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      <TotalOtherCompensationAmt>110160</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>15</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <PersonNm>ENVIRONMENTAL SERVICES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>382 ARKRIDGE ROAD</AddressLine1Txt>
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            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>71913</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOUSEKEEPING</ServicesDesc>
        <CompensationAmt>846181</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>COUNSELING CLINIC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>307 E SEVIER</AddressLine1Txt>
            <CityNm>BENTON</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72019</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PSYCH MANAGEMENT</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REHAB MANAGEMENT</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ENVIRONMENTAL MANAGEMENT</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HOUSEKEEPING</ServicesDesc>
        <CompensationAmt>449436</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ALLCRIPTS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60654</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>85405581</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>-96611</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>147838</ExclusionAmt>
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      </IncmFromInvestBondProceedsGrp>
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      </RoyaltiesRevenueGrp>
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        <PersonalAmt>0</PersonalAmt>
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        <ExclusionAmt>-105714</ExclusionAmt>
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        <ExclusionAmt>1032686</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <ExclusionAmt>1016632</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <ExclusionAmt>232467</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
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      <BenefitsToMembersGrp>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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        <ProgramServicesAmt>240228</ProgramServicesAmt>
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      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <ExpensesSubtotalAmt>76685858</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>5325190</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>5325190</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>82011048</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCH D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR UNCOLLECTIBLE ACCOUNTS $5,325,190</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCH D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVISION FOR UNCOLLECTIBLE ACCOUNTS $5,325,190</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <FPGReferenceDiscountedCareInd>true</FPGReferenceDiscountedCareInd>
      <Percent400Ind>X</Percent400Ind>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
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      <AnnualCommunityBnftReportInd>true</AnnualCommunityBnftReportInd>
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        <TotalExpensePct>0.01390</TotalExpensePct>
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      <UnreimbursedMedicaidGrp>
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        <DirectOffsettingRevenueAmt>7548483</DirectOffsettingRevenueAmt>
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      </TotalCommuntityBuildingActyGrp>
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      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
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        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1 MEDICAL PARK DRIVE</AddressLine1Txt>
          <CityNm>BENTON</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72015</ZIPCd>
