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        <AddressOfContractor>
          <AddressUS>
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            <City>BOTHELL</City>
            <State>WA</State>
            <ZIPCode>98041</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>EQUIP MAINTENANCE</DescriptionOfServices>
        <Compensation>1983249</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CLOPTON CLINIC OF JONESBORO</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>300 CARSON</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIANS SERVICES</DescriptionOfServices>
        <Compensation>1035111</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>TGC LLC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 130</AddressLine1>
            <City>HIGHLAND</City>
            <State>MD</State>
            <ZIPCode>20777</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>REG CONSULTANT</DescriptionOfServices>
        <Compensation>1003054</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>66</NumberOfContractorsGT100K>
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      <AllOtherContributions>104229</AllOtherContributions>
      <NoncashContributions>86899</NoncashContributions>
      <TotalContributions>1126422</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT REVENUE</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>275096317</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>275096317</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICAID ASSESSMENT FEE</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>13777384</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13777384</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SENIOR HEALTH SERVICES</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>2010236</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2010236</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>REFERENCE LAB</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>2241650</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>2241650</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>293125587</TotalProgramServiceRevenue>
      <InvestmentIncome>
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        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>1325649</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
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      </RoyaltiesRevenue>
      <GrossRents>
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      </GrossRents>
      <RentalIncomeOrLoss>
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        <Personal>0</Personal>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
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      <NetGainOrLossInvestments>
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      <NetIncomeFromFundraisingEvents>
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      <OtherRevenueMisc>
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      </OtherRevenueMisc>
      <OtherRevenueMisc>
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      <MiscellaneousRevenue>
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      <TotalRevenue>
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      <GrantsToDomesticOrgs>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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        <ProgramServices>28000</ProgramServices>
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      </ForeignGrants>
      <BenefitsToMembers>
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      <CompCurrentOfficersDirectors>
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        <ManagementAndGeneral>410257</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CompDisqualPersons>
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      <OtherSalariesAndWages>
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      <PensionPlanContributions>
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      <OtherEmployeeBenefits>
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      <PayrollTaxes>
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        <ProgramServices>4184167</ProgramServices>
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      </PayrollTaxes>
      <FeesForServicesManagement>
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      </FeesForServicesManagement>
      <FeesForServicesLegal>
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      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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      <FeesForServicesLobbying>
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      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
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      <TravelEntrtnmntPublicOfficials>
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        <ManagementAndGeneral>26989</ManagementAndGeneral>
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      <PaymentsToAffiliates>
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      <OtherExpenses>
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      <OtherExpenses>
        <Description>EQUIPMENT RENT</Description>
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      <OtherExpenses>
        <Description>DIETARY SUPPLIES</Description>
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      <AllOtherExpenses>
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      <TotalFunctionalExpenses>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>19309463</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-15779354</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
