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      <TotalProgramServiceRevenue>154604685</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>849628</TotalRevenueColumn>
        <ExclusionAmount>849628</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <ExclusionAmount>0</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <ExclusionAmount>0</ExclusionAmount>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>523814</Real>
        <Personal>0</Personal>
      </GrossRents>
      <LessRentalExpenses>
        <Real>474982</Real>
        <Personal>0</Personal>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>48832</Real>
        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>48832</TotalRevenueColumn>
        <ExclusionAmount>48832</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>4964298</Securities>
        <Other>61100</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
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        <Other>149667</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
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      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>194241</TotalRevenueColumn>
        <ExclusionAmount>194241</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <ExclusionAmount>0</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
        <ExclusionAmount>0</ExclusionAmount>
      </NetIncomeFromGaming>
      <GrossSalesOfInventory>644965</GrossSalesOfInventory>
      <CostOfGoodsSold>658951</CostOfGoodsSold>
      <NetIncomeOrLoss>
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        <ExclusionAmount>-13986</ExclusionAmount>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>CAFETERIA SALES</Description>
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        <TotalRevenueColumn>789827</TotalRevenueColumn>
        <ExclusionAmount>789827</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>OTHER INCOME</Description>
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        <ExclusionAmount>137326</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>REBATES/DISCOUNTS</Description>
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        <ExclusionAmount>377367</ExclusionAmount>
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      <MiscellaneousRevenue>
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        <ExclusionAmount>39956</ExclusionAmount>
      </MiscellaneousRevenue>
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      <TotalRevenue>
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        <RelatedOrExemptFunctionIncome>154604685</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>2423191</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>19604</Total>
        <ProgramServices>19604</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1434034</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1434034</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>55213423</Total>
        <ProgramServices>50244215</ProgramServices>
        <ManagementAndGeneral>4969208</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1634070</Total>
        <ProgramServices>1487004</ProgramServices>
        <ManagementAndGeneral>147066</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>11388043</Total>
        <ProgramServices>10363119</ProgramServices>
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        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>3814054</Total>
        <ProgramServices>3470789</ProgramServices>
        <ManagementAndGeneral>343265</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>191739</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>191739</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>219870</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>219870</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
        <Fundraising>0</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>9775421</Total>
        <ProgramServices>8895633</ProgramServices>
        <ManagementAndGeneral>879788</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>411137</Total>
        <ProgramServices>374135</ProgramServices>
        <ManagementAndGeneral>37002</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>323754</Total>
        <ProgramServices>294616</ProgramServices>
        <ManagementAndGeneral>29138</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>3573879</Total>