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        <StateLicenseNum>3045</StateLicenseNum>
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        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
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        </HospitalFacilityName>
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        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
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        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <CHNAConductedYr>15</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.SALINEMEMORIAL.ORG</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>16</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>true</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtFreeCarePct>120.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.</FPGFamilyIncmLmtDscntCarePct>
        <IncomeLevelCriteriaInd>X</IncomeLevelCriteriaInd>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPAvailableOnWebsiteURLTxt>WWW.SALINEMEMORIAL.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.SALINEMEMORIAL.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.SALINEMEMORIAL.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <AverageNegotiatedRatesInd>X</AverageNegotiatedRatesInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>IN JUNE 2015, SMH CONTRACTED WITH STRATASAN TO ASSIST IN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT FOR SALINE COUNTY. SMH SOUGHT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY USING SEVERAL METHODS. 22 COMMUNITY MEMBERS, EMPLOYERS, NOT-FOR-PROFT ORGANIZATIONS, SCHOOLS, LAW ENFORCEMENT, HEALTH PROVIDERS, AND GOVERNMENT REPRESENTATIVES PARTICIPATED IN A FOCUS GROUP FOR THEIR PERSPECTIVES ON COMMUNITY HEALTH NEEDS AND ISSUES. 11 PHYSICIANS AND 186 HOSPITAL CO-WORKERS WERE SURVEYED ON-LINE AND 350 COMMUNITY SURVEYS WERE CONDUCTED BY PHONE AND ONLINE, REGARDING PERSPECTIVES ON COMMUNITY HEALTH STATUS AND NEEDS. A COMMUNITY SUMMIT WAS CONDUCTED WITH 30 COMMUNITY STAKEHOLDERS. THE AUDIENCE CONSISTED OF HEALTHCARE PROVIDERS, THE STATE HEALTH DEPARTMENT, PHYSICIANS, BUSINESS LEADERS, SCHOOL SYSTEMS, GOVERNMENT REPRESENTATIVES, NOT-FOR-PROFIT ORGANIZATIONS, AND OTHER COMMUNITY MEMBERS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>PLEASE REFER TO THE ATTACHED IMPLEMENTATION STRATEGY FOR A DESCRIPTION OF HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA, NEEDS THAT ARE NOT BEING ADDRESSED, AND REASONS WHY THOSE NEEDS ARE NOT BEING ADDRESSED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>2</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>SALINE MEMORIAL BRYANT COMPLEX</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23157 INTERSTATE 305</AddressLine1Txt>
            <CityNm>BRYANT</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72022</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPICE HOUSE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>BRYANT MEDICAL CLINIC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>319 BRYANT AVE 1</AddressLine1Txt>
            <CityNm>BRYANT</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72022</ZIPCd>
          </USAddress>
          <FacilityTxt>INTERNAL MED CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN (F)</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE IN THE AMOUNT OF $5,325,190 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) ("TOTAL FUNCTIONAL EXPENSES"), BUT IS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGES IN THIS COLUMN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COST TO CHARGE RATIO AS CALCULATED USING WORKSHEET 2 WAS USED TO DETERMINE THE COSTS ON LINE 7.