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        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>1958028</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>QHR</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>105 CONTINENTAL PLACE</AddressLine1>
            <City>BRENTWOOD</City>
            <State>TN</State>
            <ZIPCode>37027</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOSPITAL MGMT</ServicesDesc>
        <CompensationAmt>1082561</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>HOUSE OF GLASS INC</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>2 NORTH STATE STREET</AddressLine1>
            <City>ABERDEEN</City>
            <State>SD</State>
            <ZIPCode>574020228</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>212704</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>SANFORD LABORATORIES</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1210 S GRANGE AVE</AddressLine1>
            <City>SIOUX FALLS</City>
            <State>SD</State>
            <ZIPCode>57105</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>145987</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>CHURCHILL MANOLIS FREEMAN KLUDT SHEL</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>333 DAKOTA AVE S 2ND FLOOR</AddressLine1>
            <City>HURON</City>
            <State>SD</State>
            <ZIPCode>57350</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <CompensationAmt>135374</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>52235</AllOtherContributionsAmt>
      <TotalContributionsAmt>52235</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>ROUTINE SERVICES</Desc>
        <TotalRevenueColumnAmt>30358413</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30358413</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>30358413</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1191482</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1191482</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <PersonalAmt>377498</PersonalAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <PersonalAmt>241915</PersonalAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <PersonalAmt>135583</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>135583</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>135583</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER OPERATING REVENUE</Desc>
        <TotalRevenueColumnAmt>623636</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>623636</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>623636</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>32361349</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32173531</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>135583</UnrelatedBusinessRevenueAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>13977676</TotalAmt>
        <ProgramServicesAmt>13977676</ProgramServicesAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2811417</TotalAmt>
        <ProgramServicesAmt>2811417</ProgramServicesAmt>
      </OtherEmployeeBenefitsGrp>
      <InterestGrp>
        <TotalAmt>297500</TotalAmt>
        <ProgramServicesAmt>297500</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1862760</TotalAmt>
        <ProgramServicesAmt>1862760</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>4071033</TotalAmt>
        <ProgramServicesAmt>4071033</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES &amp; FEES</Desc>
        <TotalAmt>2518985</TotalAmt>
        <ProgramServicesAmt>2518985</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>1357914</TotalAmt>
        <ProgramServicesAmt>1357914</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>1183630</TotalAmt>
        <ProgramServicesAmt>1183630</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>1110728</TotalAmt>
        <ProgramServicesAmt>1110728</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>29191643</TotalAmt>
        <ProgramServicesAmt>29191643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>1607093</EOYAmt>
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        <EOYAmt>40188</EOYAmt>
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        <EOYAmt>929483</EOYAmt>
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        <EOYAmt>1109466</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>39119458</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>19753078</EOYAmt>
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        <EOYAmt>2508122</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>78563612</BOYAmt>
        <EOYAmt>81112814</EOYAmt>
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        <EOYAmt>3396701</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>5300479</BOYAmt>
        <EOYAmt>4678193</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>19141</BOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>8695398</BOYAmt>
        <EOYAmt>8074894</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <BOYAmt>69868214</BOYAmt>
        <EOYAmt>73037920</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>69868214</BOYAmt>
        <EOYAmt>73037920</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>78563612</BOYAmt>
        <EOYAmt>81112814</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3169706</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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>
    <IRS990ScheduleD documentId="RetDoc9">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>58872536</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>39119458</DepreciationAmt>
        <BookValueAmt>19753078</BookValueAmt>
      </BuildingsGrp>
      <TotalBookValueLandBuildingsAmt>19753078</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENTS</Desc>
        <BookValueAmt>52618967</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>52618967</TotalBookValueSecuritiesAmt>
      <TotalRevEtcAuditedFinclStmtAmt>32361349</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>32361349</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>32361349</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>29191643</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>29191643</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>29191643</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleH documentId="RetDoc10">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
        <OtherInd>X</OtherInd>
        <FreeCareOtherPct>1.250000000000</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent200DInd>X</Percent200DInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>41727</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>41727</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00140</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedCostsGrp>