        <ProgramServices>3252230</ProgramServices>
        <ManagementAndGeneral>321649</ManagementAndGeneral>
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      </InformationTechnology>
      <Royalties>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Royalties>
      <Occupancy>
        <Total>2200631</Total>
        <ProgramServices>2002574</ProgramServices>
        <ManagementAndGeneral>198057</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>470448</Total>
        <ProgramServices>428108</ProgramServices>
        <ManagementAndGeneral>42340</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
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        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
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        <ManagementAndGeneral>272975</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>9357610</Total>
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        <ManagementAndGeneral>842185</ManagementAndGeneral>
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      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>1775431</ProgramServices>
        <ManagementAndGeneral>175592</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>PATIENT SUPPLIES &amp; IMPLANTS</Description>
        <Total>16100131</Total>
        <ProgramServices>16100131</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>13491967</Total>
        <ProgramServices>13491967</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>9321076</Total>
        <ProgramServices>9321076</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENTAL &amp; MAINTENANCE</Description>
        <Total>4322165</Total>
        <ProgramServices>3933170</ProgramServices>
        <ManagementAndGeneral>388995</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>8208340</Total>
        <ProgramServices>7619751</ProgramServices>
        <ManagementAndGeneral>588589</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>156455473</Total>
        <ProgramServices>144349057</ProgramServices>
        <ManagementAndGeneral>12106416</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
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        <EOY>10796794</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
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      <AccountsReceivable>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <LandBuildingsEquipmentBasis>169968589</LandBuildingsEquipmentBasis>
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      <LandBuildingsEquipmentBasisNet>
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      <InvestmentsPubTradedSecurities>
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      </InvestmentsPubTradedSecurities>
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      <InvestmentsProgramRelated>
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      <IntangibleAssets>
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      </IntangibleAssets>
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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      <GrantsPayable>
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      <DeferredRevenue>
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      <TaxExemptBondLiabilities>
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      <LoansFromOfficersDirectors>
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      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
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      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>86222510</BOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <TemporarilyRestrictedNetAssets>
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      <PermanentlyRestrictedNetAssets>
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      <TotalNetAssetsFundBalances>
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      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
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      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>1788627</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-1979695</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>28569</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>28569</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1I</ReturnReference>
