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        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>CAFETERIA</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>360129</TotalRevenueColumn>
        <ExclusionAmount>360129</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>GIFT SHOP</Description>
        <BusinessCode>453220</BusinessCode>
        <TotalRevenueColumn>81392</TotalRevenueColumn>
        <ExclusionAmount>81392</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MEDICAL RECORDS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>29220</TotalRevenueColumn>
        <ExclusionAmount>29220</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>164636</TotalRevenueColumn>
        <ExclusionAmount>164636</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>635377</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>71825841</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>68607358</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>6797</UnrelatedBusinessRevenue>
        <ExclusionAmount>2877853</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>574914</Total>
        <ManagementAndGeneral>574914</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>27615837</Total>
        <ProgramServices>25048884</ProgramServices>
        <ManagementAndGeneral>2413867</ManagementAndGeneral>
        <Fundraising>153086</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>954180</Total>
        <ProgramServices>847836</ProgramServices>
        <ManagementAndGeneral>101162</ManagementAndGeneral>
        <Fundraising>5182</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>4470323</Total>
        <ProgramServices>3972105</ProgramServices>
        <ManagementAndGeneral>473943</ManagementAndGeneral>
        <Fundraising>24275</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2023651</Total>
        <ProgramServices>1815057</ProgramServices>
        <ManagementAndGeneral>197862</ManagementAndGeneral>
        <Fundraising>10732</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>16245</Total>
        <ManagementAndGeneral>16245</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>65778</Total>
        <ManagementAndGeneral>65778</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>223191</Total>
        <ManagementAndGeneral>223191</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>7765150</Total>
        <ProgramServices>5878545</ProgramServices>
        <ManagementAndGeneral>1881080</ManagementAndGeneral>
        <Fundraising>5525</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>166271</Total>
        <ProgramServices>8327</ProgramServices>
        <ManagementAndGeneral>157944</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>12130094</Total>
        <ProgramServices>11837665</ProgramServices>
        <ManagementAndGeneral>283259</ManagementAndGeneral>
        <Fundraising>9170</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>7000</Total>
        <ManagementAndGeneral>7000</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>1151468</Total>
        <ProgramServices>1151468</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>35583</Total>
        <ProgramServices>35583</ProgramServices>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>109427</Total>
        <ProgramServices>85200</ProgramServices>
        <ManagementAndGeneral>24167</ManagementAndGeneral>
        <Fundraising>60</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>992047</Total>
        <ManagementAndGeneral>992047</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>7622409</Total>
        <ProgramServices>4510492</ProgramServices>
        <ManagementAndGeneral>3111863</ManagementAndGeneral>
        <Fundraising>54</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>391766</Total>
        <ManagementAndGeneral>391766</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBTS</Description>
        <Total>3489564</Total>
        <ProgramServices>3489564</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EMPLOYEE RECRUITMENT</Description>
        <Total>913758</Total>
        <ProgramServices>40087</ProgramServices>
        <ManagementAndGeneral>873671</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>TAXES</Description>
        <Total>267778</Total>
        <ManagementAndGeneral>267778</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES &amp; SUBSCRIPTIONS</Description>
        <Total>191567</Total>
        <ProgramServices>67441</ProgramServices>
        <ManagementAndGeneral>123341</ManagementAndGeneral>
        <Fundraising>785</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER EXPENSES</Description>
        <Total>279700</Total>
        <ProgramServices>23800</ProgramServices>
        <ManagementAndGeneral>91394</ManagementAndGeneral>
        <Fundraising>164506</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>71457701</Total>
        <ProgramServices>58812054</ProgramServices>
        <ManagementAndGeneral>12272272</ManagementAndGeneral>
        <Fundraising>373375</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>6343</BOY>
        <EOY>10364</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1339932</BOY>
        <EOY>1455555</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>8407326</BOY>
        <EOY>8748898</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>809624</BOY>
        <EOY>498686</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>2584183</BOY>
        <EOY>2577325</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1019404</BOY>
        <EOY>1060218</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>139639050</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>72488437</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>64369197</BOY>
