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        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8431</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>1657205</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>72147</TotalOtherCompensation>
      <NumberIndividualsGT100K>14</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CREDIT BUREAU OF JONESBORO</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>109 EAST JACKSON</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72403</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>COLLECTION</DescriptionOfServices>
        <Compensation>856769</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>COVENANT MEDICAL BENEFITS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1327</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72403</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>DATA PROCESSING</DescriptionOfServices>
        <Compensation>536516</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>GREENWAY MEDICAL TECHNOLOGIES INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>100 GREENWAY BLVD</AddressLine1>
            <City>CARROLLTON</City>
            <State>GA</State>
            <ZIPCode>30117</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>SOFTWARE</DescriptionOfServices>
        <Compensation>346247</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>BKD LLP</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 3667</AddressLine1>
            <City>LITTLE ROCK</City>
            <State>AR</State>
            <ZIPCode>72203</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ACCOUNTING</DescriptionOfServices>
        <Compensation>316794</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>VELOCITY TECHNOLOGY</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>850 THIRD AVENUE 10TH FLOOR</AddressLine1>
            <City>NEW YORK</City>
            <State>NY</State>
            <ZIPCode>10022</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>IT/ HOSTING SERVICES</DescriptionOfServices>
        <Compensation>249209</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>15</NumberOfContractorsGT100K>
      <TotalContributions>0</TotalContributions>
      <ProgramServiceRevenue>
        <Description>MANAGEMENT FEES</Description>
        <BusinessCode>561000</BusinessCode>
        <TotalRevenueColumn>17317165</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15411249</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>1905916</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PAIN CENTER, LLC K-1 INCOME</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>169705</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>169705</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>ALLCARE OF ARKANSAS K-1 INCOME</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>239642</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>239642</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>17726512</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>21179</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>21179</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <RentalIncomeOrLoss>
        <Real>0</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <TotalOtherRevenue>0</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>17747691</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>15820596</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>1905916</UnrelatedBusinessRevenue>
        <ExclusionAmount>21179</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>12000</Total>
        <ProgramServices>12000</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1038991</Total>
        <ManagementAndGeneral>1038991</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>6984248</Total>
        <ProgramServices>5653293</ProgramServices>
        <ManagementAndGeneral>1330955</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>7438</Total>
        <ProgramServices>6021</ProgramServices>
        <ManagementAndGeneral>1417</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>732246</Total>
        <ProgramServices>592705</ProgramServices>
        <ManagementAndGeneral>139541</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>547191</Total>
        <ProgramServices>442915</ProgramServices>
        <ManagementAndGeneral>104276</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>516211</Total>
        <ProgramServices>417839</ProgramServices>
        <ManagementAndGeneral>98372</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>88471</Total>
        <ProgramServices>71612</ProgramServices>
        <ManagementAndGeneral>16859</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>215824</Total>
        <ProgramServices>174695</ProgramServices>
        <ManagementAndGeneral>41129</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>139728</Total>
        <ProgramServices>113101</ProgramServices>