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      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
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        <ContributorAddressUS>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
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      <TotalDirectLobbying />
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      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
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      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>8500</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
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      <TotalLobbyingExpendituresIIB>29987</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>OTHER ACTIVITIES</Identifier>
        <ReturnReference>FORM 990, SCHEDULE C, PAGE 3, PART II-B, LINE 1I</ReturnReference>
        <Explanation>PERCENTAGE OF DUES TO VARIOUS PROFESSIONAL ASSOCIATIONS ALLOCABLE TO LOBBYING EXPENSES $21,487</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
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      <HeldWorksOfArtAmts />
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      <CurrentYearMinus4Years />
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      <OtherLiabilities>
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        <Amount>174999</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>EST 3RD PARTY SETTLEMENTS</Description>
        <Amount>5225755</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PENSION LIABILITY</Description>
        <Amount>31035449</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>36851349</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>276335143</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>142015</OtherRevenues>
      <RevenueNotRptdF990>142015</RevenueNotRptdF990>
      <RevenueSubtotal>276193128</RevenueSubtotal>
      <OtherRevenuesNotIncluded>29480889</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>29480889</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>305674017</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>256883665</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>256883665</ExpensesSubtotal>
      <OtherExpensesNotIncluded>29480889</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>29480889</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>286364554</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>REVENUES INCLUDED IN REVENUE PER AUDIT, NOT INCLUDED IN REVENUE PER RETURN</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART XI, LINE 2D</ReturnReference>
        <Explanation>PET CENTER, LLC INCOME VS. BOOK INCOME $ (109,192) AR MEDICAL CYCLOTRON INCOME VS. BOOK INCOME $ (32,823) ------------ $ (142,015)</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
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        <ReturnReference>FORM 990, SCHEDULE D, PART XI, LINE 4B</ReturnReference>
        <Explanation>PROVISION FOR UNCOLLECTIBLE ACCOUNTS $29,480,889</Explanation>
      </Form990ScheduleDPartXIII>
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        <Identifier>EXPENSE INCLUDED IN REVENUES PER AUDIT, INCLUDED IN EXPENSES PER RETURN</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART XII, LINE 4B</ReturnReference>
        <Explanation>PROVISION FOR UNCOLLECTIBLE ACCOUNTS $29,480,889</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>76682</PersonsServed>
        <TotalCommunityBenefitExpense>14445638</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>14445638</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05620</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <PersonsServed>31326</PersonsServed>
        <TotalCommunityBenefitExpense>28638453</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15302300</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13336153</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05190</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
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        <TotalCommunityBenefitExpense>43084091</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15302300</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>27781791</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.10810</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
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        <PersonsServed>375934</PersonsServed>
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        <DirectOffsettingRevenue>17946</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>296180</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>252</PersonsServed>
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        <NetCommunityBenefitExpense>116494</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
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        <NetCommunityBenefitExpense>1550994</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00600</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>29</NumberOfActivitiesOrPrograms>
        <PersonsServed>492112</PersonsServed>
        <TotalCommunityBenefitExpense>1981614</TotalCommunityBenefitExpense>
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        <NetCommunityBenefitExpense>1963668</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00770</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>29</NumberOfActivitiesOrPrograms>
        <PersonsServed>600120</PersonsServed>
        <TotalCommunityBenefitExpense>45065705</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15320246</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>29745459</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11580</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>162</PersonsServed>
