HEALING IF NECESSARY.THE MEDICAL CENTER SUBSTANCE ABUSE STAFF ARE INVOLVED IN SPEAKING ENGAGEMENTS IN THE COMMUNITY AND AT SCHOOLS RELATED TO DRUGS AND EDUCATIONAL MATERIAL ON MEDICATION DISPOSAL.THE HOSPITAL DIRECTOR OF MENTAL HEALTH ALSO PROVIDES EDUCATION AND SUPERVISORY TRAINING FOR LOCAL BUSINESS ORGANIZATIONS.THE HOSPITAL HOME HEALTH SERVICE ASSISTS IN EDUCATING HOME HEALTH PATIENTS IN PROPER USE AND DISPOSAL OF MEDICATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER FINANCIAL STATEMENTS USING MEDICARE'S REASONABLE COST METHODOLOGY INCLUDING ALLOCATION OF OVERHEAD COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE ORGANIZATION'S MEDICARE COST REPORT.IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THE THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN BALANCE DUE CANNOT BE PAID AT THE TIME OF SERVICE OR WHEN THE BALANCE BECOMES DUE AFTER SERVICE AND THE PATIENT IS UNABLE TO MAKE FULL PAYMENT, PERIODIC, PARTIAL PAYMENTS MAYBE APPROVED IN ACCORDANCE WITH THE CREDIT AND COLLECTION PROCEDURES, AS AUTHORIZED BY CFP. ACCOUNTS WHICH CANNOT BE COLLECTED AFTER NORMAL IN-HOUSE COLLECTION PROCEDURES MAY BE REFERRED TO A COLLECTION AGENCY OR ATTORNEY FOR FURTHER ACTION, IN ACCORDANCE WITH ESTABLISHED GUIDELINES. IF SATISFACTORY PAYMENT ARRANGEMENT CANNOT BE MADE OR SHOULD ANY INDIVIDUAL BE DETERMINED CHARITY OR INDIGENT, THE CEO OR DESIGNEE SHALL BE NOTIFIED. NO EXTRAORDINARY COLLECTION ACTIONS WILL BE PERMITTED UNTIL ALL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PARTNERED WITH THE QUORUM HEALTH RESOURCES TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT, PROVIDE THE HOSPITAL WITH INFORMATION REQUIRED TO COMPLETE INFORMATION ON FORM 990 SCHEDULE H, AND PRODUCE THE INFORMATION NECESSARY FOR THE HOSPITAL TO ISSUE AN ASSESSMENT OF COMMUNITY HEALTH NEEDS AND DOCUMENT ITS INTENDED RESPONSE.REPRESENTATIVES OF THE VARIOUS DIVERSE CONSTITUENCIES OUTLINED BY REGULATION TO BE ACTIVE PARTCIPANTS IN THIS PROCESS WERE ACTIVELY SOLICITATED TO OBTAIN THEIR WRITTEN OPINION. THESE OPINIONS OBTAINED FORMED THE INTRODUCTORY STEPS IN THE ASSESSMENT. LOCAL INPUT FROM REPRESENTATIVES OF PARTICULAR DEMOGRAPHIC SECTORS WERE OBTAINED TO GATHER INFORMATION ABOUT THE DIVERSE AND VAST POPULATION THE HOSPITAL SERVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WILL BE PROVIDED A COPY OF THE FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY UPON ADMISSION OR DISCHARGE. EMPLOYEES IN THE SCHEDULING, PATIENT ACCESS, AND PATIENT FINANCIAL SERVICES DEPARTMENTS WILL BE FULLY VERSED IN THE FINANCIAL ASSISTANCE POLICY, HAVE ACCESS TO FINANCIAL ASSISTANCE APPLICATION FORMS, AND BE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE OCMC REPRESENTATIVES. THE FAP, FAP PLAIN LANGUAGE SUMMARY, AND APPLICATION WILL BE POSTED ON THE OCMC WEBSITE (WWW.OUACHITAMEDCENTER.COM) IN A FORMAT DOWNLOADABLE WITHOUT SPECIAL SOFTWARE. NOTICES OF THE FAP AND FAP PLAIN LANGUAGE SUMMARY WILL BE POSTED IN SEVERAL PROMINENT LOCATIONS WITHIN THE HOSPITAL, INCLUDING BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, BILLING OFFICE, AND REGISTRATION AREAS. THE NOTICES WILL BE CLEARLY VISIBLE TO THE PUBLIC. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE PRINTED ON APPLICABLE LETTERS AND BILLING STATEMENTS THROUGH DIRECT PATIENT CONTACT, IN PERSON, OR OVER THE PHONE. FINANCIAL ASSISTANCE INFORMATION CAN BE OBTAINED FREE OF CHARGE IN THE OCMC BUSINESS OFFICE OR BY CALLING 870-836-1000 OUTREACH TO COMMUNITY ORGANIZATION AND PUBLIC AND NON-PROFIT AGENCIES. AVAILABILITY OF FINANCIAL ASSISTANCE WILL BE POSTED ANNUALLY IN THE LOCAL NEWSPAPER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN CONJUNCTION WITH QUORUM, THE HOSPITAL DEFINES ITS SERVICE AREA AS OUACHITA COUNTY, ARKANSAS, WHICH INCLUDES THE FOLLOWING: CAMDEN, BEARDEN, CHIDESTAR, LOUANN, AND STEPHENS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>OUACHITA COUNTY MEDICAL CENTER STRIVES TO PROVIDE ACCESIBLE, PERSONAL AND QUALITY HEALTHCARE IN A SAFE AND CONFIDENTIAL ENVIRONMENT, WITH COURTESY, FRIENDLINESS AND RESPECT. THE MEDICAL CENTER PROVIDES SEVERAL SERVICES TO PROMOTE THE HEALTH OF THE COMMUNITY. ONE OF THE SERVICES PROVIDED IS NUTRITIONAL SCREENING, WHICH SCREENED PATIENTS FOR NUTRITIONAL RISKS AND A NUTRITIONAL INTERVENTION TO OPTIMIZE THE PATIENTS MEDICAL NUTRITION THERAPY AND PROMOTE HEALING IF NECESSARY.THE MEDICAL CENTER SUBSTANCE ABUSE STAFF ARE INVOLVED IN SPEAKING ENGAGEMENTS IN THE COMMUNITY AND AT SCHOOLS RELATED TO DRUGS AND EDUCATIONAL MATERIAL ON MEDICATION DISPOSAL.THE HOSPITAL DIRECTOR OF MENTAL HEALTH ALSO PROVIDES EDUCATION AND SUPERVISORY TRAINING FOR LOCAL BUSINESS ORGANIZATIONS.THE HOSPITAL HOME HEALTH SERVICE ASSISTS IN EDUCATING HOME HEALTH PATIENTS IN PROPER USE AND DISPOSAL OF MEDICATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>OUACHITA VALLEY HEALTH SYSTEMS (THE SYSTEM) EARNS REVENUES PRIMARILY BY PROVIDING A WIDE RANGE OF HEALTH SERVICES TO PATIENTS IN OUACHITA COUNTY AND SURROUNDING AREAS IN SOUTH ARKANSAS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY PEGGY ABBOTT (PRESIDENT/CEO OF THE ORGANIZATION) PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S COMPENSATION DETERMINATION PROCESS INCLUDES REVIEW AND APPROVAL BY THE INDEPENDENT BOARD OF DIRECTORS. THE ORGANIZATION'S LATEST REVIEW WAS CONDUCTED DURING 2016. THE BOARD IS PROVIDED THE ARKANSAS HOSPITAL ASSOCIATION SALARY SURVEY INFO FOR COMPARABILITY DATA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE: PROGRAM SERVICE EXPENSES 6,363,752. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,363,752. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,729,807. MANAGEMENT AND GENERAL EXPENSES 284,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,014,594. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 388,502. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 388,502. PHYSICIAN: PROGRAM SERVICE EXPENSES 1,958,761. MANAGEMENT AND GENERAL EXPENSES 57,160. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,015,921.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO AFFILIATES -878,573.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF REVIEWING 990 HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
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      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>OUACHITA VALLEY HEALTH SYSTEM</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>878573</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>