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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ANESTHESIA ASSOCIATES OF PARAGOULD ARKA</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2507 SOUTH WIND</AddressLine1>
            <City>PARAGOULD</City>
            <State>AR</State>
            <ZIPCode>72450</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>DIRECTOR OF ANESTHESIA</DescriptionOfServices>
        <Compensation>573125</Compensation>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>HOSPITAL CARE CONSULTANTS INC</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>17304 PRESTON ROAD STE 555</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>75252</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>HOSPITALIST COVERAGE</DescriptionOfServices>
        <Compensation>486400</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>GCE INC</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1201</AddressLine1>
            <City>PARAGOULD</City>
            <State>AR</State>
            <ZIPCode>72451</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>LANDSCAPING SERVICES</DescriptionOfServices>
        <Compensation>363077</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MEDICAL DOCTOR ASSOCIATES</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 277185</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30384</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LOCUM TENEM COVERAGE</DescriptionOfServices>
        <Compensation>335308</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>17</NumberOfContractorsGT100K>
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      <GovernmentGrants>129361</GovernmentGrants>
      <AllOtherContributions>78816</AllOtherContributions>
      <TotalContributions>248639</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICE REVENU</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>66902545</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>66902545</RelatedOrExemptFunctionIncome>
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      <TotalProgramServiceRevenue>66902545</TotalProgramServiceRevenue>
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        <TotalRevenueColumn>238882</TotalRevenueColumn>
        <ExclusionAmount>238882</ExclusionAmount>
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      <GrossRents>
        <Real>313432</Real>
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      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>313432</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>313432</RelatedOrExemptFunctionIncome>
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      <GainOrLoss>
        <Securities>-345500</Securities>
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        <TotalRevenueColumn>-345500</TotalRevenueColumn>
        <ExclusionAmount>-345500</ExclusionAmount>
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        <Description>CAFETERIA REVENUE</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>365797</TotalRevenueColumn>
        <ExclusionAmount>365797</ExclusionAmount>
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      <OtherRevenueMisc>
        <Description>OTHER REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>275158</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>275158</RelatedOrExemptFunctionIncome>
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      <OtherRevenueMisc>
        <Description>WELLNESS CTR REVENUE</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>145279</TotalRevenueColumn>
        <ExclusionAmount>145279</ExclusionAmount>
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      <MiscellaneousRevenue>
        <TotalRevenueColumn>97117</TotalRevenueColumn>
        <ExclusionAmount>97117</ExclusionAmount>
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      <TotalOtherRevenue>883351</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>68241349</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>67491135</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>501575</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>14551</Total>
        <ProgramServices>14551</ProgramServices>
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      <CompCurrentOfficersDirectors>
        <Total>527373</Total>
        <ManagementAndGeneral>527373</ManagementAndGeneral>
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      <OtherSalariesAndWages>
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        <ProgramServices>19543535</ProgramServices>
        <ManagementAndGeneral>2647463</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
        <Total>4583722</Total>
        <ManagementAndGeneral>4583722</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>1645507</Total>
        <ProgramServices>1428903</ProgramServices>
        <ManagementAndGeneral>216604</ManagementAndGeneral>
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        <ProgramServices>2856698</ProgramServices>
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      <Advertising>
