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        <ExplanationTxt>OTHER ORGANIZATIONS WITH WHICH THE HOSPITAL FACILITY CONDUCTED ITS CHNA: QUORUM HEALTH RESOURCES (QHR) HOSPITAL FACILITY MANAGEMENT COMPANY FACILITATED CHNA. JAMES VALLEY COMMUNITY HEALTH CLINIC AND COMMUNITY COUNSELING SERVICES PARTICIPATED IN CONFIRMING SIGNIFICANT NEEDS AND DEVELOPING IMPLEMENTATION STRATEGY. PART V - LINE 11 ADDRESSING COMMUNITY HEALTH NEEDS SEE ATTACHED GRID - HRMC COMMUNITY HEALTH NEEDS ASSESSMENT GRID PART V - LINE 20(D) EFFORTS MADE BEFORE INITIALIZING ANY OF THE ACTIONS LISTED HRMC IN PROCESS OF OBTAINING AND MEETING PRESUMPTIVE ELIGIBILITY REQUIREMENTS OF STATE OF SOUTH DAKOTA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7G</FormAndLineReferenceDesc>
        <ExplanationTxt>COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES NEPHROLOGY CLINIC 5,239, OB/GYN CLINIC 691,200, PEDIATRIC CLINIC 640,687, SURGICAL CLINIC 661,907, AND IM CLINIC 717,757 FOR A TOTAL OF 2,716,790. BAD DEBT EXPENSE NOT REPORTED ON LINE 7G WAS 130,974.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>WORKSHEET 2 WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN THE TABLES ALONG WITH COST REPORT AMOUNTS WHEN APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE FROM PATIENTS CONSIST OF THE FOLLOWING: ACCOUNTS RECEIVABLE AS OF JUNE 30, 2019 AND 2020 WERE 8,774,367 AND 8,183,696. ALLOWANCE FOR DOUBTFUL ACCOUNTS AS OF JUNE 30, 2019 AND 2020 WERE (1,882,127) AND (2,395,362). ACCOUNTS RECEIVABLE, NET AS OF JUNE 30, 2019 AND 2020 WERE 6,892,240 AND 5,788,334. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON AN ESTIMATE USING PAST COLLECTION EXPERIENCE,FINANCIAL CLASS, AND AGE FOR THE PATIENT ACCOUNT. ESTIMATED BAD DEBTS EXPENSE REFLECTS THIS PROVISION FOR ACTUAL OR EXPECTED DOUBTFUL ACCOUNTS. DISCOUNTS AND PAYMENTS ON ACCOUNTS REDUCES ACCOUNTS RECEIVABLE BALANCES THEREFORE REDUCING BAD DEBTS EXPENSE. A STUDY OF FINANCIAL ASSISTANCE APPLICATIONS AND EXPERIENCE OF FINANCIAL ASSISTANCE STAFF WAS USED TO REASONABLY ESTIMATE THE PERCENTAGE OF BAD DEBT FOR PATIENTS WHO WHOULD HAVE QUALIFIED FOR ASSISTANCE IF THEY APPLIED. SEE FOOTNOTE 1 PATIENT ACCOUNTS RECEIVABLES SECTION AND FOOTNOTE 4 OF AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED 2</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED 3</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED 4</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED 5</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED 1</ExplanationTxt>
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        <PersonNm>SAMUEL JANES</PersonNm>
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        <TotalCompensationFilingOrgAmt>213880</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>RICARDO SARLI</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>188803</BaseCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>5084</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5379</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>208641</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTIAN JUNK</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>168563</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4572</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17171</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>190306</TotalCompensationFilingOrgAmt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>QUORUM HEALTH RESOURCES (QHR) WHO IS CONTRACTED BY THE BOARD OF DIRECTORS TO MANAGE THE HOSPITAL PAYS THE PRES/CEO AND VP-FINANCE SINCE THEY ARE EMPLOYEES OF QHR.</ExplanationTxt>
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        <PersonNm>DR ELYSE BROCK</PersonNm>
        <RelationshipWithOrgTxt>HCE</RelationshipWithOrgTxt>
        <LoanPurposeTxt>HOUSING ASSISTANCE</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>50000</OriginalPrincipalAmt>
        <BalanceDueAmt>10833</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
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        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>10833</TotalBalanceDueAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE ATTACHED</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>HRMC CONTRACTED WITH QUORUM HEALTH RESOURCES (QHR) TO PROVIDE MANAGEMENT SERVICES AS DIRECTED BY THE BOARD. QHR THEN EMPLOYS PRESIDENT/CEO AND VP-FINANCE/CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDITOR AND/OR CFO PRESENTS AND THE BOARD OF DIRECTOR REVIEWS THE FORM 990 AND APPROVES PRIOR TO SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ENFORCEMENT OF CONFLICTS OF INTEREST POLICY FOR BOARD OF DIRECTORS IS DONE THROUGH THE EXECUTIVE COMMITTEE WHO ACTIVELY MONITORS COMPLIANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION COMMITTEE IN CONJUNCTION WITH QHR REVIEWED INDEPENDENT COMPENSATION CONSULTANT'S COMPENSATION SURVEY FOR BOTH CEO AND CFO. BOARD APPROVED EXECUTIVE COMPENSATION POLICY, REQUIRES AN INDEPENDENT COMPENSATION SURVEY EVERY 4 YEARS AND REVIEW OF CEO AND CFO COMPENSATION ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION COMMITTEE IN CONJUNCTION WITH QHR REVIEWED INDEPENDENT COMPENSATION CONSULTANT'S COMPENSATION SURVEY FOR BOTH CEO AND CFO. BOARD APPROVED EXECUTIVE COMPENSATION POLICY, REQUIRES AND INDEPENDENT COMPENSATION SURVEY EVERY 4 YEARS AND REVIEW OF CEO AND CFO COMPENSATION ANNUALLY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION AT THE ADMINISTRATION OFFICE OF THE ORGANIZATION. FINANCIAL STATEMENTS MADE PUBLIC AND ANNUAL POSTING OF FORM 990 THROUGH GUIDESTAR AND ON HOSPITAL WEBSITE</ExplanationTxt>
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      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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