        <Explanation>LOBBYING ACTIVITIES INCLUDE EFFORTS FOR MEDICARE RECLASSIFICATIONS, RURAL REFERRAL CENTER COALITION, AND DUES FOR AMERICAN HOSPITAL ASSOCIATION.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksOfArtAmts />
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
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      </CurrentYear>
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      </CurrentYearMinus1Year>
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        <EndOfYearBalance>8677407</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
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        <EndOfYearBalance>8241019</EndOfYearBalance>
      </CurrentYearMinus3Years>
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      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
      <Land>
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        <BookValue>4355680</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>34591115</Depreciation>
        <BookValue>25331037</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
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        <Depreciation>76422079</Depreciation>
        <BookValue>24524832</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4743846</OtherCostOrOtherBasis>
        <Depreciation>1582682</Depreciation>
        <BookValue>3161164</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>57372713</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>0</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>EQUITY INVESTEES</Description>
        <BookValue>282869</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER ASSETS</Description>
        <BookValue>214624</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>ASSETS LIMITED AS TO USE</Description>
        <BookValue>52224817</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>52722310</TotalBookValueOtherAssets>
      <TotalRevenue>158244100</TotalRevenue>
      <TotalExpenses>156455473</TotalExpenses>
      <ExcessOrDeficitForYear>1788627</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-1979696</NetUnrealizedGLOnInvestments>
      <OtherAmount>13986</OtherAmount>
      <TotalAdjustments>-1965710</TotalAdjustments>
      <ExcessOrDeficitPerFS>-177083</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>147045881</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-1979696</NetUnrealizedGainsInvestments>
      <OtherRevenues>102553</OtherRevenues>
      <RevenueNotRptdF990>-1877143</RevenueNotRptdF990>
      <RevenueSubtotal>148923024</RevenueSubtotal>
      <OtherRevenuesNotIncluded>9321076</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>9321076</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>158244100</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>147222964</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>88567</OtherExpensesIncluded>
      <ExpensesNotRptdF990>88567</ExpensesNotRptdF990>
      <ExpensesSubtotal>147134397</ExpensesSubtotal>
      <OtherExpensesNotIncluded>9321076</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>9321076</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>156455473</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>SCHEDULE D, PART XI, LINE 8</ReturnReference>
        <Explanation>AUXILIARY NET INCOME: $ 13,986</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE</Identifier>
        <ReturnReference>SCHEDULE D, PART XII, LINE 2D</ReturnReference>
        <Explanation>REALIZED LOSS ON SALE OF ASSETS: $ 88,567 LOSS FROM AUXILIARY: $ 13,986 ------------- TOTAL $ 102,553</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>ENDOWMENT FUNDS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART V, LINE 4</ReturnReference>
        <Explanation>ENDOWMENT FUNDS ARE HELD BY HOSPITAL DEVELOPMENT FOUNDATION TO SUPPORT BAXTER COUNTY REGIONAL HOSPITAL D/B/A BAXTER REGIONAL MEDICAL CENTER.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF REVENUE</Identifier>
        <ReturnReference>SCHEDULE D, PART XII, LINE 4B</ReturnReference>
        <Explanation>BAD DEBT EXPENSE: $ 9,321,076</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF EXPENSES</Identifier>
        <ReturnReference>SCHEDULE D, PART XIII, LINE 4B</ReturnReference>
        <Explanation>BAD DEBT EXPENSE: $ 9,321,076</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION OF EXPENSES</Identifier>