        <TotalCommunityBuildingExpense>9916</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>9916</NetCommunityBuildingExpense>
      </CommunitySupport>
      <Total>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>162</PersonsServed>
        <TotalCommunityBuildingExpense>9916</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>9916</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>29480889</BadDebtExpenseAmount>
      <AmountAttributableTo>2948088</AmountAttributableTo>
      <AmountReimbursedByMedicare>111923774</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>93089925</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>18833849</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>3</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>ST BERNARDS MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>225 EAST JACKSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
        <ErOther>X</ErOther>
        <Other>FAST TRACK ER</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>ST BERNARDS MEDICAL CENTER TCF</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>225 EAST JACKSONV</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>SKILLED NURSING</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>ST BERNARDS MED CTR BEHAV HEALTH</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>225 EAST JACKSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>ADULT PSYCH</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ST BERNARDS MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>false</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>100</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>300.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <OtherActionsTaken>X</OtherActionsTaken>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
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        <HospitalFacilityName>
          <BusinessNameLine1>ST BERNARDS MEDICAL CENTER TCF</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>false</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
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        <OnRequest>X</OnRequest>
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        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
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        <FPGFreePercent>100</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>300.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
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        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <OtherPublicity>X</OtherPublicity>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
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        <OtherActionsTaken>X</OtherActionsTaken>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>ST BERNARDS MED CTR BEHAVIORAL HLTH</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>3</HospitalFacilityNumber>
        <CHNAConducted>true</CHNAConducted>
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        <CommunityDemographics>X</CommunityDemographics>
        <ExistingResources>X</ExistingResources>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>12</NeedsAssessmentConducted>
        <TakeIntoAccount>true</TakeIntoAccount>
        <OtherFacilities>false</OtherFacilities>
        <CHNAWidelyAvailable>true</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <AllNeedsAddressed>false</AllNeedsAddressed>
        <OrganizationIncurExciseTax>false</OrganizationIncurExciseTax>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>100</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>300.</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
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        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>40</NumberOfOtherFacilities>
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            <BusinessNameLine1>ST BERNARD'S IMAGING CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1144 EAST MATTHEWS</AddressLine1>
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            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
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        <OtherFacilities>
          <Name>
            <BusinessNameLine1>REFERENCE LAB</BusinessNameLine1>
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            <AddressLine1>300 EAST MATTHEWS</AddressLine1>
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            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
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        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>DIALYSIS</BusinessNameLine1>
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            <State>AR</State>
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        <OtherFacilities>
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            <BusinessNameLine1>ST BERNARD'S BEHAVIORAL HEALTH UNIT</BusinessNameLine1>
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          <Address>
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            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
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        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICAL THERAPY</BusinessNameLine1>
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          <Address>
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            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ST BERNARD'S WOUND HEALING CENTER</BusinessNameLine1>
