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      <NumberOfContractorsGT100K>56</NumberOfContractorsGT100K>
      <RelatedOrganizations>738100</RelatedOrganizations>
      <AllOtherContributions>190632</AllOtherContributions>
      <TotalContributions>928732</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT REVENUE</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>238876965</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>238876965</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEDICAID ASSESSMENT FEE</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>11697303</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>11697303</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>SENIOR HEALTH SERVICES</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>1216959</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1216959</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>REFERENCE LAB</Description>
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        <TotalRevenueColumn>2413546</TotalRevenueColumn>
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        <UnrelatedBusinessRevenue>2413546</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>254204773</TotalProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>1503947</ExclusionAmount>
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      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossAmountSalesAssets>
        <Securities>13608134</Securities>
        <Other>0</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
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        <Other>11916</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
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      <NetGainOrLossInvestments>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>306164</ExclusionAmount>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
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      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
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      </NetIncomeOrLoss>
      <OtherRevenueMisc>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>1257814</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>PURCHASE DISCOUNTS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>667871</TotalRevenueColumn>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>667871</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>All Other Misc Revenue</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>5456516</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>723746</UnrelatedBusinessRevenue>
        <ExclusionAmount>4732770</ExclusionAmount>
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      <MiscellaneousRevenue>
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        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>153663</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>7535864</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>264479480</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>251791227</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>3137292</UnrelatedBusinessRevenue>
        <ExclusionAmount>8622229</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>1139078</Total>
        <ProgramServices>1139078</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>9750</Total>
        <ProgramServices>9750</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>390078</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>390078</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>77848303</Total>
        <ProgramServices>42001667</ProgramServices>
        <ManagementAndGeneral>35846636</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <PensionPlanContributions>
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        <ProgramServices>2722659</ProgramServices>
        <ManagementAndGeneral>2323674</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
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        <ProgramServices>5018346</ProgramServices>
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      <PayrollTaxes>
        <Total>5938896</Total>
        <ProgramServices>3204226</ProgramServices>
        <ManagementAndGeneral>2734670</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
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        <ProgramServices>861180</ProgramServices>
        <ManagementAndGeneral>734980</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ProgramServices>73433</ProgramServices>
        <ManagementAndGeneral>62672</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>177629</Total>
        <ProgramServices>95837</ProgramServices>
        <ManagementAndGeneral>81792</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
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        <ProgramServices>14523</ProgramServices>
        <ManagementAndGeneral>12394</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>79352</Total>
        <ProgramServices>42813</ProgramServices>
        <ManagementAndGeneral>36539</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
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        <ProgramServices>14642872</ProgramServices>