        <ReturnReference>SCHEDULE D, PART XIII, LINE 2D</ReturnReference>
        <Explanation>REALIZED LOSS: $ 88,567</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent150>X</Pcent150>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>2963467</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2963467</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02010</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>13391583</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9573454</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3818129</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02590</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>16355050</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9573454</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>6781596</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04600</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>697663</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>126466</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>571197</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00390</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>849239</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>849239</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00580</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>6004594</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4712566</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1292028</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00880</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>74465</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>74465</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>7625961</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4839032</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2786929</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01900</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>23981011</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14412486</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>9568525</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06500</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>14742</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>180</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>14562</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>1510648</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>1510648</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.01030</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>1525390</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>180</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>1525210</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.01040</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>9321076</BadDebtExpenseAmount>
      <AmountAttributableTo>521514</AmountAttributableTo>
      <AmountReimbursedByMedicare>71362490</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>70915360</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>447130</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>RENAL VENTURES OF MT</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>DIALYSIS SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.37000</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.12000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>BAXTER REGIONAL PHO</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>HEALTHCARE ADMIN SERVICES</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50000</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.00000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.50000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>BAXTER COUNTY REGIONAL HOSPITAL INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>624 HOSPITAL DRIVE</AddressLine1>
          <City>MOUNTAIN HOME</City>
          <State>AR</State>
          <ZIPCode>72653</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>BAXTER COUNTY REGIONAL HOSPITAL INC</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>150.</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>200.</FPGDiscountPercent>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE</Identifier>
        <ReturnReference>PART I, LINE 7, COLUMN (F)</ReturnReference>
