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        <ProgramServices>3681656</ProgramServices>
        <ManagementAndGeneral>101839</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>22157</Total>
        <ProgramServices>14304</ProgramServices>
        <ManagementAndGeneral>7853</ManagementAndGeneral>
      </Advertising>
      <Occupancy>
        <Total>906226</Total>
        <ProgramServices>906226</ProgramServices>
      </Occupancy>
      <Travel>
        <Total>85469</Total>
        <ProgramServices>79630</ProgramServices>
        <ManagementAndGeneral>5839</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>469643</Total>
        <ManagementAndGeneral>469643</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>1714191</Total>
        <ProgramServices>1714191</ProgramServices>
      </DepreciationDepletion>
      <Insurance>
        <Total>567645</Total>
        <ProgramServices>567645</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>PROVISION FOR BAD DEBTS</Description>
        <Total>5116694</Total>
        <ProgramServices>5116694</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>3777324</Total>
        <ProgramServices>3777324</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER SUPPLIES</Description>
        <Total>1030985</Total>
        <ProgramServices>940186</ProgramServices>
        <ManagementAndGeneral>90799</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIR &amp; MAINTENANCE</Description>
        <Total>674094</Total>
        <ProgramServices>633723</ProgramServices>
        <ManagementAndGeneral>40371</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER EXPENSES</Description>
        <Total>470226</Total>
        <ProgramServices>247654</ProgramServices>
        <ManagementAndGeneral>222572</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>165042</Total>
        <ProgramServices>136031</ProgramServices>
        <ManagementAndGeneral>29011</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>36338425</Total>
        <ProgramServices>33847280</ProgramServices>
        <ManagementAndGeneral>2491145</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>8016402</BOY>
        <EOY>9249525</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1505197</BOY>
        <EOY>1658874</EOY>
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      <AccountsReceivable>
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        <EOY>5804829</EOY>
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      <OtherNotesLoansReceivableNet>
        <BOY>1095165</BOY>
        <EOY>720500</EOY>
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      <InventoriesForSaleOrUse>
        <BOY>1435141</BOY>
        <EOY>1504906</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>258136</BOY>
        <EOY>307237</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>34751205</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>19254723</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>15382534</BOY>
        <EOY>15496482</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>60376</BOY>
        <EOY>50193</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>33502294</BOY>
        <EOY>34792546</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1138087</BOY>
        <EOY>1226176</EOY>
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      <TaxExemptBondLiabilities>
        <BOY>8090872</BOY>
        <EOY>7718370</EOY>
      </TaxExemptBondLiabilities>
      <MortNotesPyblSecuredInvestProp>
        <BOY>728324</BOY>
        <EOY>1266020</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>1324996</BOY>
        <EOY>1460092</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>11282279</BOY>
        <EOY>11670658</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>21443426</BOY>
        <EOY>22328583</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>776589</BOY>