        <ManagementAndGeneral>12497069</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>347913</Total>
        <ProgramServices>187710</ProgramServices>
        <ManagementAndGeneral>160203</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>3718852</Total>
        <ProgramServices>2006440</ProgramServices>
        <ManagementAndGeneral>1712412</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>1185333</Total>
        <ProgramServices>639525</ProgramServices>
        <ManagementAndGeneral>545808</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>4026192</Total>
        <ProgramServices>2172260</ProgramServices>
        <ManagementAndGeneral>1853932</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>684111</Total>
        <ProgramServices>369100</ProgramServices>
        <ManagementAndGeneral>315011</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>77118</Total>
        <ProgramServices>41608</ProgramServices>
        <ManagementAndGeneral>35510</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>132728</Total>
        <ProgramServices>71611</ProgramServices>
        <ManagementAndGeneral>61117</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>12193878</Total>
        <ProgramServices>6578990</ProgramServices>
        <ManagementAndGeneral>5614888</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>1404070</Total>
        <ProgramServices>757541</ProgramServices>
        <ManagementAndGeneral>646529</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>34533712</Total>
        <ProgramServices>34533712</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>51945889</Total>
        <ProgramServices>51945889</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EQUIPMENT RENT</Description>
        <Total>6297364</Total>
        <ProgramServices>3397631</ProgramServices>
        <ManagementAndGeneral>2899733</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DIETARY SUPPLIES &amp; FOOD</Description>
        <Total>3168897</Total>
        <ProgramServices>1709722</ProgramServices>
        <ManagementAndGeneral>1459175</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAID ASSESSMENT TAX</Description>
        <Total>2278426</Total>
        <ProgramServices>2278426</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>5854926</Total>
        <ProgramServices>3158920</ProgramServices>
        <ManagementAndGeneral>2696006</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>256679242</Total>
        <ProgramServices>179675469</ProgramServices>
        <ManagementAndGeneral>77003773</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>740112</BOY>
        <EOY>856882</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>29480545</BOY>
        <EOY>28250843</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>25832125</BOY>
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      <InventoriesForSaleOrUse>
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        <EOY>4434800</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>1690582</BOY>
        <EOY>2025732</EOY>
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      <LandBuildingsEquipmentBasis>211455753</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>118797629</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>92658124</EOY>
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        <BOY>3443802</BOY>
        <EOY>4034379</EOY>
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      <TotalAssets>
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      <AccountsPayableAccruedExpenses>
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      <TaxExemptBondLiabilities>
        <BOY>9700000</BOY>
        <EOY>7445000</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>29562647</BOY>
        <EOY>34291118</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>54924535</BOY>
        <EOY>57260308</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>133495386</BOY>
        <EOY>131441857</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>2002890</BOY>
        <EOY>1527699</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>135498276</BOY>
        <EOY>132969556</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>190422811</BOY>
        <EOY>190229864</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>7800238</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-10328958</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <DirectContactLegislatorsAmount>6000</DirectContactLegislatorsAmount>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>39233</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>45233</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 $39,233</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>4310168</OtherCostOrOtherBasis>
        <BookValue>4310168</BookValue>
      </Land>
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        <BookValue>37933866</BookValue>
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        <BookValue>1198685</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <BookValue>35868444</BookValue>
      </Equipment>
      <OtherLandBuildings>
