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        <ManagementAndGeneral>265364</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>LEASE EXPENSE</Description>
        <Total>256503</Total>
        <ProgramServices>61701</ProgramServices>
        <ManagementAndGeneral>194802</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONTRACT SERVICES</Description>
        <Total>1702925</Total>
        <ProgramServices>976082</ProgramServices>
        <ManagementAndGeneral>726843</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>2471207</Total>
        <ProgramServices>2471207</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>161891</Total>
        <ProgramServices>54390</ProgramServices>
        <ManagementAndGeneral>107501</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>14636083</Total>
        <ProgramServices>10696371</ProgramServices>
        <ManagementAndGeneral>3939712</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>1465193</BOY>
        <EOY>1856242</EOY>
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      <SavingsAndTempCashInvestments>
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      <PledgesAndGrantsReceivable>
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      <AccountsReceivable>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <BOY>74157</BOY>
        <EOY>0</EOY>
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      <InventoriesForSaleOrUse>
        <BOY>167921</BOY>
        <EOY>185508</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>91167</BOY>
        <EOY>113088</EOY>
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      <LandBuildingsEquipmentBasis>28979365</LandBuildingsEquipmentBasis>
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      <LandBuildingsEquipmentBasisNet>
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        <EOY>473792</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
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      <InvestmentsProgramRelated>
        <EOY>0</EOY>
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      <IntangibleAssets>
        <EOY>0</EOY>
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      <OtherAssetsTotal>
        <BOY>664643</BOY>
        <EOY>975319</EOY>
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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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        <EOY>845265</EOY>
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      <DeferredRevenue>
        <BOY>21630</BOY>
        <EOY>11214</EOY>
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      <MortNotesPyblSecuredInvestProp>
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        <EOY>2246</EOY>
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        <BOY>1066456</BOY>
        <EOY>1137732</EOY>
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      <TotalLiabilities>
        <BOY>2046082</BOY>
        <EOY>1996457</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>3240995</BOY>
        <EOY>5053122</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>22454949</BOY>
        <EOY>21500734</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>25695944</BOY>
        <EOY>26553856</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>27742026</BOY>
        <EOY>28550313</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>856329</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1583</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="10000105" softwareVersion="2010v3.2">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="10000105" softwareVersion="2010v3.2">
      <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="10000105" softwareVersion="2010v3.2">
      <Land>
        <OtherCostOrOtherBasis>73629</OtherCostOrOtherBasis>
        <BookValue>73629</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>21989894</OtherCostOrOtherBasis>
        <Depreciation>2029750</Depreciation>
        <BookValue>19960144</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>6910842</OtherCostOrOtherBasis>
        <Depreciation>3092199</Depreciation>
        <BookValue>3818643</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>5000</OtherCostOrOtherBasis>
        <Depreciation>250</Depreciation>
        <BookValue>4750</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>23857166</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATIONS</Description>
        <Amount>1137732</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1137732</TotalOfAmounts>
      <TotalRevenue>15492412</TotalRevenue>
      <TotalExpenses>14636083</TotalExpenses>
      <ExcessOrDeficitForYear>856329</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>1583</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>1583</TotalAdjustments>
      <ExcessOrDeficitPerFS>857912</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>15492412</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>15492412</RevenueSubtotal>
      <TotalRevenuePerForm990>15492412</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>14636083</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>14636083</ExpensesSubtotal>
      <TotalExpensesPerForm990>14636083</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>MANGEMENT ANNUALLY REVIEWS ITS TAX POSITION AND HAS DETERMINED THAT HTERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="10000105" softwareVersion="2010v3.2">
      <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>644372</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>644372</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04400</PercentOfTotalExpense>
      </CharityCareAtCost>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>644372</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>644372</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04400</PercentOfTotalExpense>
      </TotalCharityCare>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>644372</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>644372</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04400</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>921596</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>4604512</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>5886082</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1281570</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>false</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>false</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>ST JOSEPHS MERCY HLTH CTR</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>ADMIN CONTRACT OF CEO &amp; CFO</DescriptionEntPrimaryActivity>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>SOUTHWEST ARKANSAS HOMECARELL</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>HOME HEALTH</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.33000</OrganizationProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>0</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>
        <HospitalFacilityName>
          <BusinessNameLine1>HOWARD MEMORIAL HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <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>
        <OtherFactors>X</OtherFactors>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <PermitLienOnResidence>X</PermitLienOnResidence>
        <CollectionActivities>true</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <Lawsuit>X</Lawsuit>
        <LienOnResidence>X</LienOnResidence>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>false</NondiscrimEmergencyCarePolicy>
        <OtherReason>X</OtherReason>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part V - Explanation of Number of Facility Type</ReturnReference>
        <Explanation>1 - RURAL HOSPITAL</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 2,888 INPATIENT DAYS OF CARE, AS WELL AS 12,780 OUTPATIENT VISITS. TO BENEFIT THE POOR AND ELDERLY IN THE COMMUNITY, THE HOSPITAL PARTICIPATED IN MEDICARE AND MEDICAID 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 - 0</Identifier>
        <ReturnReference>Part V, Line 19d - Other Billing Determination of Individuals Without Insurance</ReturnReference>
        <Explanation>PRIVATE PAY PATIENTS ARE OFFERED A 50% DISCOUNT IF PATIENT PAYS ON DATE OF SERVICE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 18d - Other Reason Not Having Nondiscriminatory Policy for Emergency Medical Care</ReturnReference>
        <Explanation>EMTALA DISCRIMINATION</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 13g - Other Means Hospital Facility Publicized the Policy</ReturnReference>
        <Explanation>BUSINESS SERVICES OFFERS FINANCIAL ASSISTANCE, PATIENT ASSESSED SHOWS NEED</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 11h - Other Factors Used in Determing Amounts Charged Patients</ReturnReference>
        <Explanation>HMH CONTRACTED WITH SEARCH AMERICAN TOOL TO ASSIST WITH PRESUMPTIVE CHARITY</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="10000105" softwareVersion="2010v3.2">
      <RealEstateCommercial>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>332061</NoncashContribsRptdF990>
      </RealEstateCommercial>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <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 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>990 WILL BE REVIEWED DURING A MONTHLY BOARD MEETING</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR" softwareId="10000105" softwareVersion="2010v3.2">
      <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>193542</ShareOfTotalIncome>
        <ShareOfEOYAssets>35696</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.33</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <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>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOWARD MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>q</TransactionType>
        <AmountInvolved>35162</AmountInvolved>
        <MethodOfAmtDetermination>Cost</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOWARD MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>c</TransactionType>
        <AmountInvolved>52191</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>