        <Total>68436</Total>
        <ManagementAndGeneral>68436</ManagementAndGeneral>
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      <Occupancy>
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        <ProgramServices>1139101</ProgramServices>
        <ManagementAndGeneral>115495</ManagementAndGeneral>
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      <Travel>
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        <ProgramServices>121861</ProgramServices>
        <ManagementAndGeneral>63400</ManagementAndGeneral>
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      <Interest>
        <Total>486425</Total>
        <ManagementAndGeneral>486425</ManagementAndGeneral>
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      <DepreciationDepletion>
        <Total>3377161</Total>
        <ManagementAndGeneral>3377161</ManagementAndGeneral>
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      <Insurance>
        <Total>629396</Total>
        <ProgramServices>629396</ProgramServices>
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        <Total>0</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>12366692</Total>
        <ProgramServices>11940748</ProgramServices>
        <ManagementAndGeneral>425944</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>10923902</Total>
        <ProgramServices>10923902</ProgramServices>
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      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>5419318</Total>
        <ProgramServices>3824159</ProgramServices>
        <ManagementAndGeneral>1595159</ManagementAndGeneral>
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      <OtherExpenses>
        <Total>0</Total>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1528171</Total>
        <ProgramServices>331144</ProgramServices>
        <ManagementAndGeneral>1197027</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>68058207</Total>
        <ProgramServices>52753998</ProgramServices>
        <ManagementAndGeneral>15304209</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <BOY>1190413</BOY>
        <EOY>1685905</EOY>
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        <EOY>1473088</EOY>
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        <EOY>693686</EOY>
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      <LandBldgEquipmentAccumDeprec>47458866</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>22492454</EOY>
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        <EOY>13179922</EOY>
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      <OtherAssetsTotal>
        <BOY>2519856</BOY>
        <EOY>7584633</EOY>
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      <TotalAssets>
        <BOY>53803740</BOY>
        <EOY>55890386</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>4289808</BOY>
        <EOY>6461858</EOY>
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      <TaxExemptBondLiabilities>
        <BOY>10470000</BOY>
        <EOY>9120000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>2342920</BOY>
        <EOY>1746021</EOY>
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      <OtherLiabilities>
        <BOY>146605</BOY>
        <EOY>120747</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>17249333</BOY>
        <EOY>17448626</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>36554407</BOY>
        <EOY>38441760</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>36554407</BOY>
        <EOY>38441760</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>53803740</BOY>
        <EOY>55890386</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>183142</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1704211</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>6105</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>6105</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF OTHER LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1I:</ReturnReference>
        <Explanation>A PERCENTAGE OF THE DUES PAID BY THE HOSPITAL TO AMERICAN HOSPITAL ASSOCIATION AND ARKANSAS HOSPITAL ASSOCIATION ARE DEEMED TO BE USED FOR LOBBYING PURPOSES. PART OF THE WORK DONE BY THESE ASSOCIATIONS IS LOBBYING ON BEHALF OF HOSPITALS FOR LEGISLATION THAT WILL BENEFIT THE HEALTHCARE COMMUNITY.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasis>4452140</OtherCostOrOtherBasis>
        <BookValue>4452140</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>33343808</OtherCostOrOtherBasis>
        <Depreciation>21431425</Depreciation>
        <BookValue>11912383</BookValue>
      </Buildings>
      <Equipment>
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        <Depreciation>23944131</Depreciation>
        <BookValue>4107264</BookValue>
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      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4103977</OtherCostOrOtherBasis>
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        <BookValue>2020667</BookValue>
