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      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>7091</Total>
        <ProgramServices>5679</ProgramServices>
        <ManagementAndGeneral>1412</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>4282073</Total>
        <ProgramServices>3429415</ProgramServices>
        <ManagementAndGeneral>852658</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>24425</Total>
        <ProgramServices>19561</ProgramServices>
        <ManagementAndGeneral>4864</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>287266</Total>
        <ProgramServices>230065</ProgramServices>
        <ManagementAndGeneral>57201</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>803995</Total>
        <ProgramServices>643901</ProgramServices>
        <ManagementAndGeneral>160094</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>225492</Total>
        <ProgramServices>180591</ProgramServices>
        <ManagementAndGeneral>44901</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>386932</Total>
        <ProgramServices>309885</ProgramServices>
        <ManagementAndGeneral>77047</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>971050</Total>
        <ProgramServices>777692</ProgramServices>
        <ManagementAndGeneral>193358</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>203940</Total>
        <ProgramServices>163331</ProgramServices>
        <ManagementAndGeneral>40609</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>5569016</Total>
        <ProgramServices>5569016</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>5170692</Total>
        <ProgramServices>4141090</ProgramServices>
        <ManagementAndGeneral>1029602</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
        <Total>807185</Total>
        <ProgramServices>646456</ProgramServices>
        <ManagementAndGeneral>160729</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ASSESSMENT TAX</Description>
        <Total>347994</Total>
        <ProgramServices>278701</ProgramServices>
        <ManagementAndGeneral>69293</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>48714</Total>
        <ProgramServices>39014</ProgramServices>
        <ManagementAndGeneral>9700</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>23285</Total>
        <ProgramServices>18649</ProgramServices>
        <ManagementAndGeneral>4636</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>36264412</Total>
        <ProgramServices>29868168</ProgramServices>
        <ManagementAndGeneral>6396244</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1179486</BOY>
        <EOY>2151446</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>259789</BOY>
        <EOY>261573</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>4612018</BOY>
        <EOY>4292047</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>8011</BOY>
        <EOY>8011</EOY>
      </OtherNotesLoansReceivableNet>
      <PrepaidExpensesDeferredCharges>
        <BOY>1080145</BOY>
        <EOY>1195275</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>42166957</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>29682938</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>11759850</BOY>
        <EOY>12484019</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>8474531</BOY>
        <EOY>7175184</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>251890</BOY>
        <EOY>99169</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>27625720</BOY>
        <EOY>27666724</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2315331</BOY>
        <EOY>1978729</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>5630000</BOY>
        <EOY>5310000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>1518873</BOY>
        <EOY>1474064</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>1266515</BOY>
        <EOY>1304887</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>10730719</BOY>
        <EOY>10067680</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>16895001</BOY>
        <EOY>17599044</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>16895001</BOY>
        <EOY>17599044</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>27625720</BOY>
        <EOY>27666724</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>761304</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-57261</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>5910</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>5910</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>OTHER LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>FORM 990, PART II-B, LINE I</ReturnReference>
        <Explanation>PERCENTAGE OF ARKANSAS HOSPITAL ASSOCIATION ($2,360) AND AMERICAN HOSPITAL ASSOCIATION ($3,550) DUES SPENT ON LOBBYING.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>582906</OtherCostOrOtherBasis>
        <BookValue>582906</BookValue>
      </Land>
      <Buildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>18847273</OtherCostOrOtherBasis>
        <Depreciation>10247087</Depreciation>
        <BookValue>8600186</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>21744267</OtherCostOrOtherBasis>
        <Depreciation>19435851</Depreciation>
        <BookValue>2308416</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>0</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>992511</OtherCostOrOtherBasis>
        <BookValue>992511</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>12484019</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>INTERNALLY DESIGNATED ASSETS</Description>
        <BookValue>501151</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>ASSETS HELD BY TRUSTEE</Description>
        <BookValue>875042</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>LESS CURRENT OBLIGATIONS</Description>
        <BookValue>-261573</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>SHORT TERM INVESTMENTS</Description>
        <BookValue>5710564</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>LONG TERM INVESTMENTS</Description>
        <BookValue>350000</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>7175184</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ESTIMATED AMOUNT DUE 3RD PARTY</Description>