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY BUILDING ACTIVITIES THAT THE HOSPITAL CONDUCTED DURING THE TAX YEAR PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES IN CULTIVATING LEADERSHIP BY ENERGIZING AND EDUCATING EXISTING AND EMERGING LEADERS IN THE COMMUNITY. BY FURTHER EDUCATING AND INCREASING THE HOSPITAL'S INVOLVEMENT IN THE COMMUNITY, THE OUTCOME IS TO IMPROVE THE HEALTH OF THE COMMUNITY MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINES 4A &amp; 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS DECREASED FROM 84% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2014, TO 77% OF SELF-PAY ACCOUNTS RECEIVABLE AT JUNE 30, 2015. IN ADDITION, THE SYSTEM'S SELF-PAY WRITE-OFFS DECREASED APPROXIMATELY $4.5 MILLION FROM APPROXIMATELY $11 MILLION FOR THE YEAR ENDED JUNE 30, 2014, TO APPROXIMATELY $6.5 MILLION FOR THE YEAR ENDED JUNE 30, 2015. THE SYSTEM HAS NOT SIGNIFICANTLY CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING THE FISCAL YEARS 2015 OR 2014. THE SYSTEM DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYERS, MEDICARE OR MEDICAID, NOR DID IT HAVE SIGNIFICANT WRITE-OFFS FROM THIRD-PARTY PAYERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 6 WAS CALCULATED USING THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART III, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE COLLECTION PROCESS, IF PATIENT IS DETERMINED TO BE ELIGIBLE FOR 100% CHARITY, ALL COLLECTION AND LEGAL ACTIVITIES ARE CEASED. IF PARTIAL CHARITY IS GRANTED, REMAINING PATIENT BALANCE WILL BE COLLECTED IN THE SAME MANNER AS ALL OTHER ACCOUNTS. OUR COLLECTION PRACTICES ARE APPLIED EQUALLY TO ALL PATIENTS REGARDLESS OF PAYER TYPE OR WHETHER OR NOT THEY RECEIVE CHARITY CARE. SMH DOES NOT PERMIT ANY EXTRAORDINARY COLLECTION ACTIONS (ECA) PRIOR TO MAKING REASONABLE EFFORTS TO DETERMINE AN INDIVIDUAL'S ELIGIBILITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY THREE YEARS, WE CONDUCT COMMUNITY RESEARCH THAT INCLUDES A NEEDS ASSESSMENT AND ANALYSIS AS WELL AS COMMUNITY SURVEYS. WE USE THE FEEDBACK TO HELP GUIDE OUR EFFORTS IN DEVELOPING AND ENHANCING NEW SERVICES. IN ADDITION TO THE RESEARCH, WE ALSO WORK WITH COMMUNITY ORGANIZATIONS SUCH AS OUR LOCAL HEALTH DEPARTMENT AND OTHER NON-PROFITS TO ADDRESS PUBLIC HEALTH NEEDS SUCH AS IMMUNIZATION EFFORTS, EDUCATION, UNDERSERVED COMMUNITIES, ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>WHEN A PATIENT COMES TO PRE-REGISTER FOR A PROCEDURE OR APPOINTMENT, THEY ALSO MEET WITH A FINANCIAL ADVISOR WHO DISCUSSES THEIR PAYMENT OPTIONS. IF A PATIENT DOES NOT HAVE INSURANCE AND NEEDS ASSISTANCE, WE THEN ASK FOR PROOF OF INCOME, ETC. AFTER WE GET THIS INFORMATION, IT'S EVALUATED TO DETERMINE AT WHAT PERCENT THE PATIENT IS ELIGIBLE FOR CHARITY CARE. THE FINANCIAL ASSISTANCE POLICY (FAP), FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY CAN BE FOUND ON THE HOSPITAL WEBSITE OR REQUESTED FROM THE HOSPITAL FREE OF CHARGE. NOTICES OF AVAILABILITY OF THE FAP ARE CONSPICUOUSLY DISPLAYED THROUGHOUT THE HOSPITAL FACILITY. INDIVIDUALS ARE ALSO NOTIFIED OF THE FAP IN COMMUNICATIONS ON INVOICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR GOAL IS TO SERVE SALINE COUNTY WHICH CONSISTS OF A CENSUS OF OVER 100,000. MOST OF OUR PATIENTS COME FROM THE CITY OF BENTON. THE POPULATION OF SALINE COUNTY IS PROJECTED TO INCREASE FROM 2015 TO 2020 (1.89% PER YEAR), OVER TWICE THE RATE OF ARKANSAS AT .70% AND THE U.S. AT .75%. SALINE COUNTY HAS AN OLDER MEDIAN AGE (40.1 MEDIAN AGE) AND A HIGHER MEDIAN HOUSEHOLD INCOME ($56,051) THAN ARKANSAS AND THE U.S.. THE INCOME DISTRIBUTION OF SALINE COUNTY IS 20% HIGH INCOME, 61% MIDDLE INCOME, AND 18% LOW INCOME. THE RACIAL MAKEUP OF SALINE COUNTY IS 88% CAUCASIAN, 7% AFRICAN-AMERICAN, 5% HISPANIC, AND 6% OTHER/MIXED RACES. OUR ORGANIZATION SITS BETWEEN TWO LARGER CITIES LOCATED ABOUT 25-30 MILES TO THE EAST AND TO THE WEST OF US. THOSE CITIES BOTH HAVE LARGE HEALTHCARE PROVIDERS. HOWEVER, OUR GOAL IS TO KEEP PATIENTS IN OUR COMMUNITY AND MAKE QUALITY HEALTHCARE CONVENIENT. WITH LARGER HOSPITALS ON BOTH SIDES, IT'S DIFFICULT TO OVERCOME THE PERCEPTION THAT "BIGGER IS BETTER".