        <EOY>793305</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>22220015</BOY>
        <EOY>23121888</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>33502294</BOY>
        <EOY>34792546</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>901873</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc2">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>1675866</OtherCostOrOtherBasis>
        <BookValue>1675866</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>16853782</OtherCostOrOtherBasis>
        <Depreciation>8046867</Depreciation>
        <BookValue>8806915</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>16221557</OtherCostOrOtherBasis>
        <Depreciation>11207856</Depreciation>
        <BookValue>5013701</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>15496482</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>ACCRUED EXPENSES</Description>
        <Amount>1460092</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1460092</TotalOfAmounts>
      <TotalRevenue>37240298</TotalRevenue>
      <TotalExpenses>36338425</TotalExpenses>
      <ExcessOrDeficitForYear>901873</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>901873</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>37240298</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>37240298</RevenueSubtotal>
      <TotalRevenuePerForm990>37240298</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>36338425</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>36338425</ExpensesSubtotal>
      <TotalExpensesPerForm990>36338425</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc5">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>828685</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>828685</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02680</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>4737414</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4737414</DirectOffsettingRevenue>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>5566099</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4737414</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>828685</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02680</PercentOfTotalExpense>
      </TotalCharityCare>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>5900238</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4726003</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1174235</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03760</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>5900238</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4726003</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1174235</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03760</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>11466337</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9463417</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2002920</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06440</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>5052</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>5052</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>3024</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>3024</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>45168</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>45168</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00140</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Other>