        <Amount>413802</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATIONS</Description>
        <Amount>891085</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1304887</TotalOfAmounts>
      <TotalRevenue>37025716</TotalRevenue>
      <TotalExpenses>36264412</TotalExpenses>
      <ExcessOrDeficitForYear>761304</ExcessOrDeficitForYear>
      <OtherAmount>-57261</OtherAmount>
      <TotalAdjustments>-57261</TotalAdjustments>
      <ExcessOrDeficitPerFS>704043</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>31474750</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>18050</OtherRevenues>
      <RevenueNotRptdF990>18050</RevenueNotRptdF990>
      <RevenueSubtotal>31456700</RevenueSubtotal>
      <OtherRevenuesNotIncluded>5569016</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>5569016</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>37025716</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>30713446</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>18050</OtherExpensesIncluded>
      <ExpensesNotRptdF990>18050</ExpensesNotRptdF990>
      <ExpensesSubtotal>30695396</ExpensesSubtotal>
      <OtherExpensesNotIncluded>5569016</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>5569016</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>36264412</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER REVENUE INCLUDED ON BOOKS BUT NOT ON RETURN</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART XII, LINE 2D</ReturnReference>
        <Explanation>RENTAL EXPENSE 18,050</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER EXPENSES INCLUDED ON BOOKS BUT NOT ON RETURN</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART XIII, LINE 2D</ReturnReference>
        <Explanation>RENTAL EXPENSE 18,050</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF CHANGE IN NET ASSETS TO AUDITED FINANCIALS</Identifier>
        <ReturnReference>FORM 990, SCH D, PART XI, LINE 8</ReturnReference>
        <Explanation>TRANSFERS TO AFFILIATES $(57,261)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER REVENUE INCLUDED ON RETURN BUT NOT ON BOOKS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART XII, LINE 4B</ReturnReference>
        <Explanation>PROVISION FOR UNCOLLECTIBLE ACCOUNTS 5,569,016</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER EXPENSES INCLUDED ON RETURN BUT NOT ON BOOKS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART XIII, LINE 4B</ReturnReference>
        <Explanation>PROVISION FOR UNCOLLECTIBLE ACCOUNTS 5,569,016</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>FORM 990, SCH D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>495656</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>495656</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01610</PercentOfTotalExpense>
      </CharityCareAtCost>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>495656</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>495656</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01610</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>56301</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>56301</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00180</PercentOfTotalExpense>
      </CommunityHealthServices>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>2564130</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1739377</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>824753</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02680</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>2620431</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1739377</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>881054</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02860</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>3116087</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1739377</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1376710</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04470</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2080116</BadDebtExpenseAmount>
      <AmountAttributableTo>4646193</AmountAttributableTo>
      <AmountReimbursedByMedicare>11596916</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>12636431</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1039515</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>OUACHITA COUNTY MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>638 CALIFORNIA AVE</AddressLine1>
          <City>CAMDEN</City>
          <State>AR</State>
          <ZIPCode>71701</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>OUACHITA COUNTY MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY</Identifier>
        <ReturnReference>FORM 990, SCH H, PART III, LINE 4B</ReturnReference>
        <Explanation>AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS USING MEDICARE'S REASONABLE COST METHODOLOGY INCLUDING ALLOCATION OF OVERHEAD COSTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE'S REASONABLE COST METHODOLOGY</Identifier>
        <ReturnReference>FORM 990, SCH H, PART I, LINE 7</ReturnReference>
        <Explanation>MEDICARE'S REASONABLE COST METHODOLOGY INCLUDING ALLOCATION OF OVERHEAD COSTS, AS CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE THE AMOUNTS ON LINE 7.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE</Identifier>
        <ReturnReference>FORM 990, SCH H, PART I, LINE 7, COLUMN F</ReturnReference>
        <Explanation>BAD DEBT EXPENSE IN THE AMOUNT OF $5,569,016 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE</Identifier>
        <ReturnReference>FORM 990, SCH H, PART III, LINE 4A</ReturnReference>
        <Explanation>ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES ON THE ACCOUNT. AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO. IN ORDER TO DETERMINE THE TOTAL AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELGIBILE UNDER THE CHARITY CARE POLICY, THE TOTAL CHARGES TO INDIVIDUALS BELOW THE FEDERAL POVERTY LEVEL IS ESTIMATED BY TAKING TOTAL CHARGES AND MULTIPLYING THAT BY THE PERCENTAGE OF RESIDENTS IN OUACHITA COUNTY THAT ARE BELOW THE FEDERAL POVERTY LEVEL. THIS AMOUNT WAS OBTAINED FROM THE CENSUS WEBSITE. MEDICAID CHARGES, SSI PORTION OF MEDICARE CHARGES AND KNOWN CHARITY CARE PROVIDED DURING THE YEAR ARE THEN BACKED OUT. A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE PAPERWORK, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY BENEFIT</Identifier>
