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        <ManagementAndGeneral>7211</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>36045</Total>
        <ManagementAndGeneral>36045</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>0</Total>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>0</Total>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>0</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>44601</Total>
        <ManagementAndGeneral>44601</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>1859188</Total>
        <ProgramServices>1859188</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>2477247</Total>
        <ProgramServices>1773012</ProgramServices>
        <ManagementAndGeneral>704235</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES &amp; OTHER</Description>
        <Total>2739908</Total>
        <ProgramServices>1371289</ProgramServices>
        <ManagementAndGeneral>1368619</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>0</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>14017710</Total>
        <ProgramServices>9725083</ProgramServices>
        <ManagementAndGeneral>4292627</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1260891</BOY>
        <EOY>1364277</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1028336</BOY>
        <EOY>1043843</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1556625</BOY>
        <EOY>1100345</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>215087</BOY>
        <EOY>216791</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>120403</BOY>
        <EOY>128559</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>29436406</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>8145732</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>22564461</BOY>
        <EOY>21290674</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>681073</BOY>
        <EOY>1402290</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>882836</BOY>
        <EOY>1163405</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>28309712</BOY>
        <EOY>27710184</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1084664</BOY>
        <EOY>1230689</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>2170</BOY>
        <EOY>8299</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>916929</BOY>
        <EOY>773814</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>2421</BOY>
        <EOY>2736</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>2006184</BOY>
        <EOY>2015538</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>6121094</BOY>
        <EOY>6846357</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>20182434</BOY>
        <EOY>18848289</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>26303528</BOY>
        <EOY>25694646</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>28309712</BOY>
        <EOY>27710184</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-528256</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-80626</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000229" softwareVersion="2012v2.0">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <Land>
        <OtherCostOrOtherBasis>73629</OtherCostOrOtherBasis>
        <BookValue>73629</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>22087769</OtherCostOrOtherBasis>
        <Depreciation>3932353</Depreciation>
        <BookValue>18155416</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>7260032</OtherCostOrOtherBasis>
        <Depreciation>4212253</Depreciation>
        <BookValue>3047779</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>14976</OtherCostOrOtherBasis>
        <Depreciation>1126</Depreciation>
        <BookValue>13850</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>21290674</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>SHORT TERM FINANCING</Description>
        <Amount>2736</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2736</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>14823599</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>1334145</OtherRevenues>
      <RevenueNotRptdF990>1334145</RevenueNotRptdF990>
      <RevenueSubtotal>13489454</RevenueSubtotal>
      <TotalRevenuePerForm990>13489454</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>14017710</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>14017710</ExpensesSubtotal>
      <TotalExpensesPerForm990>14017710</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 2d</Identifier>
        <ReturnReference>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>NET ASSETS RELEASED FROM RESTRICTIONS $1334145</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>The Hospital has adopted Accounting Standards Codification Topic 740, Accounting for Uncertainty in Income Taxes. The System will recognize a tax benefit only if it is more likely than not the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that has a greater than 50% likelihood of being realized on examination for tax positions not meeting the more likely than not test, no tax benefit will be recorded.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="12000229" softwareVersion="2012v2.0">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent250>X</Pcent250>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>380153</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>380153</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02710</PercentOfTotalExpense>
      </CharityCareAtCost>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>380153</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>380153</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02710</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>16285</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>16285</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </CommunityHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>16285</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>16285</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>396438</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>396438</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02830</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2727392</BadDebtExpenseAmount>
      <AmountAttributableTo>1046703</AmountAttributableTo>
      <AmountReimbursedByMedicare>6926310</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>6867505</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>58805</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>SOUTHWEST ARKANSAS HOMECARELL</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>HOME HEALTH</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.33000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>HOWARD MEMORIAL HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>130 MEDICAL CIRCLE</AddressLine1>
          <City>NASHVILLE</City>
          <State>AR</State>
          <ZIPCode>71852</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <Other>X</Other>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>false</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <OtherMethod>X</OtherMethod>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <OtherNeedsAddressed>X</OtherNeedsAddressed>