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      <TotalOfBookValueLandBuildings>22492454</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>ASSETS LIMITED AS TO USE,DESIGNATED FOR CAPITAL ACQ.: CASH &amp; S-T INVESTMENTS</Description>
        <BookValue>721127</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>ASSETS LIMITED AS TO USE, DESIGNATED FOR CAPITAL ACQ.: EQUITIES</Description>
        <BookValue>5924454</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>ASSETS LIMITED AS TO USE,DESIGNATED FOR CAPITAL ACQ.:CERTIFICATES OF DEPOSIT</Description>
        <BookValue>4085866</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>ASSETS HELD BY TRUSTEE UNDER INDENTURE AGREEMENT: CASH &amp; S-T INVESTMENTS</Description>
        <BookValue>2448475</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>13179922</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>NET DEFERRED FINANCING COSTS</Description>
        <BookValue>188099</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ESTIMATED AMOUNTS DUE TO 3RD-PARTY PAYERS</Description>
        <BookValue>960583</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM RELATED PARTY</Description>
        <BookValue>6389622</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INTEREST RECEIVABLE</Description>
        <BookValue>46329</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>7584633</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>INTEREST PAYABLE</Description>
        <Amount>120747</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>120747</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE MEDICAL CENTER AND THE FOUNDATION ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE MEDICAL CENTER AND FOUNDATION ARE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. PHYSICIAN SERVICES IS CURRENTLY TAXED AS A CORPORATION AND IS IN THE PROCESS OF OBTAINING APPROVAL FOR TAX EXEMPT STATUS UNDER SECTION 501(C)(3). PHYSICIAN SERVICES HAS HAD SIGNIFICANT LOSSES SINCE INCEPTION AND DOES NOT EXPECT TO RECEIVE ANY INCOME TAX BENEFIT AS A RESULT OF THE ACCUMULATED LOSSES. THEREFORE, NO INCOME TAXES ARE REFLECTED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE MEDICAL CENTER FOLLOWS THE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE MEDICAL CENTER'S CONSOLIDATED FINANCIAL STATEMENTS THAT PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. THE GUIDANCE ALSO ADDRESSES THE DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS AND REQUIRED DISCLOSURES. THE MEDICAL CENTER HAS DETERMINED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2011 OR 2010. IF INTEREST AND PENALTIES ARE INCURRED RELATED TO UNCERTAIN TAX POSITIONS, SUCH AMOUNTS WOULD BE RECOGNIZED IN INCOME TAX EXPENSE. TAX PERIODS FOR ALL FISCAL YEARS AFTER 2007 REMAIN OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING JURISDICTIONS TO WHICH THE MEDICAL CENTER IS SUBJECT.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
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      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>205.000000000000</DiscountedOtherPercentage>
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      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
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      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <NetCommunityBenefitExpense>1534874</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02690</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>8090031</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7680313</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>409718</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00720</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>9624905</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7680313</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1944592</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03410</PercentOfTotalExpense>
      </TotalCharityCare>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>9624905</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7680313</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1944592</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03410</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>4484304</BadDebtExpenseAmount>
      <AmountAttributableTo>2242152</AmountAttributableTo>
      <AmountReimbursedByMedicare>25356979</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>22178522</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>3178457</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>ARKANSAS METHODIST HOSPITAL CORPORATION</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>900 WEST KINGSHIGHWAY</AddressLine1>
          <City>PARAGOULD</City>
          <State>AR</State>
          <ZIPCode>72450</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
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      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