        <ReturnReference>FORM 990, SCH H, PART III, LINE 8</ReturnReference>
        <Explanation>THE AMOUNT REPORTED ON LINE 6 WAS CALCULATED USING THE ORGANIZATION'S MEDICARE COST REPORT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION POLICY</Identifier>
        <ReturnReference>FORM 990, SCH H, PART III, LINE 9B</ReturnReference>
        <Explanation>WHEN BALANCE DUE CANNOT BE PAID AT THE TIME OF SERVICE OR WHEN THE BALANCE BECOMES DUE AFTER SERVICE AND THE PATIENT IS UNABLE TO MAKE FULL PAYMENT, PERIODIC, PARTIAL PAYMENTS MAY BE APPROVED IN ACCORDANCE WITH CREDIT AND COLLECTION PROCEDURES, AS AUTHORIZED BY CFP. ACCOUNTS, WHICH CANNOT BE, COLLECT AFTER NORMAL IN-HOUSE COLLECTION PROCEDURES MAY BE REFERRED TO A COLLECTION AGENCY OR ATTORNEY FOR FURTHER ACTION IN ACCORDANCE WITH ESTABLISHED GUIDELINES. IF SATISFACTORY PAYMENT ARRANGEMENT CANNOT BE MADE OR SHOULD ANY INDIVIDUAL BE DETERMINED CHARITY OR INDIGENT, THE CEO OR DESIGNEE SHALL BE NOTIFIED.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>FORM 990, SCH H, PART VI, LINE 2</ReturnReference>
        <Explanation>THE ORGANIZATION USES THE STATE HEALTH DEPARTMENT'S ASSESSMENT OF THE COMMUNITY'S HEALTH.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>FORM 990, SCH H, PART VI, LINE 3</ReturnReference>
        <Explanation>WHILE AT THE MEDICAL CENTER, THE PATIENTS ARE GIVEN FORMS TO COMPLETE AT REGISTRATION FOR FINANCIAL ASSISTANCE. A FINANCIAL COUNSELOR MEETS WITH THE PATIENT IN THE ROOM TO DISCUSS FURTHER. SIGNS ARE ALSO POSTED INFORMING PATIENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>FORM 990, SCH H, PART VI, LINE 4</ReturnReference>
        <Explanation>THE ORGANIZATION IS IN A RURAL MEDICALLY UNDESERVED AREA WITH A LARGE WELFARE AND MEDICARE POPULATION.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <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>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES D CICERO</NamePerson>
        <BaseCompensationFilingOrg>138021</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>15921</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>1950</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>3375</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>159267</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>OUACHITA COUNTY PUBLIC FACILITIES BOARD</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>716016182</IssuerEIN>
        <CUSIPNumber>689811BW6</CUSIPNumber>
        <DateIssued>2003-05-22</DateIssued>
        <IssuePrice>7539664</IssuePrice>
        <DescriptionOfPurpose>HEALTHCARE REVENUE BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>7868836</TotalProceeds>
        <AmountInReserveFund>613469</AmountInReserveFund>
        <IssuanceCostsFromProceeds>209365</IssuanceCostsFromProceeds>
        <CapitalExpenditures>7046002</CapitalExpenditures>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>TAX EXEMPT BOND YEAR</Identifier>
        <ReturnReference>SCHEDULE K, PART II</ReturnReference>
        <Explanation>THE ORGANIZATION USED THE FISCAL YEAR-END OF 6/30/11 FOR DETERMINING THE AMOUNTS TO REPORT ON SCHEDULE K, PART II.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 IS REVIEWED BY ROBERT J. ANDERS, THE CFO OF THE ORGANIZATION, PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY MONITORING PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>THE ORGANIZATION'S COMPENSATION DETERMINATION PROCESS INCLUDES REVIEW AND APPROVAL BY THE INDEPENDENT BOARD OF DIRECTORS. THE ORGANIZATION'S LATEST REVIEW WAS CONDUCTED DURING 2011.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF GOVERNING DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>TRANSFERS TO AFFILIATES $(57,261)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OUACHITA VALLEY HEALTH SYSTEM</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 797</AddressLine1>
          <City>CAMDEN</City>
          <State>AR</State>
          <ZIPCode>71701</ZIPCode>
        </AddressUS>
        <EIN>710766340</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OUACHITA COUNTY MEDICAL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 797</AddressLine1>
          <City>CAMDEN</City>
          <State>AR</State>
          <ZIPCode>71701</ZIPCode>
        </AddressUS>
        <EIN>710766342</EIN>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>OVHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MEDICAL CENTER SENIOR SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>638 CALIFORNIA AVE</AddressLine1>
          <City>CAMDEN</City>
          <State>AR</State>
          <ZIPCode>71701</ZIPCode>
        </AddressUS>
        <EIN>710798343</EIN>
        <PrimaryActivities>NURSING HOME</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>OVHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OUACHITA COUNTY MEDICAL SERVICES</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 797</AddressLine1>
          <City>CAMDEN</City>
          <State>AR</State>
          <ZIPCode>71701</ZIPCode>
        </AddressUS>
        <EIN>710766343</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, TYPE I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>OVHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GOLDEN TRIANGLE SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 797</AddressLine1>
          <City>CAMDEN</City>
          <State>AR</State>
          <ZIPCode>71701</ZIPCode>
        </AddressUS>
        <EIN>710782242</EIN>
        <PrimaryActivity>SALES &amp; SVCS</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>MCSS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>-75608</ShareOfTotalIncome>
        <ShareOfEOYAssets>322151</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>true</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>true</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>