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        <BookValue>13346961</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>92658124</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>31333</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATION</Description>
        <Amount>381621</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>EST 3RD PARTY SETTLEMENTS</Description>
        <Amount>4973230</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PENSION LIABILITY</Description>
        <Amount>28107704</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
        <Amount>797230</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>34291118</TotalOfAmounts>
      <TotalRevenue>264479480</TotalRevenue>
      <TotalExpenses>256679242</TotalExpenses>
      <ExcessOrDeficitForYear>7800238</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-1344580</NetUnrealizedGLOnInvestments>
      <OtherAmount>-8984379</OtherAmount>
      <TotalAdjustments>-10328959</TotalAdjustments>
      <ExcessOrDeficitPerFS>-2528721</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>229336064</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>118192</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>118192</RevenueNotRptdF990>
      <RevenueSubtotal>229217872</RevenueSubtotal>
      <OtherRevenuesNotIncluded>35261608</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>35261608</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>264479480</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>222145530</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>222145530</ExpensesSubtotal>
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      <ExpensesNotRptdOnFinStmt>34533712</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>256679242</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PAGE 4, PART XI, LINE 8</ReturnReference>
        <Explanation>CHANGE IN PENSION LIABILITY $(2,483,159) TRANSFER TO AFFILIATE $(5,993,133) CHANGE IN INTEREST IN NET ASSETS OF ST. BERNARDS DEVELOPMENT FOUNDATION, INC. $ (475,191) PET CENTER, LLC INCOME VS. BOOK INCOME $ (24,160) AR MEDICAL CYCLOTRON INCOME VS. BOOK INCOME $ (8,736)</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER REVENUE ON RETURN NOT ON BOOKS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART XII, LINE 4B</ReturnReference>
        <Explanation>PET CENTER, LLC LOSS VS. BOOK LOSS $ 24,160 AR MEDICAL CYCLOTRON INCOME VS. BOOK INCOME $ 8,736 CONTRIBUTIONS RECORDED TO NET ASSETS $ 695,000 PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 34,533,712</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>OTHER EXPENSES ON RETURN NOT ON BOOKS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE D, PART XIII, LINE 4B</ReturnReference>
        <Explanation>PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 34,533,712</Explanation>
      </Form990ScheduleDPartXIV>
    </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>
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        <TotalCommunityBenefitExpense>10781681</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10781681</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04850</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <PersonsServed>32462</PersonsServed>
        <TotalCommunityBenefitExpense>28555158</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14271512</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14283646</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06430</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <PersonsServed>72667</PersonsServed>
        <TotalCommunityBenefitExpense>39336839</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14271512</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>25065327</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.11280</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>27</NumberOfActivitiesOrPrograms>
        <PersonsServed>135422</PersonsServed>
        <TotalCommunityBenefitExpense>314018</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>12237</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>301781</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00140</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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      <TotalCommunityBenefits>
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      <CommunitySupport>
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        <NetCommunityBuildingExpense>8496</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
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        <NetCommunityBuildingExpense>149</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
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        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
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      <BadDebtExpenseReported>true</BadDebtExpenseReported>
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        <CostToChargeRatio>X</CostToChargeRatio>
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      <Form990ScheduleHPartVSectionA>
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          <BusinessNameLine1>ST BERNARDS MEDICAL CENTER</BusinessNameLine1>