        <EOY>67150613</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>81452630</BOY>
        <EOY>80773707</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>1417871</BOY>
        <EOY>3352916</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>161406510</BOY>
        <EOY>165628282</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>5131056</BOY>
        <EOY>5776605</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>43200000</BOY>
        <EOY>42100000</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>21973</BOY>
        <EOY>963147</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>3344284</BOY>
        <EOY>4183225</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>51697313</BOY>
        <EOY>53022977</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>109418662</BOY>
        <EOY>112263523</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>290535</BOY>
        <EOY>341782</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>109709197</BOY>
        <EOY>112605305</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>161406510</BOY>
        <EOY>165628282</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <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>7714</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>7714</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING DUES</Identifier>
        <ReturnReference>SCH C, PART II-B, LINE 1I</ReturnReference>
        <Explanation>A PORTION OF DUES PAID TO THE TENNESSEE HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION IS FOR LOBBYING.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>1054075</OtherCostOrOtherBasis>
        <BookValue>1054075</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>61233286</OtherCostOrOtherBasis>
        <Depreciation>13007863</Depreciation>
        <BookValue>48225423</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>70790133</OtherCostOrOtherBasis>
        <Depreciation>56784701</Depreciation>
        <BookValue>14005432</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>6561556</OtherCostOrOtherBasis>
        <Depreciation>2695873</Depreciation>
        <BookValue>3865683</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>67150613</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION</Description>
        <Amount>474071</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>EST. AMOUNTS TO THIRD PARTIES</Description>
        <Amount>543952</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>INTEREST RATE SWAP AGREEMENT</Description>
        <Amount>3165202</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>4183225</TotalOfAmounts>
      <TotalRevenue>71825841</TotalRevenue>
      <TotalExpenses>71457701</TotalExpenses>
      <ExcessOrDeficitForYear>368140</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>3369424</NetUnrealizedGLOnInvestments>
      <OtherAmount>-841456</OtherAmount>
      <TotalAdjustments>2527968</TotalAdjustments>
      <ExcessOrDeficitPerFS>2896108</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>75170391</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>3369424</NetUnrealizedGainsInvestments>
      <OtherRevenues>198317</OtherRevenues>
      <RevenueNotRptdF990>3567741</RevenueNotRptdF990>
      <RevenueSubtotal>71602650</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>223191</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>223191</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>71825841</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>72274283</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>1039773</OtherExpensesIncluded>
      <ExpensesNotRptdF990>1039773</ExpensesNotRptdF990>
      <ExpensesSubtotal>71234510</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>223191</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>223191</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>71457701</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION TO AUDIT REPORT - NET ASSETS</Identifier>
        <ReturnReference>SCH D, PART XI, LINE 8</ReturnReference>
        <Explanation>OTHER CHANGES IN NET ASSETS: INCREASE IN INTEREST IN NET ASSETS OF LAUGHLIN HEALTHCARE FOUNDATION 51,247 CHANGE IN VALUE OF INTEREST SWAP (892,703)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION TO AUDIT REPORT - REVENUES</Identifier>
        <ReturnReference>SCH D, PART XII, LINE 2D</ReturnReference>
        <Explanation>RENTAL EXPENSES SHOWN NET OF REVENUE PER 990 1,039,773 CHANGE IN VALUE OF INTEREST SWAP (892,703) CHANGE IN INTEREST OF LAUGHLIN HEALTHCARE FDN 51,247</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION TO AUDIT REPORT - EXPENSES</Identifier>
        <ReturnReference>SCH D, PART XIII, LINE 2D</ReturnReference>
        <Explanation>RENTAL EXPENSES SHOWN NET OF REVENUE PER 990 1,039,773</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>INCOME TAXES</Identifier>
        <ReturnReference>SCH D, PART X, LINE 2</ReturnReference>