        <AllNeedsAddressed>true</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <FileForm4720ReportExciseTax>false</FileForm4720ReportExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>200.0000</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>250.0000</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part V - Explanation of Number of Facility Type</ReturnReference>
        <Explanation>A RURAL HOSPITAL LOCATED IN NASHVILLE, ARKANSAS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</ReturnReference>
        <Explanation>HOWARD MEMORIAL HOSPITAL IS CLASSIFIED AS A 20-BED CRITICAL ACCESS HOSPITAL AND PROVIDES ACUTE AND SWING BED SERVICES. THE HOSPITAL PROVIDES MEDICAL CARE TO RESIDENTS OF SOUTHWESTERN ARKANSAS. THIS CARE INCLUDED APPROXIMATELY 2,365 INPATIENT DAYS OF CARE, AS WELL AS 12,765 OUTPATIENT VISITS. TO BENEFIT THE POOR AND ELDERLY IN THE COMMUNITY, THE HOSPITAL PARTICIPATED IN MEDICARE AND MEDICAID PROGRAMS. 1,222 DAYS OF CARE WERE PROVIDED TO PARTICIPANTS IN THESE PROGRAMS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>RURAL SETTING, PREDOMINANTLY AGRICULTURAL BASE. AVERAGE INCOME AT OR BELOW POVERTY GUIDELINES. PREDOMINANTLY CAUCASIAN, HIGH SCHOOL EDUCATED AND GERIATRIC IN NATURE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>INFORMS PATIENTS UPON ADMISSION AND POSTS NOTICES IN CONSPICUOUS AREAS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY BY PAYOR SOURCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 1</Identifier>
        <ReturnReference>Part V, Line 20d - Other Billing Determination of Individuals Without Insurance</ReturnReference>
        <Explanation>HOSPITAL USES AVERAGE OF ALL PAYORS, 50% ADJUSTEMENT APPLIED TO ALL UNINSURED PATIENT ACCOUNTS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 1</Identifier>
        <ReturnReference>Part V, Line 14g - Other Means Hospital Facility Publicized the Policy</ReturnReference>
        <Explanation>INITIAL 50% WRITE OFF OF CHARGES PRIOR TO FINANCIAL ASSISTANCE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 1</Identifier>
        <ReturnReference>Part V, Line 6i - Describe Other Needs Identified</ReturnReference>
        <Explanation>HEMO-DIALYSIS IS IDENTIFIED AS A COMMUNITY NEED BUT HMH IS UNABLE TO PROVIDE LOCALLY DUE TO PHYSICIAN SUPERVISION REQUIREMENTS. GIVEN THE AGE OF OUR CURRENT PRIMARY CARE PHYSICIANS, OUR HOSPITAL IS PRESENTLY RECRUITING TWO NEW PRIMARY CARE PHYSICIANS TO THE COMMUNITY. HOSPITAL HAS CONTRACTED WITH PHYSICIAN RECRUITER AND UAMS. HMH HAS NOT YET BEEN SUCCESSFUL IN RECRUITING 2 NEW PRIMARY CARE PHYSICIANS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 1</Identifier>
        <ReturnReference>Part V, Line 5c - Description of Making Needs Assessment Widely Available</ReturnReference>
        <Explanation>COPY AVAILABLE IN ADMISSIONS, EMERGENCY DEPARTMENT AND ADMINISTRATION; PRESS RELEASE TO MEDIA; NEWSPAPERS AND RADIO</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 1</Identifier>
        <ReturnReference>Part V, Line 3 - Account Input from Person Who Represent the Community</ReturnReference>
        <Explanation>TELEPHONE SURVEYED HOWARD COUNTY RESIDENTS; HOSPITAL PERSONNEL WORKED WITH HOWARD COUNTY UNIT DIRECTORS AND ARKANSAS DEPT OF HEALTH STATISTICIAN</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 1</Identifier>
        <ReturnReference>Part V, Line 1j - Description of Other Needs Assessment</ReturnReference>
        <Explanation>HOSPITAL WORKED WITH ARKANSAS DEPT OF HEALTH SATISTICIAN AND HOWARD COUNTY UNIT DIRECTORS TO DEVELOP COMMUNITY NEEDS ASSESSMENT</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>PATIENTS ARE INFORMED OF CHARITY CARE PROGRAM</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000229" softwareVersion="2012v2.0">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>JONATHAN BAYLON</NamePerson>
        <Title>CRNA</Title>
        <BaseCompensationFilingOrg>160026</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>160026</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN HEARNSBERGER MD</NamePerson>
        <Title>Chief of Staff</Title>
        <BaseCompensationFilingOrg>209843</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>209843</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DEBRA WRIGHT</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>163532</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>163532</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Decreases</ReturnReference>
        <Explanation>NET UNREALIZED GAIN (LOSS) IN TRADING SECURITIES = -$80626</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>AVAILABLE UPON REQUEST FROM ADMINISTRATION</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>HOWARD MEMORIAL UTILIZES ITS ANNUAL EVALUATIONS AND COMPARABILITY DATA TO REVIEW AND DETERMINE COMPENSATION OF EMPLOYEES</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>990 WILL BE REVIEWED DURING A MONTHLY BOARD MEETING</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="12000229" softwareVersion="2012v2.0">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOWARD HEALTH SYSTEMS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 381</AddressLine1>
          <City>NASHVILLE</City>
          <State>AR</State>
          <ZIPCode>71852</ZIPCode>
        </AddressUS>
        <EIN>710644639</EIN>
        <PrimaryActivities>OVERSIGHT ORGANIZATION FOR HOSPITAL AND FND</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501-C-3</ExemptCodeSection>
        <PublicCharityStatus>170-B-1-A-iii</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HOWARD MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>130 MEDICAL CIRCLE</AddressLine1>
          <City>NASHVILLE</City>
          <State>AR</State>
          <ZIPCode>71852</ZIPCode>
        </AddressUS>
        <EIN>710644638</EIN>
        <PrimaryActivities>TO FURTHER THE PURPOSE OF HOWARD MEMORIAL HOSPITAL</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501-C-3</ExemptCodeSection>
        <PublicCharityStatus>170-B-1-A-iii</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SOUTHWEST ARKANSAS HOMECARE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>420 WEST PINHOOK ROAD SUITE A</AddressLine1>
          <City>LAFAYETTE</City>
          <State>LA</State>
          <ZIPCode>70503</ZIPCode>
        </AddressUS>
        <EIN>260274543</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>LA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ShareOfTotalIncome>96230</ShareOfTotalIncome>
        <ShareOfEOYAssets>7319</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.33000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>true</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SOUTHWEST ARKANSAS HOMECARE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>a</TransactionType>
        <AmountInvolved>96230</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOWARD MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>8100</AmountInvolved>
        <MethodOfAmtDetermination>COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>