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      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7: WORKSHEET 2 COST TO CHARGE RATIO WAS USED BY THE ORGANIZATION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10923902.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART II: COMMUNITY BUILDINIG ACTIVITIES HAVE NOT BEEN QUANTIFIED BY AMMC INTO A DOLLAR BENEFIT TO THE COMMUNITY. HOWEVER, AS DESCRIBED ABOVE, AMMC IS ACTIVELY INVOLVED IN COMMUNITY HEALTH IMPROVEMENT ADVOCACY THROUGH HEALTH FAIRS, DIABETES CLINICS, PHYSICALS FOR STUDENT ATHLETES AND MISSION OUTREADH CHARITABLE CLINIC.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 4: THE COST OF BAD DEBT EXPENSE WAS CALCULATED USING THE COST TO CHARGE RATIO FROM WORKSHEET 2.THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. BALANCES PAST DUE MORE THAN 150 DAYS ARE CONSIDERED DELINQUENT. ACCOUNTS ARE SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 9B: NO COLLECTION EFFORTS ARE TAKEN ON PATIENTS QUALIFYING FOR CHARITY CARE OR FINANCIAL ASSISTANCE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 2: ARKANSAS METHODIST MEDICAL CENTER CONDUCTS HEALTH FAIRS THROUGHOUT THE COMMUNITIES WE SERVE. THE HEALTH FAIRS GIVE THE CITIZENS THE OPPORTUNITY TO HAVE CHOLESTEROL AND GLUCOSE SCREENINGS AS WELL AS OTHER WELLNESS SCREENINGS. FOR FY 2011 WE CONDUCTED 23 HEALTH FAIRS WITH OVER 2000 ATTENDEES. THE HOSPITAL ALSO PERFORMS ATHLETIC PHYSICALS FOR THE ATHLETES AT 5 AREA SCHOOLS; OVER 800 PHYSICALS WERE PERFORMED IN 2011. THE HOSPITAL ALSO HAS A DIABETES CLINIC THAT HELPS NEWLY DIAGNOSE DIABETICS GAIN THE SKILLS TO EFFECTIVELY MANAGE THEIR DIABETES INCLUDING COOKING CLASSES AND GROUP DISCUSSIONS. IN FY 2011, THE DIABETES CLINIC ASSISTED MOVE THAN 300 PATIENTS. THE MISSION OUTREACH CHARITABLE CLINIC OPERATED BY THE HOSPITAL PROVIDED ASSISTANCE TO 936 UNDERPRIVILEGED INDIVIDUALS. AMMC STARTED OFFERING LACTATION SERVICES DURING FY 2011 SEEING 369 PATIENTS; PROMOTING THE BENEFITS OF BREAST FEEDING TO NEW MOTHERS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: PRIVATE PAY INPATIENTS ARE VISITED BY OUR SOCIAL SERVICE DIRECTOR TO DETERMINE WHAT NEEDS THE PATIENT MIGHT HAVE. THE DIRECTOR THEN GIVES THE PATIENT INFORMATION REGARDING THE ASSISTANCE THAT IS AVAILABLE TO THEM. PATIENTS WHO SHE FEELS MAY QUALIFY FOR MEDICAID OR CHARITY ARE REFERRED TO A FINANCIAL COUNSELOR WHO HELPS THE PATIENT WITH THE COMPLETION OF THE APPLICATIONS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: AMMC SERVES THE RURAL COMMUNITIES OF GREENE AND CLAY COUNTIES IN ARKANSAS AND DUNKLIN COUNTY, MISSOURI, AS WELL AS THE CITY OF PARAGOULD.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: THE AMMC BOARD OF DIRECTORS IS COMPRISED OF MEMBERS OF THE COMMUNITY WHO ARE EMPLOYED OR RETIRED FROM MANY OF THE INDUSTRIES IN THE COMMUNITY. AMMC WORKS TO RECRUIT PHYSICIANS IN ORDER TO BETTER SERVE THE COMMUNITY AND EXTENDS PRIVILEGES TO THE QUALIFIED PHYSICIANS IN OUR COMMUNITIES. THROUGH A PARTNERSHIP WITH THE ARKANSAS SAVES (STROKE ASSISTANCE THROUGH VIRTUAL EMERGENY SUPPORT) PROGRAM, AMMC IS HELPING SAVE THE LIVES OF STROKE VICTIMS. USING HIGH-SPEED LIVE VIDEO COMMUNICATIONS, TOP NEUROLOGISTS ACROSS THE STATE PROVIDE TIME-CRUCIAL COMMUNCIATIONS WITH AMMC EMERGENCY ROOM DOCTORS, SPEEDING RESPONSE TIMES AND IMPROVING PATIENT OUTCOMES. AMMC IS ALSO THE ONLY PARTICIPATING HOSPITAL IN NORTHEAST ARKANSAS ADMININSTERING THE CLOT-BUSTING DRUG T-PA WHICH CAN DRAMATICALLY REDUCE THE EFFECTS OF A STROKE.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ARKANSAS HOSPITAL EDUCATION AND RESEARCH TRUST</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>419 NATURAL RESOURCES DRIVE</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <EINOfRecipient>710306406</EINOfRecipient>
        <IRCSection>501(C) 6</IRCSection>
        <AmountOfCashGrant>5316</AmountOfCashGrant>
        <PurposeOfGrant>SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>0</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: CONTRIBUTIONS FROM THE MEDICAL CENTER CONSIST OF DONATIONS TO LOCAL CHARITIES AND SCHOOLS TO SPONSOR EVENTS USED TO FULFILL THEIR MISSIONS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>1</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>RONALD K ROONEY</NamePerson>
        <BaseCompensationFilingOrg>202666</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>13337</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10216</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9261</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>235480</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRYAN G JACKSON</NamePerson>
        <BaseCompensationFilingOrg>149870</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>8865</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9261</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>167996</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BARRY L DAVIS</NamePerson>
        <BaseCompensationFilingOrg>144271</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>8364</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6856</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9261</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>168752</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 6</ReturnReference>