        <TotalCommunityBuildingExpense>32711</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>32711</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00100</PercentOfTotalExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>85955</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>85955</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00260</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2350066</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>8794845</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>8207961</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>586884</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>JOHNSON REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1100 POPLAR</AddressLine1>
          <City>CLARKSVILLE</City>
          <State>AR</State>
          <ZIPCode>72830</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>JOHNSON REGIONAL MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>JRMC HOME HEALTH</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>401 ROGERS ST</AddressLine1>
            <City>CLARKSVILLE</City>
            <State>AR</State>
            <ZIPCode>72830</ZIPCode>
          </Address>
          <FacilityType>HOME HEALTH SERVICES</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE</Identifier>
        <ReturnReference>PART I LINE 3C</ReturnReference>
        <Explanation>IN ADDITION TO USING THE FEDERAL POVERTY GUIDELINES JRMC ALSO USES THE ASSET TEST TO DETERMINE ELIGIBILITY OF FREE OR DISCOUNTED CARE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SUBSIDIZED HEALTH SERVICES EXPLANATION</Identifier>
        <ReturnReference>PART I LINE 7G</ReturnReference>
        <Explanation>JRMC INCLUDED IN SUBSIDIZED HEALTH SERVICES COSTS ATTRIBUTABLE TO HOSPITAL OWNED PHYSICIAN CLINICS INPATIENT PSYCHIATRIC SERVICES AND HOME HEALTH CARE SERVICES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY EXPLANATION</Identifier>
        <ReturnReference>PART I LINE 7</ReturnReference>
        <Explanation>A COST TO CHARGE RATIO FROM WORKSHEET 2 RATIO OF PATIENT CARE COSTTOCHARGES WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE PART I LINE 7 TABLE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY BUILDING ACTIVITIES</Identifier>
        <ReturnReference>PART II</ReturnReference>
        <Explanation>THE HOSPITAL STAFF SUPPORT PARTICIPATE AND PROVIDE LEADERSHIP TO MANY DIFFERENT AND VARIED ORGANIZATIONS IN ITS SERVICE AREA OF SEVEN COUNTIES CONTAINING OVER 5381 SQUARE MILES THESE ORGANIZATIONS INCLUDE THE CHAMBER OF COMMERCE COMMUNITY SERVICE CLUBS ROTARY LIONS KIWANIS ALL PUBLIC SCHOOLS TWO UNIVERSITIES THE BLOOD BANK UNITED WAY FOR THREE COUNTIES JOHNSON COUNTY RESOURCE ALLIANCE FORRESTER DAVIS DEVELOPMENT CENTER AND THE AMERICAN CANCER SOCIETY TO NAME A FEW SOME EXAMPLES OF THE ACTIVITIES AND PROJECTS INCLUDE COMMUNITY BUILDING PROJECTS FOR THE UNITED WAY LOCAL BLOOD DRIVES FLU SHOTS FOR PUBLIC SCHOOLS AND GENERAL PUBLIC AT LARGE HEALTH FAIRS FOR SENIOR CITIZENS LOCAL NIGHT OUT SPONSORSHIP TO PROMOTE GOOD WORKING RELATIONSHIPS TO SUPPORT LAW ENFORCEMENT AND MANY OTHER PROJECTS TO NUMEROUS TOO MENTION THE HOSPITAL PROVIDES STAFF MEDICAL SUPPLIES AND FOOD AS NECESSARY TO PROMOTE MAINTAIN ANDOR DEVELOP EACH PROJECT TO ITS FULLEST POTENTIAL</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 4</ReturnReference>
        <Explanation>AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBT PER THE AUDITED FINANCIAL STATEMENTS AFTER APPLYING THE COST TO CHARGE RATIO ACCOUNTS OVER 30 DAYS OLD ARE CONSIDERED PAST DUE AN ACCOUNT THAT IS APPROXIMATELY 90 DAYS PAST DUE WITH NO PAYMENT ACTIVITY IS SENT TO AN OUTSIDE BILLING AND COLLECTION SERVICE WHO MAKE ADDITIONAL ATTEMPTS TO COLLECT PAST DUE AMOUNTS AFTER THE OUTSIDE COLLECTION SERVICE ADVISES THAT THEY HAVE MADE ALL REASONABLE ATTEMPTS TO COLLECT A PAST DUE ACCOUNT IT IS REVIEWED AGAIN BY THE HOSPITAL AND A DETERMINATION IS MADE WHETHER TO WRITE OFF THE ACCOUNT</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 9B</ReturnReference>
