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            <AddressLine1Txt>104 MILITARY AVE</AddressLine1Txt>
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            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>38464</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>ARCHITECTURAL SERVICES</ServicesDesc>
        <CompensationAmt>447736</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2753471</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>70811</AllOtherContributionsAmt>
      <TotalContributionsAmt>2824282</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>22062666</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22062666</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>22062666</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>453688</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>123666</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>123666</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>123666</TotalRevenueColumnAmt>
        <ExclusionAmt>123666</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>SALES TAX REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>529691</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>COUNTY TAX MILEAGE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>54247</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>54247</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>72762</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>656700</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26121002</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22719366</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>577354</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>170593</ManagementAndGeneralAmt>
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        <TotalAmt>10250272</TotalAmt>
        <ProgramServicesAmt>8725513</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1524759</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>191545</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113952</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1091904</ProgramServicesAmt>
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        <TotalAmt>741508</TotalAmt>
        <ProgramServicesAmt>619239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122269</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>93247</ManagementAndGeneralAmt>
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        <TotalAmt>5886355</TotalAmt>
        <ProgramServicesAmt>4103735</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1782620</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>15291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>50743</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>11342</TotalAmt>
        <ProgramServicesAmt>3500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7842</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>49398</ProgramServicesAmt>
        <ManagementAndGeneralAmt>337049</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>92380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23986</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>556931</ProgramServicesAmt>
        <ManagementAndGeneralAmt>437588</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>195287</TotalAmt>
        <ManagementAndGeneralAmt>195287</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>2050265</TotalAmt>
        <ProgramServicesAmt>2050265</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1272200</TotalAmt>
        <ProgramServicesAmt>1272200</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; MEMBERSHIPS</Desc>
        <TotalAmt>697918</TotalAmt>
        <ProgramServicesAmt>75058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>622860</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DRUG EXPENSE</Desc>
        <TotalAmt>430793</TotalAmt>
        <ProgramServicesAmt>430793</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>1157982</TotalAmt>
        <ProgramServicesAmt>532210</ProgramServicesAmt>
        <ManagementAndGeneralAmt>625772</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>26244501</TotalAmt>
        <ProgramServicesAmt>19809962</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6434539</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>4401202</EOYAmt>
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        <BOYAmt>9008591</BOYAmt>
        <EOYAmt>9603026</EOYAmt>
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        <EOYAmt>4912217</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>548107</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>345037</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>24317957</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>6774081</EOYAmt>