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          <AddressLine1>225 E JACKSON AVE</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
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        <TeachingHospital>X</TeachingHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
        <ErOther>X</ErOther>
        <Other>FAST TRACK ER</Other>
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      <Form990ScheduleHPartVSectionA>
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        <Name>
          <BusinessNameLine1>ST BERNARDS MED CTR BEHAVIORAL HEALTH</BusinessNameLine1>
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        <Address>
          <AddressLine1>2712 E JOHNSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
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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>
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        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
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        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
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        <ActionsOnNonpayment>true</ActionsOnNonpayment>
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            <State>AR</State>
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        <OtherFacilities>
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        <OtherFacilities>
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        <OtherFacilities>
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            <State>AR</State>
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          <FacilityType>PHYSICAL THERAPY</FacilityType>
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        <OtherFacilities>
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            <State>AR</State>
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          </Address>
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        <OtherFacilities>
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            <City>JONESBORO</City>
            <State>AR</State>
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        <OtherFacilities>
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          <Address>
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            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
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        <OtherFacilities>
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            <State>AR</State>
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          <FacilityType>PHYSICAL THERAPY</FacilityType>
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        <OtherFacilities>
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            <BusinessNameLine1>CENTER FOR WEIGHT LOSS HMR</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>
        <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>
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          </Name>
          <Address>
            <AddressLine1>105 EAST MATTHEWS</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>TESTING FACILITY</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>
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        </OtherFacilities>
        <OtherFacilities>
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            <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>
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        <OtherFacilities>
          <Name>
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          </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 - MONETTE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>504 S WILLIAMS</AddressLine1>
            <City>MONETTE</City>
            <State>AR</State>
            <ZIPCode>72447</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>
        <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>BARIATRIC WEIGHT LOSS SURGERY CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>505 EAST MATTHEWS SUITE 105</AddressLine1>
            <City>JONESBORO</City>
            <State>AR</State>
            <ZIPCode>72401</ZIPCode>
          </Address>
          <FacilityType>WEIGHT LOSS CENTER</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 $34,533,712 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>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>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI, LINE 2</ReturnReference>