        <ManagementAndGeneral>26627</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>2215022</Total>
        <ProgramServices>1792916</ProgramServices>
        <ManagementAndGeneral>422106</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>2079395</Total>
        <ProgramServices>1683135</ProgramServices>
        <ManagementAndGeneral>396260</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>1666947</Total>
        <ProgramServices>1349285</ProgramServices>
        <ManagementAndGeneral>317662</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>136482</Total>
        <ProgramServices>110473</ProgramServices>
        <ManagementAndGeneral>26009</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>116417</Total>
        <ProgramServices>94232</ProgramServices>
        <ManagementAndGeneral>22185</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>114607</Total>
        <ProgramServices>92767</ProgramServices>
        <ManagementAndGeneral>21840</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>467976</Total>
        <ProgramServices>378796</ProgramServices>
        <ManagementAndGeneral>89180</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>100</Total>
        <ProgramServices>81</ProgramServices>
        <ManagementAndGeneral>19</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>MEDPAY EXPENSES</Description>
        <Total>279639</Total>
        <ProgramServices>226350</ProgramServices>
        <ManagementAndGeneral>53289</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; MEMBERSHIPS</Description>
        <Total>80761</Total>
        <ProgramServices>65371</ProgramServices>
        <ManagementAndGeneral>15390</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT EXPENSE</Description>
        <Total>77303</Total>
        <ProgramServices>62572</ProgramServices>
        <ManagementAndGeneral>14731</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DIETARY SUPPLIES &amp; FOOD</Description>
        <Total>28557</Total>
        <ProgramServices>23115</ProgramServices>
        <ManagementAndGeneral>5442</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>119724</Total>
        <ProgramServices>96907</ProgramServices>
        <ManagementAndGeneral>22817</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>17665278</Total>
        <ProgramServices>13460181</ProgramServices>
        <ManagementAndGeneral>4205097</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>184875</BOY>
        <EOY>1391535</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>27861</BOY>
        <EOY>81739</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>627122</BOY>
        <EOY>614201</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>9128583</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>7258166</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1606831</BOY>
        <EOY>1870417</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>90173258</BOY>
        <EOY>108228004</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>1272810</BOY>
        <EOY>999363</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>93892757</BOY>
        <EOY>113185259</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1711978</BOY>
        <EOY>1910416</EOY>
      </AccountsPayableAccruedExpenses>
      <GrantsPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </GrantsPayable>
      <DeferredRevenue>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </DeferredRevenue>
      <TaxExemptBondLiabilities>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TaxExemptBondLiabilities>
      <EscrowAccountLiability>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </EscrowAccountLiability>
      <LoansFromOfficersDirectors>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </LoansFromOfficersDirectors>
      <MortNotesPyblSecuredInvestProp>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </MortNotesPyblSecuredInvestProp>
      <UnsecuredNotesLoansPayable>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>33603</BOY>
        <EOY>891010</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1745581</BOY>
        <EOY>2801426</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>92147176</BOY>
        <EOY>110383833</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>92147176</BOY>
        <EOY>110383833</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>93892757</BOY>
        <EOY>113185259</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>82413</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>18154244</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type1>X</SupportingOrg509a3Type1>
      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>ST BERNARDS MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <EIN>710290019</EIN>
        <TypeOfOrganization>03</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>13460181</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>1</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>13460181</SumOfAmounts>