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          <Address>
            <AddressLine1>505 EAST MATTHEWS SUITE 201</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
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        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ST BERNARD'S HOME HEALTH</BusinessNameLine1>
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          <Address>
            <AddressLine1>1726A MARIE CIRCLE</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>HOME HEALTH</FacilityType>
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        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ST BERNARD'S HOSPICE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1726 MARIE CIRCLE</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>HOSPICE</FacilityType>
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        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ST BERNARDS SENIOR HEALTH CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>303 EAST MATTHEWS SUITE 202</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>SENIOR HEALTH</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICAL THERAPY SPORTS MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1416 EAST MATTHEWS</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>DIALYSIS - WYNNE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>310 S FALLS BLVD</AddressLine1>
            <City>WYNNE</City>
            <State>AR</State>
            <ZIPCode>72396</ZIPCode>
          </Address>
          <FacilityType>DIALYSIS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>FLO &amp; PHIL JONES HOSPICE HOUSE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1148 EAST MATTHEWS</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>HOSPICE HOUSE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICAL THERAPY ASUSPORTS MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>333 STADIUM BLVD</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICAL THERAPY PARKER ROAD</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1001 PARKER ROAD</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICAL THERAPY PARAGOULD</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1105 WEST COURT</AddressLine1>
            <City>PARAGOULD</City>
            <State>AR</State>
            <ZIPCode>72450</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICAL THERAPY SPEECH THERAPY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>225 EAST JACKSON</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>SPEECH THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICAL THERAPY - OCCUPATIONAL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4334 EAST HIGHLAND SUITE C</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>OCCUPATIONAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICAL THERAPY TRUMANN</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1300 INDUSTRIAL DR</AddressLine1>
            <City>TRUMANN</City>
            <State>AR</State>
            <ZIPCode>72472</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CENTER FOR WEIGHT LOSS HMR</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1416 EAST MATTHEWS</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>WEIGHT LOSS</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICAL THERAPY INDUSTRIAL REHAB</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>4334 EAST HIGHLAND SUITE C</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PRE-ADMISSION TESTING</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>105 EAST MATTHEWS</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>COUNSELING CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PHYSICAL THERAPY MANILA</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>600 HWY 18</AddressLine1>
            <City>MANILA</City>
            <State>AR</State>
            <ZIPCode>72442</ZIPCode>
          </Address>
          <FacilityType>PHYSICAL THERAPY</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ST BERNARDS BEHAVIORAL COUNSELING CENTE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>615A EAST MATTHEWS</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>COUNSELING CENTER</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>CARDIAC REHABILITATION</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1416 EAST MATTHEWS</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>CARDIAC REHAB</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ST BERNARD'S DAYPLACE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>700 EAST WASHINGTON</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>ADULT DAY CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>DIABETES MANAGEMENT CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1416 EAST MATTHEWS</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>DIABETES MANAGEMENT</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - JONESBORO</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>700 EAST WASHINGTON</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - LAKE CITY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>401 WALNUT ST</AddressLine1>
            <City>LAKE CITY</City>
            <State>AR</State>
            <ZIPCode>72437</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - HARRISBURG</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>300 FAIR GROUND ROAD</AddressLine1>
            <City>HARRISBURG</City>
            <State>AR</State>
            <ZIPCode>72432</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - TRUMANN</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>351 CAMPBELL ST</AddressLine1>
            <City>TRUMANN</City>