        <Explanation>BAD DEBT EXPENSE IN THE AMOUNT OF $9,321,076 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>CHARITY CARE</Identifier>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>THE CHARITY CARE AMOUNTS WERE DERIVED FROM THE COST TO CHARGE RATIO. THE MEDICAID AMOUNT WAS FROM AN INTERNAL COST ACCOUNTING SYSTEM, ADJUSTED FOR MEDICAID UPL AND ASSESSMENT IN 2011.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT ACCOUNTS RECEIVABLE</Identifier>
        <ReturnReference>PART III, LINE 4</ReturnReference>
        <Explanation>THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS 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. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. RATIO OF COST TO CHARGES IS USED TO CALCULATE LINE 2. 15% OF THIS NUMBER IS THE ESTIMATED AMOUNT ATTRIBUTED TO COMMUNITY BENEFIT REPORTED ON LINE 3. 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. DURING THIS FISCAL YEAR, BAXTER REGIONAL MEDICAL CETNER BEGAN USING A PRESUMPTIVE ELIGIBILITY SCREENING METHODOLOGY TO IDENTIFY PATIENTS WHO MAY BE ELIBIBLE FOR FINANCIAL ASSISTANCE DESPITE NOT HAVING COMPLETED A FINANCIAL ASSISTANCE APPLICATION. THE METHODOLOGY ESTIMATES A PATIENT'S FINANCIAL NEED BASED ON WHETHER THE PATIENT IS CHARACTERISTIC OF OTHERS WHO HAVE HISTORICALLY QUALIFIED FOR ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS AND PUBLICLY AVAILABLE DATA ASSESSING SOCIO-ECONOMIC FACTORS. ACCOUNTS FOR PATIENTS PRESUMED ELIGIBLE FOR FINANCIAL ASSISTANCE ARE THEN QUALIFIED UNDER OUR FINANCIAL ASSISTANCE POLICY AND ARE NOT REPORTED AS BAD DEBT. HOWEVER, FOR THIS FISCAL YEAR, WE ESTIMATE THAT 15% OF OUR BAD DEBT FIGURE IS ATTRIBUTABLE TO THE ACCOUNTS OF PATIENTS WHO WOULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE. GIVEN THAT WE DID NOT UTILIZE PRESUMPTIVE ELIGIBILITY SCREENING FOR THE ENTIRE YEAR, WE HAVE INCLUDED THIS FIGURE IN OUR BAD DEBT NUMBERS FOR THIS FISCAL YEAR. IN SUBSEQUENT YEARS, WE BELIEVE THE PERCENTAGE OF BAD DEBT ATTRIBUTED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE NEGLIGIBLE AS A RESULT OF OUR SYSTEMATIC USE OF PRESUMPTIVE ELIGIBILITY SCREENING.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE COSTS</Identifier>
        <ReturnReference>PART III, LINE 8</ReturnReference>
        <Explanation>THE MEDICARE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT ACCOUNTS</Identifier>
        <ReturnReference>PART III, LINE 9B</ReturnReference>
        <Explanation>WHEN BAD DABT ACCOUNTS ARE REFERRED TO A COLLECTION AGENCY, THE AGENCY CAN PROVIDE DEBTORS WITH A BAXTER REGIONAL FINANCIAL STATEMENT FOR COMPLETION IF THE FOLLOWING CRITERIA APPLY: 1) THE PATIENT/DEBTOR HAS NOT ALREADY OBTAINED ASSISTANCE THROUGH THE HOSPITAL. 2) THE PATIENT/DEBTOR INDICATES A FINANCIAL NEED WITHIN 30 DAYS OF THE ACCOUNT BEING REFERRED TO THE COLLECTION AGENCY. IF THE PATIENT/DEBTOR DOES NOT COMMUNICATE WITH THE HOSPITAL OR COLLECTION AGENCY PRIOR TO THE 30 DAY WINDOW, ELIGIBILITY FOR ASSISTANCE COMES TO AN END.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI, LINE 2</ReturnReference>
        <Explanation>SERVICE NEEDS ASSESSMENTS ARE DEVELOPED FROM COMMUNITY INPUT, INDIVIDUAL FUNDING, COMMUNITY SURVEYS, TALKING WITH COMMUNITY LEADERS AS WELL AS RESEARCH OF STATE AND NATIONAL TRENDS. PHYSICIAN NEEDS ASSESSMENTS ARE OBTAINED THROUGH ANALYSIS PROVIDED BY AN OUTSIDE COMPANY AT LEAST BI-ANNUALLY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI, LINE 3</ReturnReference>
        <Explanation>PATIENTS ARE GIVEN HANDOUTS REGARDING FINANCIAL ASSISTANCE AT ALL REGISTRATION AREAS UPON ADMISSION. ALL SELF PAY PATIENTS ARE SCREENED FOR MEDICAID ELIGIBILITY, CHARITY OR OTHER FINANCIAL ASSISTANCE RECOMMENDATIONS DURING THEIR STAY AND HAVE THE OPPORTUNITY TO TALK WITH FINANCIAL COUNSELORS. FINANCIAL ASSISTANCE AND CONTACT INFORMATION IS AVAILABLE ON ALL HOSPITAL STATEMENT MAILINGS AND ON THE HOSPITAL'S WEBSITE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI, LINE 4</ReturnReference>