        <Explanation>ST. BERNARDS HEALTHCARE PARTNERS WITH SOUTHWIND HEALTH PARTNERS EVERY TWO YEARS TO CONDUCT A PHYSICIAN NEEDS ASSESSMENT. PHYSICIAN NEEDS ASSESSMENTS ARE ESSENTIAL MANAGEMENT TOOLS THAT HELP ALIGN A HEALTHCARE ORGANIZATION'S PHYSICIAN STRATEGY WITH ITS MISSION AND GOALS. THE PRINCIPAL OBJECTIVES OF A PHYSICIAN NEEDS ASSESSMENT ARE TO FIND SURPLUSES OR DEFICITS OF PHYSICIANS IN A COMMUNITY, DOCUMENT COMMUNITY NEED IF IT EXISTS AND ASSIST HEALTHCARE ORGANIZATIONS IN DETERMINING THEIR ROLES IN ALTERING THE MIX OR SUPPLY OF PHYSICIANS IN A COMMUNITY. BASIC COMPONENTS OF THE ASSESSMENT INCLUDE: I. SERVICE AREA DEFINITION AND DEMOGRAPHICS THE SERVICE AREA DEFINITION IS A BREAKDOWN OF THE ORGANIZATION'S SERVICE AREA BY IDENTIFIABLE BOUNDARIES THAT MAY INCLUDE ZIP CODES OR COUNTY LINES. THE SERVICE AREA FOR SBHC IS COMPRISED OF A PRIMARY SERVICE AREA FROM WHICH A MAJORITY OF THE PATIENT BASE ORIGINATES AND THEN A SECONDARY SERVICE AREA FROM WHICH A SMALLER, BUT SIGNIFICANT, PORTION OF THE PATIENT BASE ORIGINATES. SBMC ALSO HAS A TERTIARY SERVICE AREA INCLUDED IN THE ANALYSES. CRITERIA USED TO DETERMINE WHETHER OR NOT A ZIP CODE OR COUNTY IS INCLUDED IN THE TOTAL SERVICE AREA MAY INCLUDE 1) MARKET SHARE IN THAT AREA MEETS A SPECIFIC TARGET; 2) RESIDENTS WITHIN A COMMUNITY CONTRIBUTE A CERTAIN PERCENTAGE TO OVERALL VISITS/DISCHARGES: AND/OR 3) THE AREA MEETS OTHER REQUIREMENTS DEFINED BY SBHC, SUCH AS BEING WITHIN A CERTAIN DISTANCE OR DRIVING TIME. ONCE THE SERVICE AREA IS DETERMINED, DEMOGRAPHICS OF THE SERVICE AREA ARE STUDIED TO DETERMINE FACTORS OR CHARACTERISTICS THAT WILL AFFECT THE HEALTH CARE RESOURCES NEEDED IN THAT COMMUNITY. THESE FACTORS MAY INCLUDE, BUT ARE NOT LIMITED TO, A LARGE MEDICARE OR MEDICAID POPULATION, OVERALL HEALTHCARE INSURANCE COVERAGE, GEOGRAPHIC BARRIERS, MEDIAN/AVERAGE HOUSEHOLD INCOME, HEALTHCARE UTILIZATION, PAYER MIX, MANAGED CARE PENETRATION, AND MARKET-SHARE DISTRIBUTION. II. PHYSICIAN DEMOGRAPHICS AFTER ANALYZING COMMUNITY DEMOGRAPHICS, THE PHYSICIAN INFRASTRUCTURE OF THE SERVICE AREA IS ASSESSED. A ROSTER OF EVERY ACTIVE PHYSICIAN IN THE COMMUNITY, DETAILING EACH PHYSICIAN'S SPECIALTY OR SUBSPECIALTY, ADDRESS, AGE, MEDICAL STAFF STATUS AND FULL-TIME EQUIVALENCY (FTE) IN THE COMMUNITY IS DEVELOPED. THIS DETERMINES THE SIZE AND MAKEUP OF THE PHYSICIAN COMMUNITY BY SPECIALTY AND IDENTIFIES WHICH SPECIALTIES/SERVICES ARE AREAS OF STRENGTH AND WHICH AREAS MAY BENEFIT FROM STRATEGIC ACTION INCLUDING RECRUITMENT AND/OR INVESTMENT OF TIME AND RESOURCES. III. PHYSICIAN NEED DETERMINATION ONCE THE SERVICE AREA IS BETTER UNDERSTOOD IN TERMS OF COMMUNITY DEMOGRAPHICS AND PHYSICIAN INFRASTRUCTURE, THE APPROPRIATE SUPPLY AND MIX OF PHYSICIANS IS ASSESSED. SEVERAL DIFFERENT METHODS, INCLUDING SUPPLY-BASED PLANNING, NEED-BASED PLANNING, INTERVIEWING/SURVEYING, DEMAND-BASED PLANNING AND BENCHMARKING ARE USED TO DETERMINE PHYSICIAN NEED. IV. CALCULATION OF PHYSICIAN SURPLUSES AND DEFICITS USING THE CURRENT SUPPLY AND PROJECTED PHYSICIAN NEEDS, PHYSICIAN SURPLUSES AND DEFICITS ARE DETERMINED FOR A COMMUNITY. THE RATIONALE IS THAT THERE SHOULD BE 1.0 FTE PHYSICIAN SUPPLY, OR A COMBINATION OF PART-TIME PHYSICIANS THAT EQUAL A 1.0 FTE, IN THE COMMUNITY FOR EVERY 1.0 FTE PHYSICIANS THAT IS NEEDED. IF NOT, A SURPLUS OR DEFICIT EXISTS. V. RECOMMENDATIONS AND CONCLUSIONS THE SURPLUSES AND DEFICITS THAT ARE CALCULATED IN THE PHYSICIAN NEEDS ASSESSMENT ARE RANKED AND EVALUATED TO DETERMINE RECRUITMENT PRIORITIES FOR SBHC. QUANTITATIVE PLANNING ANALYSIS, MEDICAL STAFF INTERVIEWS/SURVEY RESULTS, MARKET SHARE POTENTIAL AND SERVICE LINE PRIORITY ARE ALL CONSIDERED IN MAKING RECOMMENDATIONS AND SETTING PRIORITIES REGARDING PHYSICIAN NEED. RESULTS IN 2010, THE FOLLOWING SPECIALTIES WERE RECRUITED: PLASTIC SURGERY (1), FAMILY PRACTICE (1), HOSPITALIST (4), NEPHROLOGY (1), INTERVENTIONAL CARDIOLOGY (1), EMERGENCY MEDICINE (4), PSYCHIATRY (1), AND NEUROSURGERY (1). *REFER TO 2010 PHYSICIAN NEEDS ASSESSMENT FOR COMPLETE DETAILS.</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 $51,287. 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, LINE5</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>PERMITTED COLLECTION ACTIONS</Identifier>
        <ReturnReference>PART V, LINE 15E &amp; 16E</ReturnReference>
        <Explanation>THE FOLLOWING STATEMENT APPLIES TO ALL THREE LICENSED HOSPITAL FACILITIES LISTED IN PART V, SECTION A. - LIENS FILED ON MOTOR VEHICLE ACCIDENT ACCOUNTS - LIEN ON THE INSURANCE PROCEEDS, NOT THE PATIENT - LIENS ALSO ON ESTATES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>ACTIONS PRIOR TO COLLECTION</Identifier>
        <ReturnReference>PART V, LINE 17E</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 21</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>
    </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>1075000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AR HOSPITAL EDUCATION &amp; RESEARCH TRUST</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>419 NATURAL RESOURCES DR</AddressLine1>
          <City>LITTLE ROCK</City>
          <State>AR</State>
          <ZIPCode>72205</ZIPCode>
        </AddressUS>
        <EINOfRecipient>710563245</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>16403</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CAREY CONSTRUCTION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>317 KENNEMORE</AddressLine1>
          <City>LEPANTO</City>
          <State>AR</State>
          <ZIPCode>72354</ZIPCode>
        </AddressUS>
        <EINOfRecipient>273270759</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CITY OF JONESBORO</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>515 WEST WASHINGTON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72403</ZIPCode>
        </AddressUS>
        <EINOfRecipient>716013749</EINOfRecipient>
        <IRCSection>N/A</IRCSection>