            <State>AR</State>
            <ZIPCode>72472</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - LEPANTO</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>100 STEVENS SQUARE</AddressLine1>
            <City>LEPANTO</City>
            <State>AR</State>
            <ZIPCode>72354</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - MARKED TREE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>212 10TH ST</AddressLine1>
            <City>MARKED TREE</City>
            <State>AR</State>
            <ZIPCode>72365</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ST BERNARD'S PET CENTER LLC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>PO BOX 13267</AddressLine1>
            <City>MAUMELLE</City>
            <State>AR</State>
            <ZIPCode>72113</ZIPCode>
          </Address>
          <FacilityType>PET SCANNING</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>WOUND HEALING - PARAGOULD</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>ONE MEDICAL DRIVE SUITE 201</AddressLine1>
            <City>PARAGOULD</City>
            <State>AR</State>
            <ZIPCode>72450</ZIPCode>
          </Address>
          <FacilityType>WOUND HEALING</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - WEST MEMPHIS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>103 SOUTH AVALON</AddressLine1>
            <City>WEST MEMPHIS</City>
            <State>AR</State>
            <ZIPCode>72301</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - MERYER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>713 E CANAL ST</AddressLine1>
            <City>WYNNE</City>
            <State>AR</State>
            <ZIPCode>72396</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - FORREST CITY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2550 S WASHINGTON</AddressLine1>
            <City>FORREST CITY</City>
            <State>AR</State>
            <ZIPCode>72335</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - NEWPORT</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>947 HOUT CIRCLE</AddressLine1>
            <City>NEWPORT</City>
            <State>AR</State>
            <ZIPCode>72112</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - WOODRUFF CO</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>303 W CACHE ST</AddressLine1>
            <City>PATTERSON</City>
            <State>AR</State>
            <ZIPCode>72123</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SENIOR LIFE CENTER - CARAWAY</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>305 N NEW YORK AVE</AddressLine1>
            <City>CARAWAY</City>
            <State>AR</State>
            <ZIPCode>72419</ZIPCode>
          </Address>
          <FacilityType>SENIOR CARE</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>PERCENT OF TOTAL EXPENSE</Identifier>
        <ReturnReference>PART I, LINE 7, COLUMN F</ReturnReference>
        <Explanation>BAD DEBT EXPENSE IN THE AMOUNT OF $29,480,889 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CHARITY CARE</Identifier>
        <ReturnReference>PART I, LINE 7</ReturnReference>
        <Explanation>THE AMOUNTS ON LINE 7A AND 7B WERE CALCULATED USING THE COST TO CHARGE RATIO.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT FOOTNOTE</Identifier>
        <ReturnReference>PART III, LINE 4</ReturnReference>
        <Explanation>BAD DEBT FOOTNOTE TO FINANCIAL STATEMENTS: THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. SCHEDULE H, PART III, LINE 2 WAS DETERMINED USING THE OVERALL COST TO CHARGE RATIO FOR THE MOST RECENT "AS FILED" MEDICARE COST REPORT. THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 3 WAS DETERMINED BY ANALYZING ACCOUNTS THAT HAVE BEEN DENIED FINANCIAL ASSISTANCE DUE TO A LACK OF DOCUMENTATION. MANY TIMES WE ARE UNABLE TO GET PATIENTS WHO WE THINK WOULD QUALIFY FOR CHARITY TO COMPLETE OUR CHARITY APPLICATION. OFTEN TIMES WE DON'T CLASSIFY SOMEONE AS CHARITY WHO WOULD EASILY QUALIFY IF THEY WOULD JUST COMPLETE THE PAPER WORK. SOMETIMES, DUE TO FAULTY ADDRESSES, WE CANNOT CONTACT THESE PATIENTS TO ATTEMPT TO QUALIFY THEM AS CHARITY. THERE IS A SIGNIFICANT AMOUNT OF BAD DEBT THAT IS, IN REALITY, CHARITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY OR SOURCE USED</Identifier>
        <ReturnReference>PART III, LINE 8</ReturnReference>
        <Explanation>THE AMOUNTS WERE PULLED FROM THE MOST RECENT "AS FILED" MEDICARE COST REPORT. THE ORGANIZATION FOLLOWS CHA COMMUNITY BENEFIT GUIDELINES AND DOES NOT COUNT MEDICARE SHORTFALL AS COMMUNITY BENEFIT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES</Identifier>
        <ReturnReference>PART III, LINE 9B</ReturnReference>
        <Explanation>ACCOUNTS WHICH ARE DEEMED UNCOLLECTIBLE ARE REFERRED TO AN OUTSIDE AGENCY FOR COLLECTING. AN ACCOUNT IS CONSIDERED UNCOLLECTIBLE WHEN THE GUARANTOR HAS HAD SUFFICIENT NOTICE AND TIME TO PAY A BILL OR MAKE ARRANGEMENTS TO PAY A BILL, BUT HAS FAILED TO DO SO. MEDICARE BAD DEBT IS DEFINED ACCORDING TO CENTERS FOR MEDICARE AND MEDICAID SERVICES GUIDELINES.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION</Identifier>
        <ReturnReference>PART VI, LINE 3</ReturnReference>
