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      </OtherExpenses>
      <OtherExpenses>
        <Description>Contractual fees</Description>
        <Total>1605118</Total>
        <ProgramServices>1605118</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad debts</Description>
        <Total>2416927</Total>
        <ProgramServices>2416927</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1949452</Total>
        <ProgramServices>1085961</ProgramServices>
        <ManagementAndGeneral>863491</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>20689126</Total>
        <ProgramServices>18750355</ProgramServices>
        <ManagementAndGeneral>1938771</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>4834</BOY>
        <EOY>3786</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>4313762</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>3385394</BOY>
        <EOY>2994478</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>165023</BOY>
        <EOY>175982</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>166625</BOY>
        <EOY>175868</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>14722708</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>9834765</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>5297788</BOY>
        <EOY>4887943</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>427472</BOY>
        <EOY>2705858</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>14076827</BOY>
        <EOY>15257677</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1015658</BOY>
        <EOY>1116599</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <BOY>435027</BOY>
        <EOY>689566</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>59544</BOY>
        <EOY>57922</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1510229</BOY>
        <EOY>1864087</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>12566598</BOY>
        <EOY>13393590</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>12566598</BOY>
        <EOY>13393590</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>14076827</BOY>
        <EOY>15257677</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>826992</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="11000144" softwareVersion="2011v1.2">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.2">
      <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>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="11000144" softwareVersion="2011v1.2">
      <Land>
        <OtherCostOrOtherBasis>123162</OtherCostOrOtherBasis>
        <BookValue>123162</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>8687580</OtherCostOrOtherBasis>
        <Depreciation>5187730</Depreciation>
        <BookValue>3499850</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>140952</OtherCostOrOtherBasis>
        <Depreciation>115452</Depreciation>
        <BookValue>25500</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>5747403</OtherCostOrOtherBasis>
        <Depreciation>4531583</Depreciation>
        <BookValue>1215820</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>23611</OtherCostOrOtherBasis>
        <BookValue>23611</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>4887943</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Rounding</Description>
        <BookValue>1</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Other Receivables</Description>
        <BookValue>228136</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Interest Receivable</Description>
        <BookValue>13775</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Equity in MHA Insurance</Description>
        <BookValue>141832</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due from Third Party Payor</Description>
      </OtherAssets>
      <OtherAssets>
        <Description>Due from Medicaid - EHR Incentive</Description>
        <BookValue>461500</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Construction in Progress</Description>
        <BookValue>1860614</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>2705858</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Due to Third Party Payor</Description>
        <Amount>57922</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>57922</TotalOfAmounts>
      <TotalRevenue>21516118</TotalRevenue>
      <TotalExpenses>20689126</TotalExpenses>
      <ExcessOrDeficitForYear>826992</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>826992</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>21516118</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>21516118</RevenueSubtotal>
      <TotalRevenuePerForm990>21516118</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>20689126</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>20689126</ExpensesSubtotal>
      <TotalExpensesPerForm990>20689126</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="11000144" softwareVersion="2011v1.2">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>false</FPGReferenceDiscountedCare>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>false</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>false</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>938237</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>276697</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>661540</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03600</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>1944746</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1771917</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>172829</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>2882983</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2048614</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>834369</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03610</PercentOfTotalExpense>
      </TotalCharityCare>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>2882983</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2048614</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>834369</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03610</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <HealthImprovementAdvocacy>
        <TotalCommunityBuildingExpense>8583</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>8583</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <TotalCommunityBuildingExpense>8583</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>8583</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2416928</BadDebtExpenseAmount>
      <AmountAttributableTo>341906</AmountAttributableTo>
      <AmountReimbursedByMedicare>4148135</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>4326382</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-178247</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>0</FacilityNumber>
        <Name>
          <BusinessNameLine1>Winston County Comm Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>PO Box 967</AddressLine1>
          <City>Lousiville</City>
          <State>MS</State>
          <ZIPCode>39339</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Winston County Comm Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>150.0000</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>150.0000</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <UninsuredDiscount>X</UninsuredDiscount>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <PermitLienOnResidence>X</PermitLienOnResidence>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Identifier>Number of Hospital Faciltiy - 0</Identifier>
        <ReturnReference>Part V, Line 19d - Other Billing Determination of Individuals Without Insurance</ReturnReference>
        <Explanation>The hospital facility used the estimated amount Medicaid would pay.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>The facility has in place a charity care applicaction for which any patient can apply, provided they meet the qualifications on the application.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</ReturnReference>
        <Explanation>The shortfall will be absorbed by the facility's overall financial condition. As such, this will be considered a community benefit.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 4 - Bad Debt Expense</ReturnReference>
        <Explanation>The facility usually reserves all assets over 180 days from discharge date as bad debt expense.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>No documents available to the public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The applicable department heads review each employee and submit a recommended pay adjustment to the administrator, The administrator then goes to the board of trustees who will decide on a pay raise, if any.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>During the year end audit, related party transactions are reviewed.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Tax return was reviewed with management and tax preparer.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>