        <AmountOfCashGrant>12372</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <MethodOfValuation>N/A</MethodOfValuation>
        <DescriptionOfNonCashAssistance>N/A</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>3</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>SCHOLARSHIP</TypeOfGrant>
        <NumberOfRecipients>1</NumberOfRecipients>
        <AmountOfCashGrant>9750</AmountOfCashGrant>
        <AmountOfNonCashAssistance>0</AmountOfNonCashAssistance>
        <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 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">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>false</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
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      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>BRENDA MILLION</NamePerson>
        <BaseCompensationFilingOrg>171649</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>352</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationFilingOrg>179371</TotalCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS MULLIGAN</NamePerson>
        <BaseCompensationFilingOrg>263584</BaseCompensationFilingOrg>
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        <OtherCompensationFilingOrg>1333</OtherCompensationFilingOrg>
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        <NontaxableBenefitsFilingOrg>180</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>DAVID L PYLE</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BENJAMIN SHAW</NamePerson>
        <BaseCompensationFilingOrg>269000</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>52226</BonusFilingOrg>
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        <OtherCompensationFilingOrg>132</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <NontaxableBenefitsFilingOrg>7990</NontaxableBenefitsFilingOrg>
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        <TotalCompensationFilingOrg>329348</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DON HOWARD</NamePerson>
        <BaseCompensationFilingOrg>260795</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>55070</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>120</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>6495</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GINA MCNEW</NamePerson>
        <BaseCompensationFilingOrg>163128</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>45913</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>102</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>180</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL GIVENS</NamePerson>
        <BaseCompensationFilingOrg>172740</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>172</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>8351</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>181263</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HARRY HUTCHISON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>215104</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>838</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>7534</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>223476</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>EXPENSE REIMBURSEMENT POLICY</Identifier>
        <ReturnReference>FORM 990, SCHEDULE J, PART I, LINE 1B</ReturnReference>
        <Explanation>THE ORGANIZATION IS CONSIDERING IMPLEMENTING A WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF THE EXPENSES ON SCHEDULE J, PART I, LINE 1A.</Explanation>
      </Form990ScheduleJPartIII>
      <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>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>CITY OF JONESBORO AR RHHCF BOARD</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>716013749</IssuerEIN>
        <CUSIPNumber>480261EF9</CUSIPNumber>
        <DateIssued>2009-07-09</DateIssued>
        <IssuePrice>11925000</IssuePrice>
        <DescriptionOfPurpose>REFUND 1996 BOND ISSUE</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>4480000</AmountRetired>
        <TotalProceeds>11932298</TotalProceeds>
        <RefundingEscrow>11754111</RefundingEscrow>
        <IssuanceCostsFromProceeds>170889</IssuanceCostsFromProceeds>
        <OtherSpentProceeds>7026</OtherSpentProceeds>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>true</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>LINE 6</Identifier>
        <Explanation>ON THE PRIOR YEAR SCHEDULE K, WE REPORTED THE ACTUAL BALANCE IN THE EXCROW FUND ON LINE 3. THIS YEAR WE HAVE REPORTED THE TOTAL AMOUNT OF THE REFUNDING AS SHOWN ON FORM 8038.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PAGE 3, PART III(a)</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, 2011, SBMC PROVIDED $21,057,970 IN CHARITY CARE. THE TOTAL AMOUNT OF QUANTIFIABLE COMMUNITY BENEFITS PROVIDED BY ST. BERNARDS MEDICAL CENTER WAS $27,028,516 IN FISCAL YEAR 2010 THROUGH 324,571 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 2011 SBMC PROVIDED 88,254 PATIENT DAYS OF CARE. 45,310 PATIENT DAYS WERE PROVIDED TO THE ELDERLY WHILE 19,907 WERE PROVIDED TO THE MEDICALLY INDIGENT OR WHO HAD MEDICAID COVERAGE. 