        <Explanation>PATIENTS WHO CAN SHOW THAT PAYMENT OF THEIR HOSPITAL BILL WOULD BE AN UNBEARABLE HARDSHIP FOR THEM MAY APPLY FOR FINANCIAL ASSISTANCE TO PAY ALL OR PART OF THEIR BILL APPLICANTS MUST COMPLETE THE REQUIRED FINANCIAL APPLICAITON AND MEET MINIMUM GUIDELINE REQUIREMENTS AS SET FORTH IN THE JRMC CHARITY CARE POLICY APPLICANTS WILL BE RESPONSIBLE FOR OBTAINING THE INFORMATION NEEDED TO DETERMINE THEIR ELIGIBILTY AND PROVIDE VERIFICATION OF INCOME AS REQUIRED</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>JOHNSON COUNTY HOSPITAL WAS ESTABLISHED IN 1938 WITH THE EXISTING FACILITY BEING BUILT IN 1977 THE HOSPITAL HAS PROVIDED HEALTHCARE SERVICES TO THE COMMUNITY OF CLARKSVILLE AR AND OTHER ADJACENT COMMUNITIES IN THE SERVICE AREA FOR OVER 5 DECADES SERVICES INCLUDE OBGYN GENERAL SURGERY REHABILITATION ICU EMERGENCY AND DIAGNOSTIC AND FACILITY IS LICENSED FOR 80 BEDS THE LOCAL COMMUNITY HAS A VERY BALANCED ECONOMIC BASE CONSISTING OF MANUFACTURING SERVICE AND AGRICULTURAL INDUSTRIES SOME OF THE LARGER INDUSTRIAL CORPORATIONS INCLUDE TYSON HANES BRANDS WALMART DISTRIBUTION CENTER RETAIL AND BALDOR THE TOWN ALSO IS THE HOME OF THE UNIVERSITY OF THE OZARKS WITH THE GROWTH OF THE LOCAL ECONOMYINDUSTRIES AND INCREASING ENROLLMENT IN THE UNIVERSITY JOHNSON REGIONAL MEDICAL CENTER HAS ADAPTED TO THE EVER CHANGING HEALTHCARE NEEDS OF THE COMMUNITY TO CONTINUE TO ADAPT TO THE CONSTANTLY CHANGING NEEDS OF THE COMMUNITY PHASE 1 OF THE RENOVATION AND EXPANSION OF THE EXISTING FACILITY WAS DONE IN EARLY 2005 TO ADD A NEW SURGERY EMERGENCY IMAGING AND ADMITTINGWAITING AS PART OF COMPLETED PROJECT A FUTURE PHASE II WAS PLANNED TO ADD A MEDSURG PATIENT WING 40 BED ALONG WITH A RENOVATION AND ADDITION TO LABOR AND DELIVERY DEPARTMENT THAT WOULD RENOVATE THE NEW FULL TERM NURSERY AND ADD 10 NEW LDRP ROOMS IN ADDITION THE SHELL SPACE BELOW THE PATIENT ROOMS WOULD BE USED FOR RELOCATING THE PHARMACY AND LABORATORY DEPARTMENTS AND WILL BE SHELLED OUT TO ALLOW FOR FUTURE MEDICAL OFFICES TO ACCOMMODATE PHYSICIAN PRACTICES AND SERVICE LINES DEMANDED BY COMMUNITY SINCE THE COMPLETION OF PHASE I IN 2005 THE FACILITY HAS BEEN WORKING TO RAISE FUNDS TO COMPLETE THE PHASE II PORTION OF THE MASTERPLAN THE EXISTING FACILITIES TO BE REPLACED UNDER THE PHASE II WORK ARE OUTDATED AND DO NOT ACCOMMODATE MODERN HEALTHCARE NEEDS AND REQUIREMENTS IT IS NECESSARY TO COMPLETE THESE REPLACEMENT FACILITIES TO BE COMPETITIVE IN THE SERVICE AREA TO MINIMIZE LOSS OF BUSINESS TO OTHER ADJACENT FACILITIES DUE TO HAVING ANTIQUATED FACILITIES AND PROVIDE A STANDARD OF CARE THAT IS REQUIRED TO ACCOMMODATE LIFE SAFETY NEEDS OF PATIENTS AND TO OBTAIN HIGHER LEVEL OF PATIENT CARE AND SATISFACTION ALL OF THE EXISTING PATIENT ROOMS ARE CURRENTLY DESIGNED AS SEMIPRIVATE ROOMS DOUBLE OCCUPANCY THE STANDARD OF CARE IS NOW PRIVATE ROOMS AND IS PROVIDED BY LEADING HEALTHCARE PROVIDERS AND EXPECTED BY CURRENT PATIENT POPULATION IN ADDITION PRIVATE LABORDELIVERYPOSTPARTUM AND DELIVERY ROOMS LDRP ALLOW FOR A SINGLE ROOM TO ACCOMMODATE ALL NEW MOTHER NEEDS THIS IS ALSO A SERVICE THAT IS PROVIDED BY LEADING HEALTHCARE PROVIDERS AND EXPECTED BY CURRENT PATIENT POPULATION SERVICES AVAILABLE FROM THE MEDICAL CENTER INCLUDE AMBULATORY CARE ANESTHESIA SERVICES CLINICAL LABORATORY CARE DIABETES EDUCATION EEG EMERGENCY SERVICES GASTROINTESTINAL LAB HOME HEALTH PHARMACY SERVICES PHYSICAL THERAPY PSYCHIATRIC SERVICES REHABILITATION RESPIRATORY THERAPY SPEECH THERAPY SLEEP LAB SURGICAL SERVICES GENERAL ORTHOPEDIC UROLOGY GYNECOLOGY PODIATRY ENT AND OPHTHALMIC AND AN AMBULANCE SERVICE THE MEDICAL CENTERS 80 LICENSED BEDS ARE CURRENTLY ALLOCATED AS FOLLOWS MEDICALSURGICAL 41 BEDS INTENSIVE CARE 8 BEDS PSYCHIATRIC 10 BEDS REHABILITATION 12 BEDS AND OBSTETRICS 9 BEDS THE PRESENT ACTIVE MEDICAL STAFF OF THE MEDICAL CENTER IS COMPOSED OF 26 PHYSICIANS 19 OF WHOM ARE BOARD CERTIFIED IN THEIR RESPECTIVE AREAS OF PRACTICE THE AVERAGE AGE OF THE ACTIVE MEDICAL STAFF IS 43 YEARS AN ADDITIONAL 28 PHYSICIANS HAVE ASSOCIATE STAFF STATUS AT THE MEDICAL CENTER