        <Explanation>THE CEO, COO AND CFO HAVE AN INCENTIVE PLAN THAT HAS A COMPONENT BASED UPON EBIDA MARGIN OF THE ORGANIZATION. TARGETS FOR EBIDA MARGIN ARE SET BY THE EXECUTIVE COMMITTEE OF THE BOARD EACH YEAR AS WELL AS THE AMOUNT OF INCENTIVE AVAILABLE TO BE EARNED IF THOSE TARGETS ARE ACHIEVED.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>ARKANSAS HOSPITAL EQUIPMENT FINANCE AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521447822</IssuerEIN>
        <CUSIPNumber>04086RBF5</CUSIPNumber>
        <DateIssued>2003-08-14</DateIssued>
        <IssuePrice>4000000</IssuePrice>
        <DescriptionOfPurpose>EQUIPMENT PURCHASES</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CITY OF PARAGOULD ARKANSAS</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>716009633</IssuerEIN>
        <CUSIPNumber>699129CH3</CUSIPNumber>
        <DateIssued>2007-12-19</DateIssued>
        <IssuePrice>9380991</IssuePrice>
        <DescriptionOfPurpose>REFINANCING</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>4000000</TotalProceeds>
        <AmountInReserveFund>236368</AmountInReserveFund>
        <RefundingEscrow>311368</RefundingEscrow>
        <IssuanceCostsFromProceeds>75000</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>12974</WorkingCapitalExpenditures>
        <CapitalExpenditures>3377264</CapitalExpenditures>
        <YearOfSubstCompletion>2003</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>1</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>9380991</TotalProceeds>
        <RefundingEscrow>9263178</RefundingEscrow>
        <IssuanceCostsFromProceeds>117813</IssuanceCostsFromProceeds>
        <WorkingCapitalExpenditures>20624</WorkingCapitalExpenditures>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>0</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <PostIssuanceComplianceProcdrs>0</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
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        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FORM 990 IS PREPARED BY THE CONTROLLER AND CFO OF THE ORGANIZATION, WORKING WITH THE ORGANIZATION'S OUTSIDE ACCOUNTING FIRM. WHEN A DRAFT FORM 990 IS READY, IT IS PRESENTED FOR REVIEW TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. THE AUDIT COMMITTEE MAKES THE FINAL REVIEW AND APPROVES THE FORM 990 TO BE FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12</ReturnReference>
        <Explanation>ALL BOARD MEMBERS, OFFICERS, DIRECTORS AND DEPARTMENT MANAGERS REVIEW AND SIGN CONFLICT OF INTEREST POLICY EACH YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS MADE UP COMPLETELY OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE CEO, COO AND CFO ON AN ANNUAL BASIS. IN ADDITION TO REVIEWING EACH INDIVIDUAL'S PERFORMANCE, THE COMMITTEE REVIEWS INDEPENDENT SURVEY DATA FOR COMPARISON TO MARKET. THE COMMITTEE DETERMINES A RECOMMENDATION THAT IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR APPROVAL. CONTEMPORANEOUS MINUTES DOCUMENT THE DELIBERATIONS, RECOMMENDATIONS AND DECISIONS OF BOTH THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>THE FORM 990 AND FORM 1023 ARE AVAILABLE TO PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>AMMC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 1,704,211.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>INDEPENDENT ACCOUNTANT</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE PROCESS OF MONITORING AND SELECTING THE INDEPENDENT AUDITOR HAS NOT CHANGED FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>ARKANSAS METHODIST MEDICAL CENTER FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>900 WEST KINGSHIGHWAY</AddressLine1>
          <City>PARAGOULD</City>
          <State>AR</State>
          <ZIPCode>72450</ZIPCode>
        </AddressUS>
        <EIN>721562468</EIN>
        <PrimaryActivities>PROVIDE FUNDS TO AR METHODIST MEDICAL CENTER</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)(1)</PublicCharityStatus>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ARKANSAS METHODIST MEDICAL CENTER RETIRMENT COMMUNITY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>900 WEST KINGSHIGHWAY</AddressLine1>
          <City>PARAGOULD</City>
          <State>AR</State>
          <ZIPCode>72450</ZIPCode>
        </AddressUS>
        <EIN>263215294</EIN>
        <PrimaryActivities>OPERATION OF RETIREMENT COMMUNITY</PrimaryActivities>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(2)</PublicCharityStatus>
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      </Form990ScheduleRPartII>
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          <BusinessNameLine1>PRISM INC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <City>PARAGOULD</City>
          <State>AR</State>
          <ZIPCode>72450</ZIPCode>
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      <TransactionsRelatedOrgsTable>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        <MethodOfAmtDetermination>SHARED SERVICES- NO VALUE ASSIGNE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>