51,630 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 CLARK CONSULTING 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 2009, COMPENSATION OF ALL MANAGEMENT PERSONNEL AND ALL OTHER EMPLOYEES OF THE ORGANIZATION WAS REVIEWED BY CLARK CONSULTING.</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>CHANGE IN PENSION LIABILITY $ (2,483,159) TRANSFER TO AFFILIATE $ (5,993,133) CHANGE IN INTEREST IN NET ASSETS OF ST BERNARDS DEVELOPMENT FOUNDATION, INC. $ (475,191) CHANGE IN UNREALIZED GAINS ON INVESTMENTS $ (1,344,580) PET CENTER, LLC INCOME VS. BOOK INCOME $ (24,160) --------------- $(10,320,223)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:HARRY HUTCHISON TITLE:CFO HOURS:39</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST BERNARDS HEALTHCARE INC (SBHCI)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>225 EAST JACKSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EIN>710853900</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>OBS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OLIVETAN BENEDICTINE SISTERS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO DRAWER 130</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72403</ZIPCode>
        </AddressUS>
        <EIN>710654621</EIN>
        <PrimaryActivities>CONVENT</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST BERNARDS COMM HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>310 SOUTH FALLS BLVD</AddressLine1>
          <City>WYNNE</City>
          <State>AR</State>
          <ZIPCode>72396</ZIPCode>
        </AddressUS>
        <EIN>710835247</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SBHCI</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST BERNARDS VILLAGE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>225 EAST JACKSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EIN>710805203</EIN>
        <PrimaryActivities>HOUSING</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SBHCI</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BENEDICTINE MANOR I</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>225 EAST JACKSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EIN>208030553</EIN>
        <PrimaryActivities>HOUSING</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>VILLAGE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BENEDICTINE MANOR II</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>225 EAST JACKSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EIN>208030603</EIN>
        <PrimaryActivities>HOUSING</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>VILLAGE</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>JONESBORO REAL ESTATE HOLDINGS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>225 EAST JACKSON</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EIN>710835010</EIN>
        <PrimaryActivities>REAL ESTATE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SBHCI</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TOTAL LIFE HEALTHCARE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>700 EAST WASHINGTON AVE</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EIN>260262745</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SBHCI</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST BERNARDS DEVELOPMENT FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>400 EAST STREET</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
        </AddressUS>
        <EIN>710563245</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>OBS</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>AUX TO ST BERNARDS MEDICAL CENTER</BusinessNameLine1>
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        <PublicCharityStatus>11A</PublicCharityStatus>
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          <BusinessNameLine1>OUTPATNT SRGRY CTR</BusinessNameLine1>
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          <AddressLine1>1100 E MATTHWS</AddressLine1>
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          <AddressLine1>505 EAST MATTHEWS STE 103</AddressLine1>
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          <AddressLine1>PO BOX 9320</AddressLine1>
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          <BusinessNameLine1>JONESBORO ANESTHESIA INC</BusinessNameLine1>
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          <AddressLine1>221 HUGHES STE C</AddressLine1>
          <City>JONESBORO</City>
          <State>AR</State>
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          <AddressLine1>PO BOX 9320</AddressLine1>
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          <State>AR</State>
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          <ZIPCode>72403</ZIPCode>
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        <TypeOfEntity>C CORP</TypeOfEntity>
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      <Form990ScheduleRPartIV>
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          <State>AR</State>
          <ZIPCode>72401</ZIPCode>
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          <State>AR</State>
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          <State>AR</State>
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      <TransactionsRelatedOrgsTable>
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</Return>