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        <BOYAmt>0</BOYAmt>
        <EOYAmt>275502</EOYAmt>
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        <BOYAmt>26812633</BOYAmt>
        <EOYAmt>26859172</EOYAmt>
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        <EOYAmt>1802966</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>274650</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1907578</BOYAmt>
        <EOYAmt>2077616</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>24750491</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>30420</BOYAmt>
        <EOYAmt>31065</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>24781556</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>26812633</BOYAmt>
        <EOYAmt>26859172</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-123499</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
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      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <BookValueAmt>706228</BookValueAmt>
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        <Desc>OPERATING LEASE LIABILITY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <ExpensesNotRptFinclStmtAmt>2175219</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
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      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
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        <PermitLegalJudicialProcessInd>X</PermitLegalJudicialProcessInd>
        <CollectionActivitiesInd>1</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <EngagedSellingDebtInd>X</EngagedSellingDebtInd>
        <EngagedLegalJudicialProcessInd>X</EngagedLegalJudicialProcessInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
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        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BRADLEY COUNTY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3J: THE COMMUNITY MEMBERS RESPONSES TO SERVICES THEY FEEL ARE NEEDED AND PRIORITY FOR THE NEXT THREE YEARS DECIDED UPON BY THE COMMUNITY MEMBERS PARTICIPATING IN THE ASSESSMENT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BRADLEY COUNTY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: WE CONDUCTED SURVEYS WHICH ANYONE IN THE COMMUNITY HAD THE OPPORTUNITY TO RESPOND. WE ALSO CONDUCTED ADVISORY COMMITTEE MEETINGS. THIS WAS ALL IN CONSULTATION WITH THE ARKANSAS RURAL HEALTH PARTNERSHIP.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BRADLEY COUNTY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: NEEDS BEING ADDRESSED BY THIS STRATEGIC IMPLEMENTATION PLAN:OBJECTIVE 1. ENHANCING AWARENESS OF AVAILABLE HEALTHCARE SERVICES.ACTIVITIES:A. DEVELOP A COMMUNITY OUTREACH &amp; EDUCATION INITIATIVE: LAUNCH A TARGETED MARKETING CAMPAIGN USING SOCIAL MEDIA, LOCAL NEWSPAPERS, AND COMMUNITY EVENTS TO INCREASE AWARENESS OF HEALTHCARE SERVICES AT BCMC.B. STRENGTHEN PARTNERSHIPS WITH LOCAL ORGANIZATIONS: WORK WITH CHURCHES, SCHOOLS, BUSINESSES AND CIVIC GROUPS TO DISTRIBUTE HEALTHCARE INFORMATION AND HOST EDUCATIONAL WORKSHOPS. C. ENHANCE DIRECT PATIENT COMMUNICATION: EXPAND PATIENT NAVIGATOR SERVICES TO ENSURE RESIDENTS RECEIVE PERSONALIZED GUIDANCE ON AVAILABLE HEALTHCARE OPTIONS. PRIORITY 2: EXPAND AVAILABILITY OF SPECIALTY SERVICESACTIVITIES:A. INCREASE THE FREQUENCY OF VISITING SPECIALISTS: STRENGTHEN PARTNERSHIPS WITH REGIONAL SPECIALTY PROVIDES TO BRING ENT, CARDIOLOGY, OB/GYN, AND OTHER SPECIALISTS TO BCMC ON A REGULAR BASIS.B. ENHANCE TELE-SPECIALTY CARE: EXPAND TELEHEALTH CONSULTATIONS FRO ENT, CARDIOLOGY, ENDOCRINOLOGY, PRENATAL CARE, BEHAVIORAL THERAPY, AND OTHER SPECIALTY SERVICES, REDUCING THE NEED FOR PATIENT TO TRAVEL OUT OF THE COUNTY. C. ESTABLISH SPECIALTY CARE COORDINATION SERVICES: DEVELOP A PATIENT REFERRAL NETWORK IN COLLABORATION WITH ARHP AND PARTNERS, ENSURING EFFICIENT REFERRALS TO OUT-OF-COUNTY SPECIALISTS WHEN NECESSARY.ANY SUCH NEEDS THAT ARE NOT BEEING ADDRESSED ARE NOT COVERED IN THE MOST RECENT CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>BRADLEY COUNTY MEDICAL CENTER</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20E: COLLECTIONS DEPARTMENT MAKES REGULAR SCHEDULED PHONE CALLS AND INFORMS PATIENTS THAT BCMC WILL WORK WITH THE PATIENT AND INFORMS THEM ABOUT THE HOSPITAL'S CHARITY CARE PROGRAM.