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        <ManagementAndGeneralAmt>57539</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>843408</TotalAmt>
        <ProgramServicesAmt>771718</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71690</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>16092</TotalAmt>
        <ManagementAndGeneralAmt>16092</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>108100</TotalAmt>
        <ManagementAndGeneralAmt>108100</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>28855</TotalAmt>
        <ManagementAndGeneralAmt>28855</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>9174</TotalAmt>
        <ManagementAndGeneralAmt>9174</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>756807</TotalAmt>
        <ProgramServicesAmt>756807</ProgramServicesAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>39111</TotalAmt>
        <ProgramServicesAmt>22870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16241</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>22349</TotalAmt>
        <ManagementAndGeneralAmt>22349</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>113618</TotalAmt>
        <ProgramServicesAmt>113618</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <TotalAmt>9561625</TotalAmt>
        <ProgramServicesAmt>9204333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>357292</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RENTS</Desc>
        <TotalAmt>2987957</TotalAmt>
        <ProgramServicesAmt>2987957</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>2034784</TotalAmt>
        <ProgramServicesAmt>2034784</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>1807997</TotalAmt>
        <ProgramServicesAmt>1732397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75600</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>3120681</TotalAmt>
        <ProgramServicesAmt>2940523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>180158</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>34815819</TotalAmt>
        <ProgramServicesAmt>32874710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1941109</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>335297</BOYAmt>
        <EOYAmt>304578</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>502888</BOYAmt>
        <EOYAmt>903881</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4153588</BOYAmt>
        <EOYAmt>4731698</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>292391</BOYAmt>
        <EOYAmt>275344</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>304231</BOYAmt>
        <EOYAmt>326616</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1906074</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1011189</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>851207</BOYAmt>
        <EOYAmt>894885</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2178265</BOYAmt>
        <EOYAmt>2225325</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>8617867</BOYAmt>
        <EOYAmt>9662327</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2136801</BOYAmt>
        <EOYAmt>2490619</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>3292050</BOYAmt>
        <EOYAmt>5062316</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>5428851</BOYAmt>
        <EOYAmt>7552935</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3189016</BOYAmt>
        <EOYAmt>2109392</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3189016</BOYAmt>
        <EOYAmt>2109392</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8617867</BOYAmt>
        <EOYAmt>9662327</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-1079624</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>828774</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>327380</DepreciationAmt>
        <BookValueAmt>501394</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1077300</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>683809</DepreciationAmt>
        <BookValueAmt>393491</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>894885</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ERC CREDIT RECEIVABLE</Desc>
        <BookValueAmt>1431506</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>TOPIC 842 RIGHT-TO-USE ASSETS</Desc>
        <BookValueAmt>694680</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>346012</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>EQUITY IN MHA INSURANCE</Desc>
        <BookValueAmt>141832</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>TOPIC 842 ACCUMULATED AMORTIZATION</Desc>
        <BookValueAmt>-388705</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2225325</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO WMC PBC</Desc>
        <Amt>4752399</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>TOPIC 842 LEASE LIABILITIES</Desc>
        <Amt>309917</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>5062316</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>33736195</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>33736195</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>33736195</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>34815819</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>34815819</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>34815819</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS ARE INCLUDED AS A REDUCTION OF REVENUE ON THE FS 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS ARE INCLUDED AS A REDUCTION OF REVENUE ON THE FS 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc6">
      <FinancialAssistancePolicyInd>true</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>true</WrittenPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <Percent150Ind>X</Percent150Ind>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>false</ExpensesExceedBudgetInd>
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      <FinancialAssistanceAtCostTyp>
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        <NetCommunityBenefitExpnsAmt>1585627</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04550</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
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        <DirectOffsettingRevenueAmt>16051400</DirectOffsettingRevenueAmt>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
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        <DirectOffsettingRevenueAmt>16051400</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1585627</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04550</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>11028354</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>16051400</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1585627</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04550</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