        <Explanation>BAXTER REGIONAL MEDICAL CENTER IS LOCATED IN THE HEART OF THE BEAUTIFUL OZARK MOUNTAINS IN NORTH-CENTRAL ARKANSAS. BAXTER REGIONAL AND ITS SUBSIDIARIES AND CLINICS PROVIDE CARE TO PATIENTS FROM TWO STATES AND 14 COUNTIES. OUR HEALTHCARE IS STATE-OF-THE-ART HEALTHCARE. BAXTER REGIONAL MEDICAL CENTER IS KNOWN THROUGHOUT THE REGION FOR OUR CENTERS OF EXCELLENCE: CANCER, CARDIAC, DIGESTIVE DISEASES, SURGERY, VASCULAR DISEASES AND WOMEN'S HEALTH. AT BAXTER REGIONAL MEDICAL CENTER, WE HAVE SET OUT TO CHANGE THE EXPERIENCE OF SURGERY WITH OUR INVESTMENT IN THE MOST ADVANCED TECHNOLOGY FOR MINIMALLY INVASIVE SURGERY, THE DA VINCI SURGICAL SYSTEM. THE BREAST IMAGING CENTER AT BAXTER REGIONAL MEDICAL CENTER IS HOME TO ARKANSAS' &amp; MISSOURI'S FIRST 3-D MAMMOGRAM. 3-D MAMMOGRAPHY IS ALSO AVAILABLE ON OUR MOBILE UNIT WHICH TRAVELS OUR SERVICE AREA PROVIDING MAMMOGRAMS FOR WOMEN WHO MIGHT NOT OTHERWISE RECEIVE ONE. FIRST OPENED IN 1963, BAXTER REGIONAL IS A 268 ALL PRIVATE BED CARE FACILITY WITH MORE THAN 100 PHYSICIANS ON STAFF.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>PART VI, LINE 5</ReturnReference>
        <Explanation>BAXTER REGIONAL WORKS TO RECRUIT PHYSICIANS INTO OUR RURAL AREA TO PROVIDE SPECIALTY AND FAMILY PRACTICE MEDICAL CARE. BAXTER REGIONAL MEDICAL CENTER ASSISTS IN PROVIDING COMMUNITY MEMBERS LEADERSHIP TRAINING CLASSES. BAXTER ALSO WORKS WITH AREA OFFICIALS FOR DISASTER PREPAREDNESS AND TRAINING. BAXTER REGIONAL MEDICAL CENTER PROVIDES HEALTH FAIRS, SCREENING AND EDUCATION EVENTS FOR THE COMMUNITY AND SURROUNDING AREAS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM</Identifier>
        <ReturnReference>PART VI, LINE 6</ReturnReference>
        <Explanation>BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENT CARE FOR EVERY PATIENT, EVERY TIME. BRMC STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. THE HOSPITAL PROVIDES A VARIETY OF INPATIENT SERVICES INCLUDING SPECIALTY SERVICES SUCH AS CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, PLASTIC SURGERY, ORTHOPEDICS, OBSTETRICS, GERI-PSY UNIT AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY, AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND BREAST IMAGING CENTER. THE MISSION OF HOSPICE OF THE OZARKS IS TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE IN THE LAST PHASES OF AN INCURABLE ILLNESS AND THEIR FAMILY MEMBERS BY PROVIDING A HIGH LEVEL OF COMPREHENSIVE CARE. BAXTER REGIONAL HOSPITAL FOUNDATION RAISES MONEY TO KEEP THE COMMUNITY HEALTHY. THE FUNDRAISING EFFORTS OF THE FOUNDATION PROVIDE FINANCIAL SUPPORT FOR BAXTER REGIONAL MEDICAL CENTER. BAXTER REGIONAL HEALTH SYSTEM OPERATES FOR THE BENEFIT OF, PERFORM FUNCTIONS OF AND/OR CARRY OUT THE PURPOSE OF BAXTER REGIONAL MEDICAL CENTER AND OTHER HEALTH CARE ORGANIZATIONS LOCATED IN THE STATE OF ARKANSAS WHICH ARE HOSPITALS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>EMERGENCY MEDICAL CARE CHARGES</Identifier>
        <ReturnReference>SCHEDULE H, PART V, QUESTION 19</ReturnReference>
        <Explanation>THOSE PATIENTS WITHOUT INSURANCE ARE GIVEN A 30% PROMPT PAY DISCOUNT. FINANCIAL ASSISTANCE POLICIES ARE GIVEN AT ADMISSION TO ALL PATIENTS. ALL SELF-PAY PATIENTS ARE SCREENED FOR MEDICAID ELIGIBILITY, CHARITY, OR OTHER FINANCIAL ASSISTANCE RECOMMENDATIONS DURING THEIR STAY AND HAVE THE OPPORTUNITY TO TALK WITH FINANCIAL COUNSELORS. BASED ON FPG OF 150% AND BELOW, THE 100% OF CHARGES ARE WRITTEN OFF THE PATIENT'S ACCOUNT. IF FPG IS 151% TO 200%, 75% OF THE CHARGES ARE WRITTEN OFF AND THE PATIENT IS RESPONSIBLE FOR BALANCE UP TO 50% OF THEIR ANNUAL INCOME. CATASTROPHIC MEDICAL BILLS FOR PATIENTS ABOVE THE INCOME GUIDELINES ARE CAPPED AT 50% OF THEIR ANNUAL INCOME.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>EMERGENCY MEDICAL CARE CHARGES</Identifier>
        <ReturnReference>SCHEDULE H, PART V, QUESTION 21</ReturnReference>
        <Explanation>ALL PATIENTS ARE BILLED 100% OF CHARGES. DISCOUNTS ARE GIVEN BASED ON INSURANCE CONTRACTS; AND FOR PATIENTS WITHOUT INSURANCE, A 30% PROMPT PAY DISCOUNT OR PAYMENT ARRANGEMENTS ARE MADE. OTHER FINANCIAL ASSISTANCE SUCH AS CHARITY OR MEDICAID ELIGIBILITY ARE AVALIABLE IF THE PATIENT QUALIFIES.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>ASSISTANCE FOR PATIENTS EXHIBITING NEED</TypeOfGrant>
        <NumberOfRecipients>160</NumberOfRecipients>
        <AmountOfNonCashAssistance>19604</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>PRESCR/MED SUPPLY</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>MONITORING GRANTS</Identifier>
        <ReturnReference>PART I, LINE 2</ReturnReference>
        <Explanation>ANY INDIVIDUAL EXHIBITING A NEED FOR PRESCRIPTION ASSISTANCE OR MEDICAL SUPPLY ASSISTANCE IS REFERRED TO A SOCIAL WORKER FOR ONE-TIME ASSISTANCE WITH THIS NEED.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
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      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