        <Explanation>THE HOSPITAL HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HOSPITAL IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME.</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>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>1068299</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1068299</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01500</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>8940691</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7112977</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1827714</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02560</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>237725</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>181316</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>56409</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>10246715</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7294293</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2952422</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04140</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>130591</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>28011</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>102580</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00140</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>39980</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>39980</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>175544</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>159857</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>15687</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>37542</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>37542</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>383657</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>187868</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>195789</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00270</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>10630372</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>7482161</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>3148211</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04410</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <TotalCommunityBuildingExpense>1500</TotalCommunityBuildingExpense>
      </EconomicDevelopment>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>4000</TotalCommunityBuildingExpense>
      </CoalitionBuilding>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>869641</TotalCommunityBuildingExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>875141</TotalCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>1427930</BadDebtExpenseAmount>
      <AmountAttributableTo>571171</AmountAttributableTo>
      <AmountReimbursedByMedicare>21538149</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>23280744</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1742595</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>LAUGHLIN MEMORIAL HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1420 TUSCULUM BLVD</AddressLine1>
          <City>GREENEVILLE</City>
          <State>TN</State>
          <ZIPCode>37745</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>LAUGHLIN HEALTHCARE CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>801 E MCKEE STREET</AddressLine1>
          <City>GREENEVILLE</City>
          <State>TN</State>
          <ZIPCode>37743</ZIPCode>
        </Address>
        <Other>SNF/ICF NURSING HOME &amp; REHAB CARE</Other>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <BadDebtFootnote>THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS, BASED ON THE INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNTS. COST OF BAD DEBTS IS ESTIMATED BY APPLICATION OF A COST TO CHARGE RATIO. HOSPITAL MANAGEMENT ESTIMATES THAT 40% OF THE NET BAD DEBT AMOUNTS WOULD QUALIFY FOR CHARITY IF FAMILY MEMBERS WOULD GIVE COMPLETE INFORMATION TO FINANCIAL ASSISTANCE PERSONNEL OF THE HOSPITAL.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>THE TOTAL REPORTED SHORTFALL IS COMMUNITY BENEFIT. AMOUNT REPORTED ON LINE 6 WAS OBTAINED THROUGH EXAMINATION OF MEDICARE COST REPORT COMPONENTS FOR 6/30/10.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE RECEIVE CREDIT TO THEIR ACCOUNTS AND ARE SENT A LETTER INFORMING THEM THAT THEIR REQUEST WAS APPROVED BASED ON A REVIEW BY THE CHARITY COMMITTEE.</DebtCollectionPolicy>
        <NeedsAssessment>LAUGHLIN MEMORIAL HOSPITAL PARTICIPATES IN THE GREENE COUNTY HEALTH COUNCIL ALONG WITH NUMEROUS OTHER HEALTH-RELATED ORGANIZATIONS. A GREENE COUNTY COMMUNITY HEALTH ASSESSMENT IS PREPARED BASED ON THIS GROUP'S WORK AND COORDINATED THROUGH THE NORTHEAST TENNESSEE REGIONAL HEALTH OFFICE OF THE TENNESSEE DEPARTMENT OF HEALTH. THE ASSESSMENT INCLUDES TOP 10 CONCERNS AND WAYS IN WHICH THE COUNCIL ADDRESSES FUTURE HEALTH PLANNING. THE MANAGEMENT TEAM OF LAUGHLIN MEMORIAL HOSPITAL DETERMINES HOW BEST TO WORK AS AN ORGANIZATION OR IN CONJUNCTION WITH OTHER HEALTH COUNCIL MEMBERS ON SOLUTIONS TO IDENTIFIED NEEDS.</NeedsAssessment>
        <PatientEducationAssistance>THE REGISTRATION STAFF DESCRIBE AND PROVIDE LITERATURE ABOUT FINANCIAL ASSISTANCE DURING THE PATIENT INTERVIEW PROCESS. A MEDICAID STATE ELIGIBILITY WORKER IS PROVIDED OFFICE SPACE WITHIN THE HOSPITAL AND EFFORTS ARE MADE TO PUT PATIENTS IN CONTACT WITH THIS RESOURCE. APPLICATIONS FOR HOSPITAL CHARITY CARE ARE DISTRIBUTED BOTH BY THE REGISTRARS AND BILLING OFFICE STAFF. POSTED NOTICES AND THE HOSPITAL WEB SITE ARE OTHER SOURCES OF INFORMATION.</PatientEducationAssistance>
        <CommunityInformation>GREENe COUNTY, TN HAD A 2008 POPULATION OF 66,157 CITIZENS. THE HOSPITAL SERVES PRIMARILY GREENe COUNTY AND PATIENTS CLOSE TO THE BORDER OF GREENE COUNTY. THE MEDIAN HOUSEHOLD INCOME IN 2007 WAS $35,246 WITH AN ESTIMATED 19.7% OF THE COUNTY'S POPULATION LIVING IN POVERTY. THE COUNTY COVERS 621 SQUARE MILES.</CommunityInformation>
        <CommunityBuildingActivities>THE HOSPITAL PROVIDES REPRESENTATION AND SUPPORT FOR THE GREENE COUNTY PARTNERSHIP WHICH WORKS TOWARD ECONOMIC GROWTH OF THE AREA. LOCAL SCHOOLS ARE SUPPORTED THROUGH THE PARTNERS IN EDUCATION PROGRAM. THE GREENE COUNTY HEALTH COUNCIL IS HOSTED BY THE HOSPITAL.</CommunityBuildingActivities>
        <OtherInformation>THE MEDICAL STAFF IS OPEN TO ANY PHYSICIAN WHO MEETS CREDENTIALING STANDARDS AND AGREES TO STANDARDS ESTABLISHED BY THE MEDICAL STAFF. VARIOUS BUSINESS LEADERS SERVE ON THE BOARD OF DIRECTORS ALONG WITH LEADERS OF THE PHYSICIAN COMMUNITY. SURPLUS FUNDS PROVIDE FOR CONTINUITY OF HEALTHCARE SERVICES DURING PERIODS OF ECONOMIC DOWNTURN AND ARE REINVESTED IN NEW TECHNOLOGY AND EQUIPMENT AS NEEDED.</OtherInformation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES H WHITFIELD JR</NamePerson>