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      <ReimbursedByMedicareAmt>5740969</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>5903310</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-162341</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>WINSTON COUNTY MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 967</AddressLine1Txt>
          <CityNm>LOUSIVILLE</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39339</ZIPCd>
        </USAddress>
        <StateLicenseNum>16-208</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>WINSTON COUNTY MEDICAL FOUNDATION</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
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        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>false</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.WINSTONMEDICAL.ORG</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.WINSTONMEDICAL.ORG</StrategyWebsiteURLTxt>
        <StrategyAttachedInd referenceDocumentId="RetDoc1">false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtFreeCarePct>150.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.WINSTONMEDICAL.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.WINSTONMEDICAL.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.WINSTONMEDICAL.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, WINSTON COUNTY MEDICAL FOUNDATION - PART V, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FACILITY INQUIRED WITH COMMUNITY LEADERS AND HEALTHCARE OFFICIALS ABOUT THE NEEDS OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, WINSTON COUNTY MEDICAL FOUNDATION - PART V, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPLEMENTATION PLANS WHILE AN IMPLEMENTATION PLAN WAS ESTABLISHED IN THE HOSPITALS 2019 CHNA REPORT, WMC WAS UNABLE TO GENERATE SATISFACTORY RESPONSES IN THESE AREAS. THIS IS DUE TO THE HOSPITAL SHIFTING ITS FOCUS IN 2019 2022 TO MEET THE MORE PRESSING NEEDS THAT AROSE FROM THE COVID-19 PANDEMIC. AS A RESULT, THE HOSPITAL HAS CHOSEN TO CONTINUE FOCUSING ON THESE AREAS NOTING THAT THESE ISSUES ARE STILL PREVALENT AS OF 2022. OVER THE NEXT THREE YEARS, PENDING A SURGE IN COVID-19 OR A NEW PUBLIC HEALTH EMERGENCY, WMC AND ITS MANY COMMUNITY PARTNERS WILL CONCENTRATE THEIR EFFORTS INTO THESE AREAS: INITIATIVE 1: IMPROVING THE SOUTHERN LIFESTYLE AND MENTAL HEALTH THROUGH EDUCATION, AWARENESS, AND SCREENINGS WINSTON MEDICAL CENTER WOULD LIKE TO EDUCATE THE COMMUNITY ABOUT LIVING A HEALTHY LIFESTYLE AND THE IMPORTANCE OF MENTAL HEALTH THROUGH EVENTS, LUNCH AND LEARNS, AND OTHER COMMUNICATIONS THAT PROVIDE FUN, EASILY IMPLEMENTED INFORMATION. THE MEDICAL FACILITY IS PASSIONATE ABOUT THESE TOPICS AND WILL BE ENCOURAGING PROPER NUTRITION, PROVIDING AWARENESS OF HEALTHIER ALTERNATIVES TO THE HIGH FAT SOUTHERN DIET, AND EMPHASIZING THE IMPORTANCE OF MENTAL HEALTH AND MENTAL HEALTH AWARENESS. WINSTON MEDICAL CENTER WILL PROVIDE EDUCATION ON OVERALL WELLNESS INCLUDING EXERCISE, NUTRITION, MENTAL HEALTH, AND STRESS MANAGEMENT TO A RACIALLY AND ECONOMICALLY DIVERSE COMMUNITY AND WILL TEACH THE SAME AUDIENCES HOW TO IMPLEMENT THIS INFORMATION WITH THE RESOURCES AVAILABLE TO THEM. SCREENINGS WILL BE MADE AVAILABLE THROUGHOUT THE COUNTY, SPECIFICALLY FOR THOSE CHRONIC DISEASES THAT ARE FREQUENTLY RELATED TO LIFESTYLE. INITIATIVE 2: WORKING WITH THE COMMUNITY TO CREATE A RESOURCE GUIDE DEVELOP AND PUBLISH A RESOURCE LIST OF ALL AVAILABLE RESOURCES/ORGANIZATIONS WITHIN THE COMMUNITY THAT ASSIST WITH MENTAL, MEDICAL, SOCIO-ECONOMIC DISPARITIES SUCH AS DRUG REHABS, FOOD BANKS, INCOME BASED PRIMARY CARE CLINICS, ETC. THE LIST WILL BE ROUTINELY UPDATED, DISTRIBUTED, AND POSTED THROUGHOUT THE COUNTY IN PUBLIC AREAS AND HIGH TRAFFIC BUSINESSES. INITIATIVE 3: ALZHEIMER'S AWARENESS AND EDUCATION; EMPHASIZING TAKING THE RESOURCES TO THE PEOPLE OVER THE PAST SIX YEARS, ALZHEIMERS DISEASE CONTINUES TO BE ONE OF THE FIVE LEADING CAUSES OF DEATHS IN WINSTON COUNTY. BEGINNING IN 2017, IT WAS THE COUNTYS THIRD LEADING CAUSE OF DEATH. THE POPULATION MOSTLY AFFECTED BY ALZHEIMERS DISEASE IS OLDER ADULTS IN THE 65 AND OLDER AGE RANGE AND WOULD BE THE TARGET POPULATION FOR EARLY DETECTION AND EDUCATION. IN ADDITION, THE CAREGIVER, WHO CAN BE ANYONE FROM GRANDCHILDREN TO SPOUSES, WILL BE THE FOCUS OF EDUCATION AND SUPPORT EFFORTS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE METHODOLOGY USED IS A REVIEW OF THE AGINGS OF THE ACCOUNT BALANCES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, MAJOR PAYOR SOURCES AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, ESTABLISHED GUIDELINES ARE USED FOR PLACING CERTAIN PAST- DUE PATIENT BALANCES WITH COLLECTION AGENCIES, SUBJECT TO TERMS OF CERTAIN RESTRICTIONS ON COLLECTION EFFORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FACILITY HAS IN PLACE A CHARITY CARE APPLICACTION FOR WHICH ANY PATIENT CAN APPLY, PROVIDED THEY MEET THE QUALIFICATIONS ON THE APPLICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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        <PersonNm>HEATHER GILMER</PersonNm>
        <TitleTxt>FNP</TitleTxt>
        <BaseCompensationFilingOrgAmt>163964</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17294</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>181258</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICAHEL NESTER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>157792</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7819</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>165611</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN WAS REVIEWED WITH MANAGEMENT AND THE TAX PREPARER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE YEAR END AUDIT, RELATED PARTY TRANSACTIONS ARE REVIEWED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES REVIEWS THE JOB PERFORMANCE OF THE ADMINISTRATOR AND BASED UPON PAY OF OTHER SIMILAR ADMINISTRATORS ADJUSTS HIS PAY ACCORDINGL Y.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE APPLICABLE DEPARTMENT HEADS REVIEW EACH EMPLOYEE AND SUBMIT A RECOMMEN DED PAY ADJUSTMENT TO THE ADMINISTRATOR, THE ADMINISTRATOR THEN GOES TO TH E BOARD OF TRUSTEES WHO WILL DECIDE ON A PAY RAISE, IF ANY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN AND AUDIT ARE MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS ARE INCLUDED AS A REDUCTION OF REVENUE ON THE FS 0 BAD DEBTS ARE INCLUDED AS A REDUCTION OF REVENUE ON THE FS 0 RESTATEMENT OF PRIOR YEAR 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>