        <Explanation>ALL REGISTRATION AREAS HAVE OUR FINANCIAL ASSISTANCE NOTICE EITHER ON THE REGISTRATION DESK, ON THE WALL AT REGISTRATION OR IN A DISPLAY CASE IN REGISTRATION. THIS INCLUDES, GENERAL ADMISSIONS, RADIOLOGY, ER (ALSO EVERY ROOM IN THE ER), DIALYSIS, RADIATION ONCOLOGY AND HEARTCARE CENTER, IMAGING CENTER AND WOUND CENTER. UPON REGISTRATION, IF REGISTERED AS A SELF PAY, A FINANCIAL APPLICATION AUTOMATICALLY PRINTS AND IS GIVEN TO THE PATIENT. APPLICATIONS ALONG WITH SBHC ENVELOPES ARE DISPLAYED AT THE DESK FOR ANYONE TO PICK UP. INFORMATION AND TELEPHONE NUMBERS ARE ON THE BACK OF ALL OUR STATEMENTS AND LETTERS THAT GO OUT TO PATIENTS. A THIRD PARTY LOOKS AT ALL INPATIENTS THAT ARE SELF PAY AND CONTACTS THE PATIENT TO SEE IF THEY WOULD BE ELIGIBLE FOR MEDICAID, CHARITY, OR ANY OTHER ASSISTANCE. OUR FINANCIAL ASSISTANCE APPLICATION AND PHONE NUMBER ARE ALSO AVAILABLE ON OUR WEB SITE WWW.STBERNARDS.INFO AND FINANCIAL ASSISTANCE INFORMATION IS PRINTED ON EACH STATEMENT MAILED TO PATIENTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI, LINE 4</ReturnReference>
        <Explanation>ST. BERNARDS HEALTHCARE (SBHC), A NOT-FOR-PROFIT HEALTH SYSTEM, IS GUIDED BY A COMMUNITY-BASED CHARITABLE MISSION. ALTHOUGH THE ORGANIZATION'S FIRST PRIORITY IS TO PROVIDE QUALITY HEALTHCARE, AS A CORPORATE LEADER, SBHC RECOGNIZES THE POSITIVE AND CRITICAL IMPACT OF ITS COMMUNITY HEALTH INITIATIVES FOR THE RESIDENTS OF NORTHEAST ARKANSAS AND SOUTHEAST MISSOURI. THE SERVICE AREA IS DEFINED AS 23 COUNTIES, 17 IN ARKANSAS AND SIX IN MISSOURI. THE COUNTIES HAVE BEEN DIVIDED INTO PRIMARY, SECONDARY AND TERTIARY SERVICES BASED ON ADMISSIONS BY COUNTY. OF THE 23 COUNTIES, 18 COUNTIES ARE HEALTH PROFESSIONAL SHORTAGE AREAS AND 22 COUNTIES INCLUDE MEDICALLY UNDERSERVED AREAS OR MEDICALLY UNDERSERVED POPULATIONS. BASED ON 2000 CENSUS DATA, THE TOTAL SERVICE AREA POPULATION IS ESTIMATED AT 623,552 IN 2007 WITH A FORECASTED POPULATION OF 626,470 BY 2014. THE MEDIAN HOUSEHOLD INCOME FOR THE PRIMARY SERVICE AREA IS $33,701 WHICH IS APPROXIMATELY 86% OF THE ARKANSAS MEDIAN INCOME LEVEL AT $39,079 AND IS 66% OF THE UNITED STATES MEDIAN HOUSEHOLD INCOME AT $49,297. BOTH THE SECONDARY AND TERTIARY SERVICE AREAS FALL BELOW THAT OF THE PRIMARY SERVICE AREA. ST. BERNARDS HEALTHCARE ADDRESSES COMMUNITY HEALTH NEEDS BY IMPLEMENTING HEALTH PROMOTION, PREVENTION INTERVENTION, AND HEALTHCARE SERVICES TO THE UNINSURED, UNDERINSURED, AND UNDERSERVED POPULATIONS IN OUR PRIMARY SERVICE AREAS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH</Identifier>
        <ReturnReference>PART VI, LINE 5</ReturnReference>
        <Explanation>THE HOSPITAL COORDINATES THE ARKANSAS HOSPITAL PREPAREDNESS PROGRAM FOR THE NORTHEAST REGION OF THE STATE. THE PURPOSE IS TO ENHANCE THE CAPACITIES AND CAPABILITIES OF HEALTHCARE SYSTEMS AND FOR EXERCISING AND IMPROVING PREPAREDNESS PLANS FOR ALL-HAZARDS INCLUDING PANDEMIC INFLUENZA. THE COUNTIES WITHIN THE REGION ARE CLAY, CRAIGHEAD, CRITTENDEN, CROSS, GREENE, LAWRENCE, LEE, MISSISSIPPI, MONROE, PHILLIPS, POINSETT, PRAIRIE, RANDOLPH AND ST. FRANCIS COUNTIES. THE REGION PARTICIPATES IN TESTING AND USING THE TANDBERGS VIDEO CONFERENCING SYSTEM. THE REGION WORKS WITH ADH TO COORDINATE AND ENSURE MAINTENANCE OF THE LINE FOR THE TANDBERGS. THE REGION USES EMSYSTEMS EMRESOURCE FOR HOSPITAL BED TRACKING. ST BERNARDS PROVIDES A BIOTERRORISM PREPAREDNESS COORDINATOR WHO SERVES AS A CENTRAL POINT OF CONTACT FOR EMERGENCY PREPAREDNESS ACTIVITIES OF THE ARKANSAS DEPARTMENT OF HEALTH &amp; HUMAN SERVICES. THE HOSPITAL CONDUCTS BIOTERRORISM TRAINING AND EDUCATION ACTIVITIES FOR HOSPITAL STAFF AND OTHER EMERGENCY MEDICAL RESPONDERS. THE HOSPITAL PARTICIPATES IN REGIONAL DRILLS AND TESTING OF HAM &amp; AWIN RADIOS AND THE FACILITY MUST BE 100% NIMS COMPLIANT. THE HOSPITAL COORDINATES WITH LOCAL OEM, EMS, PUBLIC HEALTH, COMMUNITY HEALTH CENTERS, LONG TERM HEALTH CARE, INCLUDING NURSING HOMES, AND OTHERS AS APPROPRIATE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>AFFILIATED HEALTH CARE SYSTEM</Identifier>
        <ReturnReference>PART VI, LINE 6</ReturnReference>
        <Explanation>SBHC SYSTEM FOCUSES ITS ENERGIES AND RESOURCES ON PARTNERSHIPS THAT HAVE THE GREATEST POTENTIAL FOR A POSITIVE IMPROVEMENT IN THE HEALTH AND QUALITY OF LIFE FOR INDIVIDUALS AND COMMUNITIES. AREAS WHERE CONSIDERABLE ACTIVITY IS EXPENDED INCLUDE: - COMMUNITY HEALTH EDUCATION, PREVENTION, EARLY DETECTION, AND INTERVENTION ACTIVITIES THAT WOULD REDUCE THE INCIDENCE AND SERIOUSNESS OF ILLNESS, THEREBY MINIMIZING THE NEED FOR PREVENTABLE AND EXPENSIVE MEDICAL INTERVENTIONS. - CHRONIC DISEASE MANAGEMENT ACTIVITIES, WHICH, WHEN DONE EFFECTIVELY, MINIMIZE THE NEED FOR MEDICAL INTERVENTIONS. - PROACTIVE HEALTH GRANT PROGRAMS THAT FUND COMMUNITY BASED HEALTH PROGRAMS AND INITIATIVES. - INCREASING ACCESS TO HEALTH COVERAGE FOR ELIGIBLE RESIDENTS IN PROGRAMS SUCH AS AR KIDS FIRST. - INCREASING ACCESS TO HEALTHCARE SERVICES FOR THOSE IN NEED REGARDLESS OF ABILITY TO PAY. - COLLABORATIVE PARTNERSHIPS THAT SUPPORT THE PURPOSE OF INCREASING INDIVIDUAL AND COMMUNITY CAPACITY TO ACHIEVE THE HEALTHY COMMUNITY VISION. - HEALTH RESEARCH, EDUCATION AND TRAINING PROGRAMS. - DONATIONS OF FOOD, SURPLUS EQUIPMENT AND STAFF TIME TO ORGANIZATIONS ADDRESSING THE HEALTH NEEDS OF THE COMMUNITY. - PARTNERSHIPS WHICH MOTIVATE RESIDENTS TO GIVE BACK TO THEIR COMMUNITIES TO MOVE THE COMMUNITY CLOSER TO THE HEALTHY COMMUNITY VISION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ACTIONS PRIOR TO COLLECTION</Identifier>
        <ReturnReference>PART V, LINE 18</ReturnReference>
        <Explanation>THE FOLLOWING STATEMENT APPLIES TO ALL THREE LICENSED HOSPITAL FACILITIES LISTED IN PART V, SECTION A. ATTEMPTS MADE TO CONTACT THE PATIENT PRIOR TO PLACING WITH COLLECTIONS. (PHONE CALLS, STATEMENTS/LETTERS)</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>GROSS CHARGE TO PATIENTS</Identifier>
        <ReturnReference>PART V, LINE 22</ReturnReference>
        <Explanation>THE FOLLOWING STATEMENT APPLIES TO ALL THREE LICENSED HOSPITAL FACILITIES LISTED IN PART V, SECTION A. SELF PAY PATIENTS RECEIVE AN AUTOMATIC DISCOUNT. GROSS CHARGES ARE BILLED TO INSURANCE. PATIENT OWES DIEFFERENCE IN ALLOWED AND PAID.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PUBLICIZE THE POLICY</Identifier>