AND ANOTHER SEVEN HAVE COURTESY ER STATUS IN MANY CASES THE EXISTING PATIENT ROOMS ARE DEFICIENT IN PHYSICAL PROGRAM AND NOT CURRENTLY IN COMPLIANCE WITH ADA AND CURRENT LICENSING REQUIREMENTS ROOMS AND FACILITIES REQUIRE A MINIMUM NUMBER OF ADA ACCESSIBLE UNITS AND MINIMUM AMOUNT OF SPACE TO ACCOMMODATE PATIENT STAFF FAMILIES AND EQUIPMENT THE HVAC FIRE PROTECTION MEDICAL GAS AND ELECTRICAL SYSTEMS ARE ALSO DEFICIENT IN SOME RESPECTS AND THE CURRENT SYSTEMS WILL REQUIRE INCREASED MAINTENANCE AND UPGRADE SHOULD THEY BE REQUIRED TO REMAIN IN PLACE TO SUPPORT PATIENT NEEDS THE PHYSICAL CONDITION OF THE FACILITY INCLUDING FLOORING AND WALL FINISHES AND HEADWALL UNITS WOULD ALSO REQUIRE REPLACEMENT SHOULD THE EXISTING FACILITIES NEED TO REMAIN IN PLACE ANY UPGRADES TO EXISTING FACILITIES WOULD BE COSTLY DUE TO REQUIREMENT TO MEET CURRENT STANDARDSCODES AND WOULD ULTIMATELY BE A COMPROMISE TO MASTERPLAN VISION IN AN EFFORT TO CONTINUE THE FACILITY MASTERPLAN AND REPLACE OUTDATED FACILITIES THE PHASE II WORK MUST BE COMPLETED DUE TO COMPLEXITY OF PHASING WORK WITHIN OPERATING FACILITY AND UPGRADES THAT WOULD BE REQUIRED TO BRING EXISTING FACILITY UP TO CURRENT LICENSING AND CODE REQUIREMENT A MAJOR RENOVATION WOULD NEED TO BE UNDERTAKEN TO UPDATE THE EXISTING MEDSURG ROOMS IT IS CONCEIVABLE THAT THE COMPLEX NATURE OF A RENOVATION PROJECT WOULD BE AS COSTLY OR IN EXCESS OF COST OF NEW CONSTRUCTION THE BIG DIFFERENCE BETWEEN THE TWO OPTIONS LIES IN ABILITY TO CONTINUE OPERATIONS AND MINIMIZE DISRUPTION TO PATIENTS AND STAFF THE OTHER BENEFIT OF NEW CONSTRUCTION YOU WOULD NOT HAVE WITH RENOVATION WOULD BE IN ADDITION OF INCREASED GROUND FLOOR DEPARTMENT SHELL MEDICAL OFFICE SPACE THE HVAC FIRE PROTECTION MEDICAL GAS AND ELECTRICAL SYSTEM UPGRADES THAT WOULD BE REQUIRED TO SUPPORT NEW AREAS WOULD ALSO BE VERY DISRUPTIVE AND COSTLY NOTE THAT AS PART OF PHASE I A NEW ELEVATOR AND MECHANICAL PENTHOUSE WITH NEW SYSTEMS TO SUPPORT PHASE II ARE IN PLACE TO PROVIDE SYSTEMS IN COMPLIANCE WITH CURRENT REQUIREMENTS AND TO ELIMINATE NEED FOR UTILITY INTERRUPTIONS AND UPGRADES SINCE MUCH OF UTILITY INFRASTRUCTURE SUPPORTING PHASE II IS IN PLACE THE COST OF NEW CONSTRUCTION WILL BE LESS WHEN COMPARED TO COST OF OTHER SIMILAR FACILITIES THAT DO NOT HAVE THIS INFRASTRUCTURE IN PLACE ALREADY ALSO JOHNSON COUNTY POPULATION DEMOGRAPHICS ARE ROUTINELY REVIEWED AND CONSIDERED TO BRING THE BEST AND MOST NEEDED SERVICES TO THE SERVICE AREA THE LATEST DATA IS ATTACHED AS AN EXAMPLE OF THE COMPLEXITY OF THE DATA AND DEPTH OF THE RESEARCH AND THOUGHT GIVEN TO EACH STRATEGIC HEALTH INITIATIVES WE TAKE WHILE THE HOSPITAL HAS NOT YET PERFORMED AN OFFICAILA COMMUNITY NEEDS ASSESSMENT WE PLAN TO PERFORM ONE IN THE NEXT YEAR AS NOTED ABOVE THE MASTERPLAN FOR THE HOSPITAL WAS DEVELOPED IN EARLY 2005 INTENDED TO REPLACE ALL EXISTING MAJOR HOSPITAL SERVICES AND UTILIZE THE ORIGINAL STRUCTURE FOR SUPPORT AREAS THE COMPLETION OF PHASE II MEDSURG PATIENT ROOMS LABOR AND DELIVERY RENOVATIONEXPANSION AND MEDICAL OFFICE SHELL SPACE WILL ALLOW JRMC TO COMPLETE THE MASTERPLAN VISION IT WILL REPURPOSE EXISTING AREAS AND WILL SUPPLEMENT AND REINFORCE THE NEED FOR CURRENT SERVICES TO REMAIN COMPLETED AS PART OF PHASE I OR EARLIER PROJECT SUCH AS ICU AND REHAB THE RENOVATION AND ADDITION OF LABORDELIVERY WILL ALLOW JRMC TO RECRUIT OBGYN PHYSICIANS TO SERVICE THE GROWING NEED IN THE COMMUNITY BASED ON AN INCREASE IN BIRTHS IN THE AREA THE SHELL SPACE WILL ALLOW FOR THESE PHYSICIAN GROUPS TO ESTABLISH THEIR PRACTICES WITHIN CLOSE PROXIMITY TO THE FACILITY WHICH THEY SUPPORT BY PROVIDING SERVICES SUCH AS LABORDELIVERY IT IS COMMON FOR THE PATIENTBABY TO CONTINUE TO ACCESS SERVICE AT THE FACILITY IN WHICH THEY HAD THE BIRTH PROVIDED THE EXPERIENCE AT THE FACILITY HAD POSITIVE OUTCOMESHIGH SATISFACTION RATING BY PROVIDING THESE SPECIALTY SERVICES REQUIRED TO SUPPORT