      <PublicSupportPercentage509>0.00000</PublicSupportPercentage509>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>111</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>111</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>OTHER LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>FORM 990, SCHEDULE C, PART II-B, LINE 1I</ReturnReference>
        <Explanation>THIS AMOUNT IS A PERCENTAGE OF DUES PAID TO VARIOUS PROFESSIONAL ASSOCIATIONS ALLOCABLE TO LOBBYING EXPENSES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYearMinus3Years />
      <CurrentYearMinus4Years />
      <Land />
      <Buildings />
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>47771</OtherCostOrOtherBasis>
        <Depreciation>20330</Depreciation>
        <BookValue>27441</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>7915529</OtherCostOrOtherBasis>
        <Depreciation>7237836</Depreciation>
        <BookValue>677693</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1165283</OtherCostOrOtherBasis>
        <BookValue>1165283</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1870417</TotalOfBookValueLandBuildings>
      <InvestmentsProgramRelated>
        <Description>INVESTMENT IN SUBSIDIARIES</Description>
        <BookValue>108228004</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </InvestmentsProgramRelated>
      <TotalOfBookValueProgramRelated>108228004</TotalOfBookValueProgramRelated>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>Deferred Compensation</Description>
        <Amount>53494</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Affiliates</Description>
        <Amount>837516</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>891010</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>17551935</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>17551935</RevenueSubtotal>
      <OtherRevenuesNotIncluded>195756</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>195756</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>17747691</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>17665278</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>17665278</ExpensesSubtotal>
      <TotalExpensesPerForm990>17665278</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>FIN 48 DISCLOSURE</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>REVENUE INCLUDED IN RETURN, NOT INCLUDED IN AUDIT</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART XI, LINE 4B</ReturnReference>
        <Explanation>BOOK TO TAX DIFFERENCE ON PAIN CENTER, LLC K-1 $(43,886) ALLCARE OF ARKANSAS K-1 INCOME $239,642 ========== $195,756</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>false</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HISPANIC COMMUNITY SERVICES INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>311 W HUNTINGTON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>680561016</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURES FOR MONITORING GRANT FUNDS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>GRANT RECIPIENTS ARE REQUIRED TO ACKNOWLEDGE PRIOR TO THE ISSUANCE OF GRANT FUNDS THAT THE GRANT WILL BE USED IN ACCORDANCE WITH THE STATED PURPOSE OF THE GRANT APPLICATION AND ANY UNUSED FUNDS RELATED TO THE SPECIFIC PURPOSE OF THE GRANTS WILL BE RETURNED TO THE ORGANIZATION. THE ORGANIZATION MONITORS AND REVIEWS THE FINANCIAL DATA OF RECIPIENTS TO ENSURE THAT THE GRANTED FUNDS ARE BEING USED PROPERLY.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
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      <InitialContractException>false</InitialContractException>
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        <NamePerson>CHRIS BARBER</NamePerson>
        <Title>PRESIDENT/CEO</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>HARRY HUTCHISON</NamePerson>
        <Title>CFO</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>MATT PARKER</NamePerson>
        <Title>VICE PRESIDENT</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>GEORGE FRAY</NamePerson>
        <Title>VICE PRESIDENT</Title>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SUSAN GREENWOOD</NamePerson>
        <Title>VICE PRESIDENT</Title>
        <BaseCompensationFilingOrg>153739</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES PIGG</NamePerson>
        <Title>CIO</Title>
        <BaseCompensationFilingOrg>158204</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>FORM 990, PART I, LINE 4B</ReturnReference>
        <Explanation>CHRIS BARBER PARTICIPATED IN A 457(B) PLAN - $17,500 WAS CONTRIBUTED ON HIS BEHALF DURING THE TAX YEAR.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>DEFINED BENEFIT PENSION PLAN</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART II, COLUMN D</ReturnReference>