        <BaseCompensationFilingOrg>290874</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1563</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>58495</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11005</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>361937</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN MARK COMPTON</NamePerson>
        <BaseCompensationFilingOrg>170129</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1885</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>29971</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10569</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>212554</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RICK EALY</NamePerson>
        <BaseCompensationFilingOrg>145735</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1293</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7367</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10518</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>164913</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT R ROARK</NamePerson>
        <BaseCompensationFilingOrg>127748</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>1415</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>22272</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10532</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>161967</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>DEFERRED COMPENSATION PLAN</Identifier>
        <ReturnReference>SCH J, PART I, LINE 4B</ReturnReference>
        <Explanation>LAUGHLIN MEMORIAL HOSPITAL HAS A SECTION 457(F) PLAN THAT PROVIDES FOR NON-ELECTIVE DISCRETIONARY CONTRIBUTIONS. PARTICIPANTS MUST BE EMPLOYED BY THE HOSPITAL FOR 12 MONTHS OF CONTINUOUS SERVICE DURING THE PLAN YEAR AND REMAIN EMPLOYED AT THE END OF THE PLAN YEAR. PARTICIPANTS VESTED PERCENTAGE REMAINS AT 0% UNTIL COMPLETION OF 10 FULL YEARS OF PLAN PARTICIPATION. PARTICIPANTS ARE 100% VESTED AFTER 10 YEARS, UPON DEATH OR DISABILITY THAT RESULTS IN SEVERANCE OF EMPLOYMENT, ATTAINMENT OF NORMAL RETIREMENT AGE (65), TERMINATION OF EMPLOYMENT BY REDUCTION IN FORCE, OR THE SALE OR CLOSURE OF SUBSTANTIALLY ALL OF THE HOSPITAL'S OPERATIONS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE CURRENT YEAR: CHARLES H. WHITFIELD, JR. $44,184 JOHN MARK COMPTON $21,377 ROBERT R. ROARK $15,835</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>HEALTH &amp; EDUCATIONAL FACILITIES BOARD</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>621220275</IssuerEIN>
        <CUSIPNumber>394825AB9</CUSIPNumber>
        <DateIssued>2004-08-20</DateIssued>
        <IssuePrice>47000000</IssuePrice>
        <DescriptionOfPurpose>HOSPITAL CONSTRUCTION</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>47000000</TotalProceeds>
        <AmountDefeased>25830000</AmountDefeased>
        <IssuanceCostsFromProceeds>49917</IssuanceCostsFromProceeds>
        <CapitalExpenditures>21120083</CapitalExpenditures>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>true</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>false</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>SUNTRUST</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>RELATIONSHIPS AMONG OFFICERS, DIRECTORS AND KEY EMPLOYEES</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>THE FOLLOWING FAMILY RELATIONSHIP EXISTS: CHARLES H. WHITFIELD, JR., PRESIDENT AND CEO, IS THE SON OF C. HERBERT WHITFIELD, SR., A DIRECTOR OF LAUGHLIN MEMORIAL HOSPITAL, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE CEO VERIFIES THAT THE FORM 990 REFLECTS DATA COLLECTED BY THE ORGANIZATION. A REVIEW OF HIGHLIGHTS IS CONDUCTED BY THE CEO AND BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MONITORING THE CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 12B AND 12C</ReturnReference>
        <Explanation>ALL BOARD MEMBERS AND DEPARTMENT HEADS SIGN A STATEMENT ANNUALLY TO INDICATE THAT THEY HAVE NO CONFLICTS OF INTEREST OR DESCRIBING THE NATURE OF ANY POTENTIAL CONFLICTS OF INTEREST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE INTRANET AND THE COMPLIANCE OFFICER REVIEWS THE CONFLICT OF INTEREST STATEMENTS EACH YEAR. BOARD MEMBERS DO NOT VOTE ON ISSUES WHERE THEIR INTERESTS COULD CONFLICT WITH THOSE OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A AND 15B</ReturnReference>
        <Explanation>A COMPENSATION REVIEW WAS CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD IN 2010 FOR THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS. A COMPENSATION REVIEW WAS CONDUCTED BY THE HUMAN RESOURCES DIRECTOR AND/OR CEO IN 2010 FOR OTHER OFFICERS AND KEY EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MAKING FORMS AVAILABLE TO THE PUBLIC</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>CONFLICT OF INTEREST POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ARE AVAILABLE ON THE EMPLOYEE INTRANET. REQUESTS FOR GOVERNING DOCUMENTS OR FINANCIAL STATEMENTS ARE CONSIDERED BY THE CEO AND CFO BASED ON THE BEST INTEREST OF THE ORGANIZATION AND ITS HEALTHCARE MISSION.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LAUGHLIN HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1420 TUSCULUM BLVD</AddressLine1>
          <City>GREENEVILLE</City>
          <State>TN</State>
          <ZIPCode>37745</ZIPCode>
        </AddressUS>
        <EIN>582105493</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>TN</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LAUGHLIN HEALTHCARE FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>156113</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>