        <ReturnReference>PART V, LINE 13G</ReturnReference>
        <Explanation>THE FOLLOWING STATEMENT APPLIES TO ALL THREE LICENSED HOSPITAL FACILITIES LISTED IN PART V, SECTION A. SOCIAL WORKERS PROVIDE THE POLICY TO PATIENTS THEY WORK WITH.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CHNA</Identifier>
        <ReturnReference>FORM 990, SCHEDULE H, PART V, LINE 7</ReturnReference>
        <Explanation>DUE TO THE TIMING OF THE FINALIZATION OF THE CHNA, THE HOSPITAL HAS NOT YET ADDRESSED ALL NEEDS IDENTIFIED IN THE CHNA, BUT IS WORKING TOWARDS THIS GOAL.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AHEC - UAMS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>223 EAST JACKSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>716046242</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>1050000</AmountOfCashGrant>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ARKANSAS HOSPITAL ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>419 NATURAL RES DR</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <EINOfRecipient>710664952</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>39618</AmountOfCashGrant>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>JONESBORO HIGH SCHOOL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2504 ALEXANDER DRIVE</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EINOfRecipient>716021029</EINOfRecipient>
        <IRCSection>SCHOOL</IRCSection>
        <AmountOfCashGrant>90000</AmountOfCashGrant>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ARKANSAS METHODIST</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 339</AddressLine1>
          <City>PARGOULD</City>
          <State>AR</State>
          <ZIPCode>72451</ZIPCode>
        </AddressUS>
        <EINOfRecipient>710230218</EINOfRecipient>
        <IRCSection>501 (C)(3)</IRCSection>
        <AmountOfCashGrant>28870</AmountOfCashGrant>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>3</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>SCHOLARSHIP</TypeOfGrant>
        <NumberOfRecipients>9</NumberOfRecipients>
        <AmountOfCashGrant>28000</AmountOfCashGrant>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>MONITORING PROCEDURES FOR THE USE OF GRANT FUNDS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ONE TIME GRANTS TO ORGANIZATIONS QUALIFYING AS A CHARITY IN THE U.S. BASED ON APPLICATIONS RECEIVED BY THE ORGANIZATION. GRANTS ARE FOR A SPECIFIC PURPOSE OR USE AND POST GRANT MONITORING IS PERFORMED ON AN AS NEEDED BASIS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>BRENDA MILLION</NamePerson>
        <Title>VP CHIEF NURSING OFFICER</Title>
        <BaseCompensationFilingOrg>176361</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>6361</NontaxableBenefitsFilingOrg>
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        <NamePerson>THOMAS MULLIGAN</NamePerson>
        <Title>MEDICAL DIRECTOR SR HEALTH</Title>
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        <NamePerson>DAVID L PYLE</NamePerson>
        <Title>VP OF MEDICAL AFFAIRS</Title>
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        <NamePerson>BENJAMIN SHAW</NamePerson>
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        <NamePerson>DON HOWARD</NamePerson>
        <Title>INTENSIVIST</Title>
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      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL GIVENS</NamePerson>
        <Title>ADMINISTRATOR</Title>
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        <NamePerson>HARRY HUTCHISON</NamePerson>
        <Title>CFO</Title>
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        <NamePerson>PATRICK SAVAGE</NamePerson>
        <Title>HOSPITALIST</Title>
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        <NamePerson>CHRIS BARBER</NamePerson>
        <Title>PRESIDENT/CEO</Title>
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        <CompBasedOnRelatedOrgs>306996</CompBasedOnRelatedOrgs>
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      <Form990ScheduleJPartIII>
        <Identifier>DEFINED BENEFIT PENSION PLAN</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART II, COLUMN D</ReturnReference>
        <Explanation>THE INCREASE OF THE ACTUARIAL VALUE OF THE DEFINED BENEFIT PENSION PLAN IS NOT CALCULATED ON AN INDIVIDUAL EMPLOYEE BASIS BUT RATHER ON THE EMPLOYEE GROUP TAKEN AS A WHOLE. THE INCREASE IN EACH INDIVIDUAL'S BALANCE WOULD HAVE TO BE ESTIMATED USING ASSUMPTIONS UNIQUE TO THAT INDIVIDUAL RATHER THAN THE PLAN AS A WHOLE. THIS INFORMATION IS NOT AVAILABLE AT THIS TIME. HOWEVER, WE BELIEVE THE INCREASE TO EACH INDIVIDUAL'S ACCOUNT WOULD NOT MATERIALLY CHANGE THE COMPENSATION REPORTED. WE WILL WORK WITH OUR ACTUARY TO DETERMINE THE ANNUAL INCREASE IN FUTURE PERIODS.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>CHRIS BARBER PARTICIPATED IN A 457(B) PLAN - $17,500 WAS CONTRIBUTED ON HIS BEHALF DURING THE TAX YEAR.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>PLAY GROUND EQUIPMENT</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>31250</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>SATELLITE PHONE</Description>
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        <NoncashContribsRptdF990>15749</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>HEALTHWORKS KIDS MUSEUM PROGRAMS/CURRICULUM</Description>
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        <NoncashContribsRptdF990>39900</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4A</ReturnReference>