</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>WE PARTICIPATE IN MULTIPLE HEALTH FAIRS AND EVENTS THROUGHOUT THE YEAR AND PROVIDE FREE HEALTH SCREENINGS TO THE PUBLIC. WE ALSO OFFER FREE SEMINARS ON HEALTH RELATED TOPICS AND INVITE THE PUBLIC TO ATTEND AND MEET OUR SPECIALISTS. WE OFFER FREE DIABETES CLASSES AND WE ALSO HOST CERTAIN SUPPORT GROUPS INSIDE THE HOSPITAL. WE OFFER FREE PROSTATE SCREENINGS EVERY SEPTEMBER AND HEART RELATED SCREENINGS AND EDUCATION EVERY FEBRUARY DURING NATIONAL HEART MONTH. SALINE MEMORIAL OPERATES UNDER A GOVERNING BOARD OF DIRECTORS MADE UP OF COMMUNITY MEMBERS. THEY MEET AT LEAST ONCE A MONTH TO REVIEW FINANCES, QUALITY MEASURES AND OTHER RELEVANT BUSINESS. WE PROMOTE HEALTH IN OUR COMMUNITY IN A VARIETY OF WAYS THAT INCLUDE OFFERING FREE PRENATAL CLASSES FOR ALL NEW MOTHERS DELIVERING AT SMH NO MATTER IF THEY'RE INSURED OR NOT. WE OFFER SMOKING CESSATION TO OUR CO-WORKERS AND THE COMMUNITY. WE PRINT A COMMUNITY REPORT EACH SUMMER TO EDUCATE THE COMMUNITY ABOUT HEALTH SERVICES AND UPCOMNG EVENTS. WE OFFER FREE FLU SHOTS TO OUR CO-WORKERS AND VOLUNTEERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE H, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SALINE COUNTY MEDICAL SYSTEM (SMS) IS AN ARKANSAS NOT-FOR-PROFIT CHARITABLE HOLDING CORPORATION. THE SYSTEM IS THE SOLE MEMBER OF SALINE COUNTY MEDICAL CENTER D/B/A SALINE MEMORIAL HOSPITAL (SMH), WHICH PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN SALINE COUNTY, ARKANSAS, AND SURROUNDING AREAS. SMH ALSO OPERATES A HOME HEALTH AGENCY IN THE SAME GEOGRAPHIC AREA. SMS IS ALSO THE SOLE MEMBER OF SALINE PHYSICIAN SERVICES, LLC (SPS) AND SALINE COUNTY MEDICAL SERVICES (SERVICES). THE MEMBERS OF THE SALINE COUNTY MEDICAL FOUNDATION (SCMF) CONSIST OF THE BOARD OF DIRECTORS OF SMH. THE PURPOSE OF SCMF AND SERVICES IS TO FOSTER, SUPPORT AND ENCOURAGE THE ACTIVITIES AND PURPOSES OF THE SMH AND TO ADVANCE ITS OBJECTIVES, INCLUDING THE SPONSORSHIP OF, AND ASSISTANCE TO, THE SMH. SCMF RECEIVES, MANAGES AND ADMINISTERS FUNDS EXCLUSIVELY FOR SMH, PRIMARILY EARNING REVENUES FROM FUND-RAISING INCOME AND CONTRIBUTIONS. SERVICES HAS NO ACTIVITY AS OF JUNE 30, 2015. SPS EMPLOYS CERTAIN PHYSICIANS AND OPERATES VARIOUS PHYSICIAN CLINICS IN CENTRAL ARKANSAS. IN ADDITION, SPS ALSO EMPLOYS HOSPITALISTS AND CONTRACTS WITH ANESTHESIOLOGISTS THAT PROVIDE SERVICES TO PATIENTS AT SMH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BOB TRAUTMAN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>224994</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>66913</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3703</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8135</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4838</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>308583</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBBIE BURROW</PersonNm>
        <TitleTxt>DON</TitleTxt>
        <BaseCompensationFilingOrgAmt>141835</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1853</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7182</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4838</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155708</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARLA ROBERTSON</PersonNm>
        <TitleTxt>CFO/COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>170914</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2313</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8699</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4838</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>186764</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SALINE COUNTY ARKANSAS</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>716000760</BondIssuerEIN>
        <CUSIPNum>794900EZ9</CUSIPNum>
        <BondIssuedDt>2013-03-08</BondIssuedDt>
        <IssuePriceAmt>7939626</IssuePriceAmt>
        <PurposeDesc>REV REFUNDING &amp; IMPROVEMENTS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>75000</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>7947674</TotalProceedsAmt>
        <InReserveFundAmt>667516</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>3502103</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>144692</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>4085789</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>true</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE K, PART I, LINE A</FormAndLineReferenceDesc>