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        <NamePerson>BARNEY LARRY</NamePerson>
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        <NamePerson>LOUIS ELKINS</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>JASON LINDSAY</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>SAFWAN SAKR</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MERVIN MOORE</NamePerson>
        <BaseCompensationFilingOrg>708690</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>ANTHONY MCBRIDE</NamePerson>
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        <OtherCompensationFilingOrg>405</OtherCompensationFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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    </IRS990ScheduleJ>
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        <IssuerName>
          <BusinessNameLine1>BAXTER COUNTY ARKANSAS</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>716008786</IssuerEIN>
        <CUSIPNumber>071808GU7</CUSIPNumber>
        <DateIssued>2007-02-27</DateIssued>
        <IssuePrice>40509218</IssuePrice>
        <DescriptionOfPurpose>REVENUE REFUNDING BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>BAXTER COUNTY ARKANSAS</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>716008786</IssuerEIN>
        <CUSIPNumber>071808HF9</CUSIPNumber>
        <DateIssued>2010-08-01</DateIssued>
        <IssuePrice>25860347</IssuePrice>
        <DescriptionOfPurpose>REVENUE REFUNDING BONDS</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>985000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>45481785</TotalProceeds>
        <AmountInReserveFund>2738260</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>476439</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>1920000</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>26039503</TotalProceeds>
        <AmountInReserveFund>2848273</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>309313</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <EngageBondCounselResearch>true</EngageBondCounselResearch>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>true</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
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      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
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        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
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        <GrossProceedsInvested>true</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
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      <Form990ScheduleKPartVI>
        <Identifier>BOND YEAR END</Identifier>
        <ReturnReference>FORM 990, SCHEDULE K, PART I</ReturnReference>
        <Explanation>THE AMOUNTS REPORTED WERE COMPUTED ON THE 2007 AND 2010 BOND YEAR ENDS, 9/1/2011.</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>REVIEW OF FORM 990</Identifier>
        <ReturnReference>990 PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>THE CONTROLLER AND CFO REVIEW FORM 990 BEFORE IT IS PRESENTED TO THE BOARD FOR REVIEW. PRIOR TO FILING, EACH BOARD MEMBER PRESENT RECEIVED A MATERIALLY COMPLETE COPY OF FORM 990 AT THE BOARD MEETING AT WHICH IT WAS REVIEWED AMD A COPY WAS MADE AVAILABLE FOR REVIEW TO BOARD MEMBERS NOT IN ATTENDANCE. THIS MEETING WAS HELD PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>990 PART VI, SECTION B, LINE 12</ReturnReference>
        <Explanation>THE GOVERNING BODY HAS A CONFLICT OF INTEREST/COMPENSATION COMMITTEE WHICH ANNUALLY REVIEWS BUDGETED TRANSACTIONS WITH INTERESTED PERSONS. OTHER TRANSACTIONS ARE REVIEWED ON A CASE BY CASE BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION OF CEO, EXECUTIVE DIRECTOR, AND OTHER OFFICIALS</Identifier>
        <ReturnReference>990 PART VI, SECTION B, LINE 15 (A) &amp; 15 (B)</ReturnReference>
        <Explanation>TOTAL COMPENSATION PROGRAM RECOMMENDATIONS WERE MADE BY INTEGRATED HEALTHCARE STRATEGIES IN A REPORT TO THE COMPENSATION COMMITTEE IN 2009. IN ADDITION THE COMPENSATION COMMITTEE AND HUMAN RESOURCES DEPARTMENT REVIEWS AREA 990'S, AHA, AND OTHER MARKET DATA AS NEEDED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF GOVERNING DOCUMENTS</Identifier>
        <ReturnReference>990 PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>2011 PROGRAM ACTIVITY SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4</ReturnReference>