THE COMMUNITY NEEDS THE PATIENT POPULATION WILL REQUIRE OTHER SPECIALIZED SERVICES AS THEY GROW AND HEALTHCARE NEEDS CHANGE TO ADAPT TO THE YOUNG AND AGING POPULATION THE ADDITION OF THE PHASE II FACILITIES AT JRMC WILL ONLY FURTHER STRENGTHEN CORE SERVICE INFRASTRUCTURE OF COMMUNITY AND PROVIDE HIGHER LEVEL OF PATIENT CARE WITH INCREASE IN USE OF FACILITIES AND CENSUS AT THE HOSPITAL MORE JOBS WILL BE CREATED IN ADDITION BY ATTRACTING SPECIALTY PHYSICIAN GROUPS THE NEW PRACTICES WILL ALSO REQUIRE SUPPORT WHICH WILL RESULT IN ADDITIONAL JOB CREATION IN ADDITION THERE IS HIGHER LIKELIHOOD THAT THERE WILL BE HIGHER RETENTION OF SKILLED INDIVIDUALS IN THE COMMUNITY IF CORE COMMUNITY SERVICES ARE IN PLACE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>1 ANY PATIENT THAT INDICATES AN INABILITY TO PAY IS OFFERED A CHARITY CAREINDIGENT CARE APPLICATION 2 THE MEDICAL CENTER PLACES NOTICES IN ALL REGISTRATION AREAS THAT WE OFFER CHARITY CARE PROGRAMS AND DESCRIBES HOW TO OBTAIN MORE INFORMATION ABOUT FINANCIAL ASSISTANCE 3 THE MEDICAL CENTER PLACES A NOTE ON STATEMENTS REGARDING HOW TO REQUEST INFORMATION ABOUT FINANCIAL ASSISTANCE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>MANAGEMENT DEFINES THE PRIMARY SERVICE AREA OF THE MEDICAL CENTER AS JOHNSON COUNTY ARKANSAS AND THE SECONDARY SERVICE AREAS AS FRANKLIN LOGANPOPE AND SOUTHERN SECTIONS OF MADISON COUNTIES IN ARKANSAS THE PRIMARY SERVICE AREA CONTRIBUTED APPROXIMATELY 76 OF THE TOTAL MEDICAL CENTERS ADMISSIONS IN FISCAL YEAR 2003 THE SECONDARY SERVICE AREA CONTRIBUTED APPROXIMATELY 22 OF THE TOTAL MEDICAL CENTER ADMISSIONS IN FISCAL YEAR 2003 THE POPULATION OF THE SERVICE AREA IS APPROXIMATELY 22000 AND THE COMBINED POPULATION OF THE SECONDARY SERVICE IS APPROXIMATELY 45000ALTHOUGH THERE ARE NO OTHER HOSPITALS LOCATED IN THE MEDICAL CENTERS PRIMARY SERVICE AREA THERE ARE THREE HOSPITALS IN THE SECONDARY SERVICE AREA AND SEVERAL OTHER HOSPITALS IN THE REGION THAT REQUIRE THE MEDICAL CENTER TO REMAIN HIGHLY COGNIZANT OF COMPETITION THESE HOSPITALS AND THEIR LOCATIONS ARE AS FOLLOWS SECONDARY SERVICE AREA HOSPITALS MERCY HOSPITALTURNER MEMORIAL OZARK AR NORTH LOGAN MERCY HOSPITAL PARIS AR SAINT MARYS REGIONAL MEDICAL CENTER RUSSELLVILLE AR HOSPITALS OUTSIDE PRIMARY AND SECONDARY SERVICE AREA BOONEVILLE COMMUNITY HOSPITAL BOONEVILLE AR CHAMBERS MEMORIAL HOSPITAL DANVILLE AR DARDANELLE HOSPITAL DARDANELLE AR SELECT SPECIALTY HOSPITAL FORT SMITH AR ADVANCE CARE HOSPITAL FORT SMITH AR SPARKS HEALTH SYSTEM FORT SMITH AR VISTA HEALTH FORT SMITH AR ST EDWARD MERCY MEDICAL CENTER FORT SMITH AR CRAWFORD MEMORIAL HOSPITAL VAN BUREN AR</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>JOHNSON REGIONAL MEDICAL CENTER HAS AN OPEN MEDICAL STAFF AND WELCOMES NEW PRACTITIONERS TO THE SERVICE AREA JOHNSON REGIONAL ALSO ENSURES ACCESS TO BASIC PRIMARY CARE BY SUPPORTING THE RECRUITMENT OF PRIMARY CARE PHYSICIANS TO PRACTICE IN JOHNSON COUNTY WE ALSO HAVE A BOARD OF DIRECTORS THAT REPRESENTS THE NEEDS OF THE COMMUNITY AND PURSUES THE BEST POSSIBLE CARE FOR OUR SERVICE AREA EACH BOARD MEMBER IS A VOLUNTEER AND DONATES A CONSIDERABLE AMOUNT OF TIME AND ENERGY TO ASSURE A VIABLE PROGRESSIVE AND WELLMANAGED HOSPITAL JOHNSON REGIONAL MEDICAL CENTER ALSO PARTICIPATES WITH FIVE COLLEGES AND UNIVERSITIES TO TRAIN FUTURE HEALTHCARE WORKERS WE HAVE AFFILIATION AGREEMENTS FOR NURSES PHYSICAL THERAPISTS PHARMACISTS EMS STAFF AND STUDENT ROTATIONS THROUGH VARIOUS ANCILLARY DEPARTMENTS THIS REQUIRES A REAL DEDICATION OF TIME AND EFFORT BY OUR STAFF TO EDUCATE AND TRAIN FUTURE HEALTHCARE PROFESSIONALS JOHNSON REGIONAL MEDICAL CENTERS SUPPORT ALSO INCLUDES SUBSTANTIAL AMOUNTS OF CHARITY CARE OF OVER 18 MILLION AND BAD DEBT RECOGNIZED OF ALMOST 45 MILLION COMBINED THESE REPRESENT ALMOST 10 OF OUR TOTAL REVENUE JRMC IS A 501C 3 NOTFORPROFIT CORPORATION AND AS SUCH NO ONE INDIVIDUALLY PROFITS THROUGH OWNERSHIP DIVIDENDS ARE NOT EVER PAID</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc6">