        <TotalCommunityBenefitExpnsAmt>195127</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>148446</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>46681</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00160</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>236854</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>148446</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>88408</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00300</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>331088</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>30353</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>300735</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01030</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>64250</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>64250</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00220</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <SubsidizedHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>4793843</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>2901618</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1892225</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.06480</TotalExpensePct>
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      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>54887</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>54887</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00190</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>5244068</TotalCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.07920</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>5480922</TotalCommunityBenefitExpnsAmt>
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        <TotalExpensePct>0.08220</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>7474</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00030</TotalExpensePct>
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      <LeadershipDevelopmentGrp>
        <TotalCommunityBenefitExpnsAmt>56064</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>56064</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00190</TotalExpensePct>
      </LeadershipDevelopmentGrp>
      <TotalCommuntityBuildingActyGrp>
        <TotalCommunityBenefitExpnsAmt>67538</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>4000</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>63538</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00220</TotalExpensePct>
      </TotalCommuntityBuildingActyGrp>
      <BadDebtExpenseReportedInd>true</BadDebtExpenseReportedInd>
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      <BadDebtExpenseAttributableAmt>481015</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>10676644</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>10670296</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>6348</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1>HURON REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </BusinessName>
        <USAddress>
          <AddressLine1>172 4TH STREET SE</AddressLine1>
          <City>HURON</City>
          <State>SD</State>
          <ZIPCode>57350</ZIPCode>
        </USAddress>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>HURON REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <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>
        <InformationGapsInd>X</InformationGapsInd>
        <OtherInd>X</OtherInd>
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        <OwnWebsiteURLTxt>WWW.HURONREGIONAL.ORG</OwnWebsiteURLTxt>
        <RptAvailableUponRequestInd>X</RptAvailableUponRequestInd>
        <AdoptImplementationStrategyInd>X</AdoptImplementationStrategyInd>
        <ExecImplementationStrategyInd>X</ExecImplementationStrategyInd>
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        <PrioritizeServicesInd>X</PrioritizeServicesInd>
        <AllNeedsAddressedInd>false</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>125.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>false</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <PostedOnWebsiteInd>X</PostedOnWebsiteInd>
        <AttachedToInvoiceInd>X</AttachedToInvoiceInd>
        <ProvidedOnAdmissionInd>X</ProvidedOnAdmissionInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <PermitLawsuitInd>X</PermitLawsuitInd>
        <PermitLienOnResidenceInd>X</PermitLienOnResidenceInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <LawsuitInd>X</LawsuitInd>
        <LiensOnResidencesInd>X</LiensOnResidencesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <AverageNegotiatedRatesInd>X</AverageNegotiatedRatesInd>
        <MedicareRatesInd>X</MedicareRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HURON REGIONAL MEDICAL CENTER - PART V, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN THE ANALYSIS WAS COMPLETE, WE PUT THE INFORMATION AND SUMMARY CONCLUSIONS BEFORE OUR LOCAL GROUP OF EXPERTS , WHO WERE ASKED TO AGREE OR DISAGREE WITH THE SUMMARY CONCLUSIONS. THEY WERE FREE TO AUGMENT POTENTIAL CONCLUSIONS WITH ADDITIONAL STATEMENTS OF NEED, AND NEW NEEDS DID EMERGE FROM THIS EXCHANGE . SEE THE CHART ON PAGE 60 (28) OF THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE LISTING OF INDIVIDUALS PARTICIPATING AS LOCAL EXPERT ADVISORS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, HURON REGIONAL MEDICAL CENTER - PART V, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>SIGNIFICANT NEEDS WHERE HOSPITAL DID NOT DEVELOP IMPLEMENTATION PLAN: DENTAL NEED IS ADDRESSED BY OTHER FACILITY OR ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES ORTHOPEDIC CLINIC 287,692, PEDIATRIC CLINIC 28,971, SURGICAL CLINIC 608,237, AND ENT CLINIC 365,112 FOR A TOTAL OF 1,290,012. BAD DEBT EXPENSE NOT REPORTED ON LINE 7G WAS 154,827.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>WORKSHEET 2 WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN THE TABLES ALONG WITH COST REPORT AMOUNTS WHEN APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II - COMMUNITY BUILDING ACTIVITIES</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED 5</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE FROM PATIENTS CONSIST OF THE FOLLOWING: ACCOUNTS RECEIVABLE AS OF JUNE 30 2014 AND 2013 WERE:5,390,473 AND 4,632,799. ALLOWANCE FOR DOUBTFUL ACCOUNTS AS OF JUNE 30 2014 AND 2013 WERE:(2,844,056) AND(2,492,623). ACCOUNTS RECEIVABLE, NET AS OF JUNE 30, 2014 AND 2013 WERE: 2,546,417 AND 2,140,176. THE ABOVE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON AN ESTIMATE USING PAST COLLECTION EXPERIENCE, FINANCIAL CLASS, AND AGE OF THE PATIENT ACCOUNT. ESTIMATED BAD DEBTS EXPENSE REFLECTS THIS PROVISION FOR ACTUAL OR EXPECTED DOUBTFUL ACCOUNTS. DISCOUNTS AND PAYMENTS ON ACCOUNTS REDUCES ACCOUNTS RECEIVABLE BALANCES THEREFORE REDUCING BAD DEBT EXPENSE. A STUDY OF CHARITY APPLICATIONS AND EXPERIENCE OF FINANCIAL ASSISTANCE STAFF WAS USED TO REASONABLY ESTIMATE THE PERCENTAGE OF BAD DEBT FOR PATIENTS WHO WOULD HAVE QUALIFIED FOR CHARITY IF THEY APPLIED. FOOTNOTE 4, PAGE 10 OF AUDIT OF FINANCIAL STATEMENTS</ExplanationTxt>
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        <ExplanationTxt>IN 2014 COMPENSATION COMMITTEE IN CONJUNCTION WITH QHR REVIEWED INDEPENDENT COMPENSATION CONSULTANT'S COMPENSATION SURVERY FOR BOTH CEO AND CFO. BOARD APPROVED EXECUTIVE COMPENSATION POLICY, REQUIRES AN INDEPENDENT COMPENSATION SURVEY EVERY 4 YEARS AND REVIEW OF CEO AND CFO COMPENSATION ANNUALLY.</ExplanationTxt>
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