        <ExplanationTxt>CALCULATED AT BOND YEAR END 03/01/2015</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE K, PART II, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL PROCEEDS OF ISSUE IS DIFFERENT BECAUSE OF THE INVESTMENT INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>SALINE MEMORIAL HOSPITAL PROVIDES COMPREHENSIVE HEALTHCARE SERVICES TO INDIVIDUALS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN KEEPING WITH ITS MISSION, IT PROVIDES FREE AND SUBSIDIZED CARE TO THOSE WHO CANNOT PAY (CHARITY CARE) AND TO THOSE COVERED UNDER GOVERNMENT PROGRAMS (MEDICARE AND MEDICAID) AT REIMBURSEMENT RATES BELOW THOSE PAID BY OTHER THIRD PARTY PAYORS. IN ADDITION TO HEALTH SERVICES, THE HOSPITAL PROVIDED MULTIPLE HEALTH EDUCATION PROGRAMS, HEALTH SCREENINGS, SPONSORED MANY COMMUNITY ACTIVITIES, PROVIDED FREE TRANSPORTATION TO SEVERAL PATIENTS, AND PROVIDED AN AMBULANCE AND CREW FOR SCHOOL SPORTING EVENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINES 2</FormAndLineReferenceDesc>
        <ExplanationTxt>CHRIS WILLIAMS AND LANCE PENFIELD HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINES 6 &amp; 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ONLY MEMBER OF SALINE COUNTY MEDICAL CENTER SHALL BE SALINE COUNTY MEDICAL SYSTEM, AN ARKANSAS CORPORATION, ORGANIZED UNDER THE PROVISIONS OF THE ARKANSAS NONPROFIT CORPORATION ACT OF 1993. DIRECTORS OF SALINE COUNTY MEDICAL CENTER SHALL BE ELECTED BY PLURALITY VOTE AT THE ANNUAL MEETING OF THE MEMBERS. THE BOARD OF DIRECTORS MAY APPOINT THEMSELVES WITH THE APPROVAL OF THE QUORUM COURT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO AND CONTROLLER REVIEW THE 990 AND PROVIDE A COPY TO THE BOARD PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH JULY ALL OFFICERS, DIRECTORS AND EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY THE CEO, COMPLIANCE OFFICER AND DIRECTOR OF HUMAN RESOURCES. A REPORT IS TO BE MADE AT THE SEPTEMBER BOARD OF DIRECTORS MEETING WITH A RECOMMENDED ACTION TO RESOLVE ALL DISCLOSED CONFLICT OF INTEREST. IN ADDITION, THE ENTITY'S COMPLIANCE PROGRAM REQUIRES IMMEDIATE DISCLOSURE UPON THE DISCOVERY OF A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION FOR THE CEO USING COMPARABILITY DATA. THE LAST REVIEW WAS CONDUCTED IN 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND BOB TRAUTMAN, CEO, REVIEWS COMPENSATION FOR OFFICERS USING COMPARABILITY DATA. BOB TRAUTMAN REVIEWS COMPENSATION FOR THE ADMINISTRATIVE STAFF. THE LAST REVIEW WAS CONDUCTED IN 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFER TO AFFILIATE $(2,272,028).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL CONTRACT SERVICES TOTAL FEES:5654905</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:SERVICE CONTRACTS TOTAL FEES:2610687</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:STAFF DEVELOPEMENT TOTAL FEES:451544</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:LAWN CARE &amp; OTHER TOTAL FEES:2682</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SALINE COUNTY MEDICAL SYSTEMS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 MEDICAL PARK DRIVE</AddressLine1Txt>
          <CityNm>BENTON</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72015</ZIPCd>
        </USAddress>
        <EIN>710772960</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SALINE COUNTY MEDICAL SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 MEDICAL PARK DRIVE</AddressLine1Txt>
          <CityNm>BENTON</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72015</ZIPCd>
        </USAddress>
        <EIN>710772961</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SYSTEMS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SALINE COUNTY MEDICAL CENTER FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1 MEDICAL PARK DRIVE</AddressLine1Txt>
          <CityNm>BENTON</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72015</ZIPCd>
        </USAddress>
        <EIN>710772958</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AR</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11B</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SYSTEMS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SALINE COUNTY MEDICAL CENTER FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>416438</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>