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT MORSE</NamePerson>
        <BaseCompensationFilingOrg>152441</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>15205</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>167646</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROGER KENNEDY</NamePerson>
        <BaseCompensationFilingOrg>278493</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>8201</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>286694</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CECIL SUTTERFIELD</NamePerson>
        <BaseCompensationFilingOrg>277834</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>18350</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>296184</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT MAY</NamePerson>
        <BaseCompensationFilingOrg>275534</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>10134</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>285668</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEPHEN MCELMURRY</NamePerson>
        <BaseCompensationFilingOrg>271854</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>18350</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>290204</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JAMES GOODMAN</NamePerson>
        <BaseCompensationFilingOrg>241755</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>18138</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>259893</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc7">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>TAX EXEMPT BONDS</BusinessNameLine1>
        </IssuerName>
        <DateIssued>2004-05-01</DateIssued>
        <IssuePrice>10000000</IssuePrice>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc8">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARLA ANDERSON RN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>OFFICER FAMILY</Relationship>
        <AmountOfTransaction>13016</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATIO</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>AMANDA OVERBEY PT</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DIRECTOR FAMILY</Relationship>
        <AmountOfTransaction>62250</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATIO</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JAMES GOODMAN MD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FORMER DIRECTOR</Relationship>
        <AmountOfTransaction>259894</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATIO</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LYNNE YARBROUGH</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>HCE FAMILY</Relationship>
        <AmountOfTransaction>90895</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYEE COMPENSATIO</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc9">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE TAX RETURN WAS REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS BEFORE FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>ORGANIZATION COMPLIANCE OFFICER REPORTS AT LEAST ANNUALLY TO THE BOARD OF DIRECTORS AND REVIEWS THE CONFLICT OF INTEREST POLICY. DIRECTORS AND KEY EMPLOYEES ARE UPDATED REGARDING ANY CHANGES IN POLICY AND ARE REQUIRED TO REPORT ANY CONFLICTS OF INTEREST BASED ON THE POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>CEO COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS AND IS COMPARED TO COMPENSATION OF COMPARABLE CEO POSITIONS ANNUALLY BY THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>OTHER OFFICERS AND KEY EMPLOYEES COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS AND IS COMPARED TO COMPENSATION OF COMPARABLE POSITIONS ANNUALLY BY THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>