        <Explanation>THE INCREASE OF THE ACTUARIAL VALUE OF THE DEFINED BENEFIT PENSION PLAN IS NOT CALCULATED ON AN INDIVIDUAL BASIS BUT RATHER ON THE EMPLOYEE GROUP TAKEN AS A WHOLE. THE INCREASE IN EACH INDIVIDUAL'S BALANCE WOULD HAVE TO BE ESTIMATED USING ASSUMPTIONS UNIQUE TO THAT INDIVIDUAL RATHER THAN THE PLAN AS A WHOLE. THIS INFORMATION IS NOT AVAILABLE AT THIS TIME. HOWEVER, WE BELIEVE THE INCREASE TO EACH INDIVIDUAL'S ACCOUNT WOULD NOT AUTOMATICALLY CHANGE THE COMPENSATION REPORTED. WE WILL WORK WITH OUR ACTUARY TO DETERMINE THE ANNUAL INCREASE IN FUTURE PERIODS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4A</ReturnReference>
        <Explanation>SINCE 1900, ST BERNARDS HAS SERVED AS OUR COMMUNITY'S TRUSTED PROVIDER OF COMPREHENSIVE, COMPASSIONATE HEALTHCARE. WITH OUR DEDICATED AND EXPERIENCED EMPLOYEES, ADVANCED TECHNOLOGY, AND THE LARGEST MEDICAL STAFF IN THE REGION, ST BERNARDS IS THE MEDICAL CENTER OF CHOICE. TODAY, AS WELL AS IN THE FUTURE, ST BERNARDS WILL CONTINUE TO PUT PATIENTS AND COMMUNITY NEEDS FIRST BY FOCUSING ON QUALITY, SAFETY, COST CONTROL, SERVICE AND DIVERSITY. DURING FISCAL YEAR 2013, $29,745,459 WAS SPENT FOR COMMUNITY BENEFIT. 600,120 PERSONS WERE SERVED THROUGH HEALTH SCREENINGS, DONATIONS, EDUCATIONAL CLASSES, AND VOLUNTEER EFFORTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER INFORMATION</Identifier>
        <ReturnReference>FORM 990, PART VI, LINES 6, 7A AND 7B</ReturnReference>
        <Explanation>OLIVETAN BENEDICTINE SISTERS, INC IS THE SOLE MEMBER OF ST. BERNARDS HEALTHCARE, INC. THE DIRECTORS OF THE CORPORATION SHALL AT ALL TIMES INCLUDE SEVEN MEMBERS OF THE MEMBER. OF THESE SEVEN MEMBERS ONE SHALL BE THE PRIORESS OF HOLY ANGELS CONVENT AND ONE SHALL BE THE MEMBER SERVING AS BUSINESS MANAGER OF THE MEMBER. THE MEMBER MUST APPROVE ANY TRANSACTION OVER $1 MILLION. THE DIOCESE OF LITTLE ROCK MUST APPROVE ANY TRANSACTION OVER $5 MILLION. THE MEMBER ALSO RESERVES POWER OVER ANY VARIANCE WITH CONGREGATIONAL POLICY, PHILOSOPHY, OR ETHICS. ANY AMENDMENT, ALTERATION, OR REPEAL OF THE BYLAWS MUST BE APPROVED BY THE MEMBER. THE MEMBER ALSO RESERVES POWER TO REMOVE ANY MEMBER OF THE GOVERNING BOARD IF IN THE SOLE DISCRETION OF THE MEMBER THE GOVERNING BOARD MEMBER ACTS AT VARIANCE WITH CONGREGATIONAL POLICY, PHILOSOPHY, OR THE ETHICS OF THE MEMBER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW PROCEDURES FOR FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 IS REVIEWED BY THE FOLLOWING PERSONS OR GROUPS: CONTROLLER OF ST. BERNARDS HEALTHCARE, INC., VICE PRESIDENT OF FINANCE OF ST. BERNARDS HEALTHCARE, INC., PRESIDENT/CEO OF ST. BERNARDS HEALTHCARE, INC., LEGAL COUNSEL, AND THE AUDIT COMMITTEE OF ST. BERNARDS HEALTHCARE, INC. PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST MONITORING PROCEDURES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>DIRECTORS AND ABOVE ANNUALLY SUBMIT A WRITTEN STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. LEGAL COUNSEL ALSO REVIEWS ANY POTENTIAL CONFLICTS OF INTEREST AND ADVISES MANAGEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW PROCEDURES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15A &amp; 15B</ReturnReference>
        <Explanation>THE CHAIRPERSON OF THE BOARD OF DIRECTORS SELECTS PERSONS TO SERVE ON THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES THE INITIAL SALARY AND ANY SUBSEQUENT SALARY ADJUSTMENTS OF ALL MANAGEMENT. THE COMPENSATION COMMITTEE OBTAINS AN INDEPENDENT SALARY SURVEY FROM INTEGRATED HEALTHCARE STRATEGIES, LLC. ON AN ANNUAL BASIS FOR USE IN DETERMINING THE APPROPRIATE SALARY RANGES FOR MANAGEMENT. THE COMPENSATION COMMITTEE PRESENTS THE INFORMATION TO THE BOARD FOR APPROVAL. IN 2013, COMPENSATION OF ALL MANAGEMENT PERSONNEL AND ALL OTHER EMPLOYEES OF THE ORGANIZATION WAS REVIEWED BY INTEGRATED HEALTHCARE STRATEGIES, LLC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PARTICIPATION IN JOINT VENTURES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 16B</ReturnReference>
        <Explanation>ALL OPERATING AGREEMENTS OR JOINT VENTURE ARRANGEMENTS CONTAIN A CLAUSE THAT SAFEGUARDS THE ORGANIZATION'S EXEMPT STATUS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF GOVERNING DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>TRANSFER FROM AFFILIATES $18,350,000 BOOK TO TAX DIFFERENCE ON PAIN CENTER, LLC K-1 43,886 ALLCARE OF ARKANSAS K-1 INCOME (239,642) ============= $18,154,244</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>ST BERNARDS HOSPITAL INC (SBHI)</BusinessNameLine1>
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          <AddressLine1>225 EAST JACKSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
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          <BusinessNameLine1>SBHCI</BusinessNameLine1>
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        <ControlledOrg>true</ControlledOrg>
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          <BusinessNameLine1>ST BERNARDS VILLAGE INC</BusinessNameLine1>
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          <AddressLine1>225 EAST JACKSON</AddressLine1>