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>A COST-TO-CHARGE RATIO FROM COST REPORTS AND INTERIM COST REPORTS IS USED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7G:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM ONE IS A HOME HEALTH SERVICE THAT PROVIDES SKILLED NURSING, AIDE SERVICES, PT, OT, AND ST TO HOME BOUND PATIENTS. PROGRAM TWO IS A GERIATRIC PSYCHIATRY INPATIENT UNIT THAT PROVIDES INPATIENT CARE TO ADULTS AGES 60 AND OVER WHO ARE EXPERIENCING BEHAVIORAL OR EMOTIONAL PROBLEMS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERCENTAGE OF ACCOUNTS RECEIVABLE METHOD IS USED FOR ESTIMATING AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND AN ASSOCIATED EXPENSE FOR BAD DEBTS. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF TO THE ALLOWANCE ACCOUNT AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES SURROUNDING THE ACCOUNT. THIS IS DONE ON A MONTHLY BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE BEGINS ON PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS WHO ARE CONSIDERED INDIGENT AUTOMATICALLY QUALIFY FOR CHARITY CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>UTILIZES ANNUAL STATISTICAL REPORT WITH DEMOGRAPHIC INFORMATION FROM DHS AS WELL AS REPORTS SHOWING PERCENT OF ACTIVITY OF COMMUNITY BY PAYOR SOURCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>NOTICES WILL BE POSTED IN KEY AREAS, FINANCIAL ASSISTANCE POLICY AND APPLICATION WILL BE AVAILABLE ON WEBSITE, WRITTEN INFORMATION REGARDING FAP WILL BE PROVIDED TO ANY PATIENT WHO REQUEST, AND FRONT-LINE STAFF WILL BE ABLE TO ANSWER QUESTIONS. COLLECTIONS PERSONNEL ARE ALSO TRAINED TO BE ABLE TO PROMOTE THE FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>RURAL SETTING, PREDOMINANTLY AGRICULTURAL AND FORESTRY BASED. AVERAGE INCOME AT OR BELOW FEDERAL POVERTY GUIDELINES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>BRADLEY COUNTY MEDICAL CENTER PROVIDES GENERAL MEDICAL AND SURGICAL CARE FOR INPATIENT, OUTPATIENT, AND EMERGENCY ROOM PATIENTS, AND PARTICIPATES IN THE MEDICARE AND MEDICAID PROGRAMS. BCMC SUPPORTS COMMUNITY GROUPS WITH VOLUNTEERS AND DONATIONS FROM THE HOSPITAL. BCMC ALSO SERVES AS A FACILITY FOR VARIOUS HEALTH AND WELLNESS SUPPORT GROUPS.</ExplanationTxt>
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        <PersonNm>HALEY WAGNON</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ONE MEMBER, BRADLEY MEDICAL SYSTEM. DIRECTORS FOR THE BOARD ARE ELECTED BY THE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER, BRADLEY MEDICAL SYSTEM, ELECTS THE MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>APPROVAL OR REJECTION OF BOARD NOMINATIONS: FOR SO LONG AS THE ASSIGNMENT AND LEASE AGREEMENT BETWEEN THE ORGANIZATION AND BRADLEY COUNTY, ARKANSAS IS IN EFFECT, THE QUORUM COURT SHALL EITHER APPROVE NOMINATION BY THE MAJORITY VOTE OF THE WHOLE NUMBER OF JUSTICES COMPROMISING THE QUORUM CORY OR SUCH NOMINATION SHALL BE DEEMED REJECTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE CEO AND CFO PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS AND STAFF WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST. A DETERMINATION AS TO WHETHER A CONFLICT EXISTS IS MADE BY THE GOVERNING BOARD OR A COMMITTEE WITH DELEGATED AUTHORITY AFTER FULL DISCLOSURE OF THE FINANCIAL INTEREST AND RELEVANT FACTS. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE GOVERNING BOARD OR COMMITTEE REVIEWS THE TRANSACTION, EVALUATES ALTERNATIVES, AND DETERMINES WHETHER THE ARRANGEMENT IS FAIR AND IN THE BEST INTEREST OF THE ORGANIZATION. WHEN A CONFLICT EXISTS, THE INTERESTED INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN DISCUSSIONS OR VOTES ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT - COMPENSATION IS DISCUSSED AND VOTED ON BY THE BOARD OF DIRECTORS IN AN EXECUTIVE SESSION. OTHER OFFICERS AND KEY EMPLOYEES - ANNUAL INCREASES IN COMPENSATION ARE DETERMINED BY GOVERNING BOARD BASED ON MARKET RATES AND PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE PROVIDED UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,466,863. MANAGEMENT AND GENERAL EXPENSES 1,534,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,001,650. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,630,647. MANAGEMENT AND GENERAL EXPENSES 87,388. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,718,035. CONSULTING: PROGRAM SERVICE EXPENSES 6,225. MANAGEMENT AND GENERAL EXPENSES 160,445. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,670.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>404 SOUTH BRADLEY</AddressLine1Txt>
          <CityNm>WARREN</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>71671</ZIPCd>
        </USAddress>
        <EIN>710797500</EIN>
        <PrimaryActivitiesTxt>HOSPITAL HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AR</LegalDomicileStateCd>
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