        <Explanation>ST. BERNARDS MEDICAL CENTER (SBMC) BEGAN SERVING THE CITIZENS OF NORTHEAST ARKANSAS IN THE YEAR 1900. THROUGH ITS MISSION OF PROVIDING CHRIST-LIKE-HEALING TO THE COMMUNITY THROUGH EDUCATION, TREATMENT, AND HEALTH SERVICES IT IS THE SAFETY NET PROVIDER FOR A 23 COUNTY AREA THAT INCLUDES SOUTHEAST MISSOURI. IN ACCORDANCE WITH ITS STATED MISSION AND VALUES OF PROVIDING CHRIST-LIKE HEALING SBMC IS COMMITTED TO PROVIDING HEALTHCARE SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY. CHARITY IS A CORE COMPONENT OF THE MISSION OF THE OLIVETAN BENEDICTINE SISTERS AND ITS HEALTHCARE MINISTRY. IN THE FISCAL YEAR WHICH ENDED SEPTEMBER 30, 2013, SBMC PROVIDED $14,445,638 IN CHARITY CARE. THE TOTAL AMOUNT OF QUANTIFIABLE COMMUNITY BENEFITS PROVIDED BY ST. BERNARDS MEDICAL CENTER WAS $29,745,459 IN FISCAL YEAR 2013 THROUGH 600,120 ENCOUNTERS WITH INDIVIDUALS INVOLVING HEALTH SCREENINGS, EDUCATION, DONATIONS, AND VOLUNTEER ACTIVITIES. IN PROVIDING EDUCATION, TREATMENT AND HEALTHCARE SERVICES SBMC BELIEVES FINANCIAL MATTERS ARE SECONDARY TO THE RENDERING OF THESE SERVICES. NO PERSON WHO SEEKS THESE SERVICES WILL BE TURNED AWAY. SBMC PROVIDES DIRECT FINANCIAL ASSISTANCE (CHARITY) USING A SLIDING SCALE BASED UPON INCOME LEVELS OF THE CURRENT FEDERAL INCOME POVERTY GUIDELINES AS ESTABLISHED BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. PATIENTS WHO HAVE NO INSURANCE WILL RECEIVE A DISCOUNT FROM CHARGES AND SBMC DOES NOT TAKE LEGAL ACTION AGAINST ANY DEBTOR FOR SERVICES PROVIDED THROUGH ITS MISSION. IN FISCAL YEAR 2013 SBMC PROVIDED 76,229 PATIENT DAYS OF CARE. 37,816 PATIENT DAYS WERE PROVIDED TO THE ELDERLY WHILE 8,234 WERE PROVIDED TO THE MEDICALLY INDIGENT OR WHO HAD MEDICAID COVERAGE. 57,974 PATIENTS WERE SEEN IN THE SBMC EMERGENCY ROOM DURING THE SAME TIME PERIOD. TODAY, AS WELL INTO THE FUTURE, SBMC WILL CONTINUE TO PUT PATIENTS AND COMMUNITY NEEDS FIRST BY FOCUSING ON QUALITY, SAFETY, COST CONTROL, SERVICE, AND DIVERSITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBER INFORMATION</Identifier>
        <ReturnReference>FORM 990, PART VI, LINES 6, 7a, &amp; 7b</ReturnReference>
        <Explanation>ST. BERNARDS HEALTHCARE, INC. IS THE SOLE MEMBER OF ST. BERNARDS MEDICAL CENTER. THE MEMBER RESERVES POWER OVER THE FOLLOWING ACTS: A. ANY AGGREGATE BORROWING BY THE CORPORATION OF FUNDS IN EXCESS OF $1 MILLION FOR ANY SINGLE TRANSACTION OR PROJECT. B. ANY PURCHASE, SALE, LEASE, DISPOSITION, EXCHANGE, GIFT PLEDGE, OR MORTGAGE OF REAL ESTATE PROPERTY VALUED IN EXCESS OF $1 MILLION. C. ANY VARIANCE WITH CONGREGATIONL POLICY, PHILOSOPHY, OR ETHICS OF THE MEMBER. D. ANY AMENDMENT, ALTERATION, OR REPEAL OF THE BYLAWS. E. THE POWER OF THE MEMBER TO REMOVE ANY MEMBER OF THE GOVERNING BOARD IF IN THE SOLE DISCRETION OF MEMBER THE GOVERNING BOARD MEMBER ACTS AT VARIANCE WITH CONGREGATIONAL POLICY, PHILOSOPHY, OR THE ETHICS OF THE MEMBER. ALL OF THE DESCRIBED MATTERS SHALL BE SUBJECT TO APPROVAL BY A MAJORITY VOTE OF THE MEMBERS OF THE COUNCIL OF OLIVETAN BENEDICTINE SISTERS, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW PROCEDURES FOR FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 IS REVIEWED BY THE FOLLOWING PERSONS OR GROUPS: CONTROLLER OF ST. BERNARDS HEALTHCARE, INC., VICE PRESIDENT OF FINANCE OF ST. BERNARDS HEALTHCARE, INC., PRESIDENT/CEO OF ST. BERNARDS HEALTHCARE, INC., LEGAL COUNSEL, AND THE AUDIT COMMITTEE OF ST. BERNARDS HEALTHCARE, INC. PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST MONITORING POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>DIRECTORS AND ABOVE ANNUALLY SUBMIT A WRITTEN STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. MANAGEMENT INVESTIGATES ANY POTENTIAL CONFLICTS AND TAKES APPROPRIATE ACTION DEPENDING ON THE NATURE OF THE CONFLICT. LEGAL COUNSEL ALSO REVIEWS ANY POTENTIAL CONFLICTS OF INTEREST AND ADVISES MANAGEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION REVIEW &amp; DETERMINATION PROCEDURES</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 15A &amp; 15B</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS SELECTS DIRECTORS TO SERVE ON THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE APPROVES THE INITIAL SALARY AND ANY SUBSEQUENT SALARY ADJUSTMENTS OF ALL MANAGEMENT. THE COMPENSATION COMMITTEE OBTAINS AN INDEPENDENT SALARY SURVEY FROM INTEGRATED HEALTHCARE STRATEGIES ON AN ANNUAL BASIS FOR USE IN DETERMINING THE APPROPRIATE SALARY RANGES FOR MANAGEMENT. THE COMPENSATION COMMITTEE PRESENTS THE INFORMATION TO THE BOARD FOR APPROVAL. IN 2013, COMPENSATION OF ALL MANAGEMENT PERSONNEL AND ALL OTHER EMPLOYEES OF THE ORGANIZATION WAS REVIEWED BY INTEGRATED HEALTHCARE STRATEGIES, LLC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PARTICIPATION IN JOINT VENTURE ARRANGEMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 16B</ReturnReference>
        <Explanation>ALL OPERATING AGREEMENTS OF JOINT VENTURE ARRANGEMENTS IN WHICH THE ORGANIZATION PARTICIPATES CONTAIN A CLAUSE THAT SAFEGUARDS THE ORGANIZATION'S EXEMPT STATUS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAILABILITY OF GOVERNING DOCUMENTS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>TRANSFER TO AFFILIATE $(18,350,000) CHANGE IN THE PENSION LIABILITY $2,185,877 CHANGE IN INTEREST IN NET ASSETS OF ST. BERNARDS DEVELOPMENT FOUNDATION, INC. $ 242,754 PET CENTER, LLC INCOME VS. BOOK INCOME $ 109,192 AR MEDICAL CYCLOTRON INCOME VS. BOOK INCOME $ 32,823 ============== $(15,779,354)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <City>JONESBORO</City>
          <State>AR</State>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ST BERNARDS PET CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>185445</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>