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          <BusinessNameLine1>BENEDICTINE MANOR I</BusinessNameLine1>
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          <AddressLine1>225 EAST JACKSON</AddressLine1>
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          <BusinessNameLine1>VILLAGE</BusinessNameLine1>
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          <BusinessNameLine1>BENEDICTINE MANOR II</BusinessNameLine1>
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          <AddressLine1>225 EAST JACKSON</AddressLine1>
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          <BusinessNameLine1>ST BERNARDS COMM HOSPITAL</BusinessNameLine1>
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          <AddressLine1>310 S FALLS BLVD</AddressLine1>
          <City>WYNNE</City>
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          <BusinessNameLine1>JONESBORO REAL ESTATE HOLDINGS INC</BusinessNameLine1>
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          <State>AR</State>
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          <AddressLine1>700 EAST WASHINGTON AVE</AddressLine1>
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          <State>AR</State>
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          <BusinessNameLine1>OLIVETAN BENEDICTINE SISTERS INC</BusinessNameLine1>
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          <AddressLine1>PO DRAWER 130</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72403</ZIPCode>
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        <EIN>710654621</EIN>
        <PrimaryActivities>CONVENT</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>ST BERNARDS DEVELOPMENT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>400 EAST STREET</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
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        <EIN>710563245</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
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        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
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          <BusinessNameLine1>OBS</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>MATTHEWS MEDICAL MILE</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>PO BOX 9320</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72403</ZIPCode>
        </AddressUS>
        <EIN>273865388</EIN>
        <PrimaryActivities>ADVERTISING</PrimaryActivities>
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        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>AUX TO ST BERNARDS MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>225 E JACKSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EIN>710493824</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
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        <ExemptCodeSection>501 (C) (3)</ExemptCodeSection>
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          <BusinessNameLine1>SBHI</BusinessNameLine1>
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          <BusinessNameLine1>ALLCARE OF ARKANSAS</BusinessNameLine1>
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          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
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          <State>AR</State>
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        </AddressUS>
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        <PrimaryActivity>P.E.T. SCANS</PrimaryActivity>
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        <ShareOfEOYAssets>0</ShareOfEOYAssets>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>ST BERNARDS ORTHOPEDIC ASSOCIATES</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>57371</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>JONESBORO PLASTIC SURGERY</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>597353</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>OB-GYN ASSOCIATES OF JONESBORO</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>5484950</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ST BERNARDS VILLAGE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>2963106</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ST BERNARDS MEDICAL CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>254772655</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ST BERNARDS COMMUNITY HOSPITAL</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>13198679</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>TOTAL LIFE HEALTHCARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>307476</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ALLCARE OF ARKANSAS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>S</TransactionType>
        <AmountInvolved>3575929</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>