        <Explanation>GENERAL STATISTICS 2011 ACUTE CARE: ACTUAL OPERATED BEDS 165 PATIENT DAYS 33,354 AVERAGE DAILY CENSUS 91 PERCENT OF OCCUPANCY 55.30% AVERAGE LENGTH OF STAY 3.50 DISCHARGES 9,666 GERI PSYCHIATRIC: OPERATED BEDS 19 PATIENT DAYS 3,712 AVERAGE DAILY CENSUS 10 PERCENT OF OCCUPANCY 53.50% AVERAGE LENGTH OF STAY 11.70 DISCHARGES 317 REHABILITATION: OPERATED BEDS 23 PATIENT DAYS 5,500 AVERAGE DAILY CENSUS 15 PERCENT OF OCCUPANCY 65.50% AVERAGE LENGTH OF STAY 13.00 DISCHARGES 424 NEWBORN: OPERATED BASSINETS 10 PATIENT DAYS 1,336 AVERAGE DAILY CENSUS 4 PERCENT OF OCCUPANCY 36.60% AVERAGE LENGTH OF STAY 2.10 DISCHARGES 639 MEDICARE - ACUTE CARE: DISCHARGES 5,385 % OF TOTAL DISCHARGES 55.70% PATIENT DAYS 20,279 % OF TOTAL PATIENT DAYS 60.80% AVERAGE LENGTH OF STAY 3.80 MEDICAID - ACUTE CARE: DISCHARGES 1057 % OF TOTAL DISCHARGES 10.90% PATIENT DAYS 2,951 % OF TOTAL PATIENT DAYS 8.80% AVERAGE LENGTH OF STAY 2.80 OUTPATIENTS 64,916 EMERGENCY ROOM VISITS 28,310 HOME HEALTH VISITS 34,421 SURGERIES 7,419 ENDOSCOPY 9,390 CATH LAB 1,753 HEART SURGERIES 157 AMBULANCE TRIPS 10,222 IMAGING CENTER VISITS 3,663 CLINIC VISITS 53,940 LAB TESTS 496,743 EKG's 24,418 RADIATION THERAPY UNITS 568 RADIOLOGY PROCEDURES 42,451 MRI PROCEDURES 4,775 CT SCANS 10,649 NUCLEAR MEDICINE PROCEDURES 2,193 ULTRASOUND PROCEDURES 8,148 OP REHAB PROCEDURES 26,472</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>TIME WORKED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>990 PART VII, SECTION A, LINE 16</ReturnReference>
        <Explanation>BARNEY LARRY SPENT 60% OF HIS TIME WORKING FOR A RELATED ORGANIZATION, HOSPITAL DEVELOPMENT FOUNDATION. HIS COMPENSATION WAS PAID BY BAXTER REGIONAL MEDICAL CENTER AND WAS NOT REIMBURSED BY HOSPITAL DEVELOPMENT FOUNDATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS OF FUND BALANCES</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>UNREALIZED LOSS ON ASSETS $(1,979,696)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 1</ReturnReference>
        <Explanation>BAXTER REGIONAL MEDICAL CENTER'S MISSION IS TO PROVIDE EXCELLENCE IN MEDICAL CARE FOR EVERY PATIENT, EVERY TIME. BRMC STRIVES TO PROVIDE QUALITY CARE IN A RURAL COMMUNITY SETTING WITH PATIENT AND FAMILY FRIENDLY CUSTOMER SERVICE. THE HOSPITAL PROVIDES A VARIETY OF INPATIENT SERVICES INCLUDING SPECIALTIES SUCH AS CARDIOVASCULAR, OPEN HEART SURGERY, ONCOLOGY, PLASTIC SURGERY, ORTHOPEDICS, OBSTETRICS, A GERI-PSY UNIT AND AN INPATIENT REHABILITATION UNIT. OUTPATIENT SERVICES INCLUDE HOSPITAL BASED PHYSICIAN CLINICS, EMERGENCY AND AMBULANCE SERVICES, HOME HEALTH SERVICES, CARDIAC REHABILITATION AND IMAGING CENTER. PHYSICIANS, STAFF, AND VOLUNTEERS SUPPORT OUR PILLARS OF EXCELLENCE THROUGH THEIR COMMITMENT TO QUALITY AND EXEMPLARY PATIENT CARE WHILE STAYING FINANCIALLY SOUND AND CONTINUALLY GROWING OUR SERVICES TO MEET THE NEEDS OF OUR COMMUNITIES. ANNUALLY, WE REACH BEYOND OUR HOSPITAL WALLS TO HOST A HEALTH FAIR FOR THE POPULATIONS THAT WE SERVE AND PROVIDE HEALTH RELATED EDUCATIONAL MATERIALS, FREE BLOOD PRESSURE CHECKS, SCREENINGS, NUTRITIONAL INFORMATION, WITH OVER 30 DEPARTMENTS FROM THE HOSPITAL REPRESENTED TO EDUCATE THE PUBLIC AND ENCOURAGE PREVENTIVE MEASURES RELATING TO AN INDIVIDUAL'S HEALTH.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <City>MOUNTAIN HOME</City>
          <State>AR</State>
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          <City>MOUNTIAN HOME</City>
          <State>AR</State>
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      <ExchangeOfAssets>false</ExchangeOfAssets>
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      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
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      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
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      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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        <AmountInvolved>248206</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
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        <AmountInvolved>604287</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HOSPICE OF THE OZARKS</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>2521509</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>